Ovarian Cysts Still: In Menopause

Ovaries of women in menopause do still have some eggs, do still have some hormone production, and can still get ovarian cysts. One study showed that almost 1/5 women in menopause will be found to have an ovarian cyst. And its also important to note that while the worry of ovarian cancer is high in the women who do have cysts in menopause, the likelihood of a simple cyst in menopause being cancerous is very low. Your gyno will likely look at the size of the cyst and decide if it is something that is serious and needs surgery or needs to be just watched. Blood tests, other symptoms, sometimes other imagining tests, like CAT scans can help determine this as well, although hands down the ultrasound is the most efficient and accurate and actually the least expensive way to determine what the significance of the cyst is.Then the next issue is how fast they can resolve without needing surgical removal. In the University of Kentucky Ovarian Cancer Screening Program that watched women from 1987 until 2012, they have a lot of data to answer the question of how quickly an ovarian cyst can resolve post menopause. If the cyst is not completely solid then about 50% resolve over the first 6 months of observation, about 70% have resolved by a year, and it takes 5 years for 95% of the cysts to resolve: but some took almost a full 10 years to resolve! Even women who had cysts on both their ovaries, mostly they did resolve, and yet it could take many years as well! So if you are diagnosed with a cyst, don't necessarily run to surgery, but get appropriate additional testing if recommended by your physician including the blood tests CA 125 or Ova1, and be prepared if they tell you to wait and watch , the waiting may be long!


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