Do I need surgery for uterine cysts?

Whether a uterine cyst requires surgery depends on the size, nature and symptoms of the cyst. For small, asymptomatic benign cysts, observation and follow-up are acceptable, but if the cyst is large, has a high risk of malignancy or causes significant discomfort, surgical removal is usually required. Next, we will analyze the specific causes and provide treatment recommendations.

1 Causes and types of uterine cysts

Uterine cysts are a common type of gynecological problem, usually including uterine fibroid cysts, adenomyoma cysts or endometrial cysts. The causes of these cysts may be related to the following factors:

Genetic factors: If there is a history of uterine-related diseases in the family, the probability of getting the disease may increase.

Environmental influences: Long-term stress, irregular lifestyle or endocrine disorders may induce it.

Physiological factors: Multiple pregnancies, fluctuations in hormone levels or increasing female age can affect the growth of the endometrium and the formation of cysts.

Pathological factors: Endometriosis, chronic inflammation or infection are common pathological causes.

Depending on the type of cyst, the doctor will combine ultrasound screening to further determine whether it is benign or malignant. If abnormal proliferation or enhanced blood flow signals are found, one should be alert to the possibility of malignancy.

2 Solutions for uterine cysts

Treatment options need to be evaluated based on the specific condition of the cyst, including drug control, surgical treatment, and observation and follow-up.

Small benign cysts: observation and medication

For benign cysts with a diameter of less than 5 cm and no symptoms, immediate surgery is usually not required. Oral luteinizing hormone-releasing hormone drugs such as goserelin can be used to control the growth of the cyst. It is also recommended to have an ultrasound examination every 3-6 months.

Medium-sized cysts: Minimally invasive surgery

For medium-sized cysts accompanied by menstrual abnormalities, infertility or pelvic pain, minimally invasive surgery is recommended, such as laparoscopic cystectomy, which has small incisions, quick recovery, and preserves the reproductive function of the uterus.

Suspected malignant cyst: Traditional laparotomy

If the cyst is larger than 10 cm in diameter, or if screening reveals the possibility of malignancy, such as a history of adenocarcinoma, a complete laparotomy is usually required, followed by pathological examination and subsequent treatment.

3 Auxiliary measures in daily care

In addition to professional treatment, lifestyle adjustments are also crucial:

Diet: It is recommended to consume more fiber-rich foods such as green leafy vegetables and whole grains, and limit high-fat, high-hormone foods such as deep-sea fish and soy products.

Exercise: Moderate aerobic exercise, such as yoga or brisk walking, can improve hormone metabolism and reduce stress response.

Regular physical examinations: It is recommended to have a gynecological examination once a year and monitor the health of the uterus at all times through ultrasound or hormone level testing.

The treatment of uterine cysts should be individualized, and the key is early diagnosis and early treatment. It is recommended that after clarifying the type of cyst and the degree of danger, you should strictly follow the doctor's instructions to choose the appropriate treatment method, and at the same time manage the health of the uterus with a healthy lifestyle. If there are suspected signs of malignancy, you should seek medical attention immediately.