Whether it is necessary to remove postmenopausal ovarian cysts needs to be decided according to the size of the cysts, the presence or absence of symptoms, and the combination of tumor markers if necessary.
1. Cyst size: if the cyst is small, it can be observed dynamically, if the cyst increases in size during the observation process or the diameter of the cyst exceeds 5cm, it must be surgically removed. Generally, ovariectomy is chosen as the ovaries lose their function after menopause, neither ovulation nor hormone secretion, so there is no need to keep the ovaries once the cysts occur.
2. Symptoms: A cyst that is too large will compress the tissues and organs around the ovary, causing compression symptoms. For example, if the cyst presses on the rectum, causing constipation; or presses on the bladder, causing frequent urination. If the symptoms are serious enough to affect your daily life, you may consider removing the ovarian cyst.
3. Tumor markers: Ovarian cysts found after menstruation and accompanied by significant elevation of tumor markers, suggesting that ovarian cysts have the possibility of malignant changes, also need to be surgically resected, and the specimens are sent to the pathology for examination after the operation, and if malignancy is suspected during the operation, the operation can also be done freezing.
Ovarian cysts, whether post-menopausal or reproductive, once found in time to seek medical treatment, standardized treatment, so as not to delay the condition.