81944
document
Expectant management of functional ovarian cysts : an alternative to hormonal therapy . OBJECTIVE We studied whether the administration of oral contraceptives facilitates the disappearance of spontaneously formed functional ovarian cysts . METHODS Eighty patients in whom ultrasonography revealed unilateral , mobile , unilocular , thin-walled ovarian cysts without internal echoes and greater than 30 mm but not exceeding 60 mm in diameter were enrolled into the study . Patients were randomized by stratification to receive a low-dose monophasic pill , a high-dose monophasic pill , a multiphasic pill or no therapy . Patients were re-evaluated after 5 weeks of therapy and at the end of therapy ( 10 weeks ) . RESULTS The mean ages and the mean cyst diameters of the patients for each group were not significantly different . We did not find a significant effect of oral contraceptive administration on the disappearance rate of functional ovarian cysts over that of expectant management . CONCLUSION We conclude that oral contraceptive therapy even with multiphasic pills is very effective in the management of functional ovarian cysts but expectant management achieves similar success rates and may be a good alternative to oral contraceptive therapy .
81945
Intervention_Physical
Expectant management
81946
Intervention_Pharmacological
hormonal therapy
81947
Intervention_Pharmacological
oral contraceptives
81948
Intervention_Pharmacological
low-dose monophasic pill
81949
Intervention_Pharmacological
high-dose monophasic pill
81950
Intervention_Pharmacological
multiphasic pill
81951
Intervention_Control
no therapy
81952
Intervention_Pharmacological
oral contraceptive
81953
Intervention_Pharmacological
oral contraceptive therapy
81954
Outcome_Physical
mean ages and the mean cyst diameters
81955
Outcome_Physical
disappearance rate of functional ovarian cysts
81956
Outcome_Physical
functional ovarian cysts
81957
Participant_Condition
ovarian cysts
81958
Participant_Condition
ovarian cysts
81959
Participant_Sample-size
Eighty
81960
Participant_Condition
unilateral , mobile , unilocular , thin-walled ovarian cysts without internal echoes and greater than 30 mm but not exceeding 60 mm in diameter
81961
Participant_Condition
functional ovarian cysts
81962
Participant_Condition
ovarian cysts