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Q: Are treatments for cysts different after menopause?

by Dr. Barb DePree

Both before and after menopause, the indication for treating an ovarian mass is based on its symptoms: Is it causing pain with daily life? Is it causing pain with intercourse? How big is it?

Cysts, which are fluid-filled, are not usually worrisome, and usually resolve themselves without intervention—either before or after menopause. We are concerned if they continue to grow (anything less than 5 cm in size is not a worry).

Any solid mass requires investigation, because it is more likely to be a tumor or cancer. Again, the size and growth rate help us to determine a treatment route.


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