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The management of ovarian cysts in premenopausal women

Department of Obstetrics and Gynaecology, Jessop Wing, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK.

Tin-Chiu Li, PhD MRCP MRCPI FRCOG, Consultant

Department of Obstetrics and Gynaecology, Jessop Wing, Royal Hallamshire Hospital, Tree Root Walk, Sheffield, S10 2SF, UK.

William L Ledger, MA D Phil FRCOG, Head of Section of Reproductive and Developmental Medicine

Academic Unit of Reproductive and Developmental Medicine, University of Sheffield, Jessop Wing, Royal Hallamshire Hospital, Tree Root Walk, Sheffield, S10 2SF, UK. email: w.ledger{at}sheffield.ac.uk (corresponding author)

As high-resolution transvaginal ultrasound becomes more widely available, asymptomatic cysts are diagnosed with increasing frequency. Womens' anxieties centre on the risk of cancer and possible loss of fertility due to the cyst and treatment complications. Investigations include measurement of serum tumour markers, basic assessment of ovarian function, transvaginal ultrasonography and possibly cyst fluid cytology. While a proportion of simple cysts will resolve spontaneously, others require surgical management. Laparoscopic surgery is the treatment of choice in young women at low risk of malignancy.

Keywords Keywords / infertility / laparoscopy / ovarian cyst / premenopausal