Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (6)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by MacKenna, A.
Right arrow Articles by Morales, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MacKenna, A.
Right arrow Articles by Morales, V.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Human Reproduction, Vol. 15, No. 12, 2567-2569, December 2000
© 2000 European Society of Human Reproduction and Embryology

Clinical management of functional ovarian cysts: a prospective and randomized study

Antonio MacKenna1,3, Cecilia Fabres1, Verónica Alam2 and Verónica Morales1

1 Unit of Reproductive Medicine, Department of Obstetrics and Gynaecology, Clínica Las Condes and 2 Ares-Serono, Panamá 2121, 140 Martinez, Buenos Aires, Argentina

Most ovarian cysts in women of reproductive age are physiological (functional) and patients have been treated for years with oral contraceptives to obtain the resolution of these cysts. Expectant management has been suggested to have the same effectiveness as hormonal treatment but such suggestions come from studies including all kinds of cysts. The objective of the present study was to assess the resolution of functional ovarian cysts, observed after ovulation induction, with expectant management and hormonal treatment and also to determine the period of time necessary for the resolution of the cysts. For this purpose, 53 patients with ovarian cysts, observed by transvaginal ultrasound within the first 5 days of a cycle after ovulation induction, were randomized to have expectant management (group A) or to receive oral contraception (group B) for one cycle. If the cyst persisted, the patient was followed for another cycle, without any treatment. Within the 50 women who completed the trial, a complete resolution of the cysts was observed in 19/25 (76%) and 18/25 (72%) in groups A and B respectively. On the other hand, all the persistent cysts disappeared after a second cycle without any treatment. In conclusion, expectant management is as effective as oral contraceptives for the resolution of functional ovarian cysts induced by ovarian stimulation. However, studies with a larger number of cases are needed to increase the power of the results and to obtain a firm conclusion.

Key words: functional cysts/ovarian cysts/physiological cysts

3 To whom correspondence should be addressed at: Unit of Reproductive Medicine, Department of Obstetrics and Gynaecology, Clínica Las Condes, Lo Fontecilla 441, Santiago, Chile.E-mail: amackenn{at}clinicalascondes.cl


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum ReprodHome page
J. L. Alcazar, G. Castillo, M. Jurado, and G. L. Garcia
Is expectant management of sonographically benign adnexal cysts an option in selected asymptomatic premenopausal women?
Hum. Reprod., November 1, 2005; 20(11): 3231 - 3234.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
C.D. de Kroon, H.A.G.M. van der Sandt, J.C. van Houwelingen, and F.W. Jansen
Sonographic assessment of non-malignant ovarian cysts: does sonohistology exist?
Hum. Reprod., September 1, 2004; 19(9): 2138 - 2143.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.