How is a uterine cyst treated?

Nov 11, 2024 Source: Cainiu Health
Disease description:

I was diagnosed with a uterine cyst and I'm very worried. I would like to know how uterine cysts are treated?

Doctor's answer (1)
Dr. Zhang Lu

Treatment methods for uterine cysts include:

1. For small cysts without symptoms, watchful waiting may be recommended, along with regular checkups to monitor for any growth or symptom development.

2. Medications may be used to control symptoms and reduce the size of the cyst, such as oral contraceptives, progestins, and gonadotropin-releasing hormone (GnRH) agonists.

3. Physical therapy: If the cyst is caused by cervical inflammation or infection, symptomatic treatment with modalities such as laser therapy or cryotherapy may be considered.

4. Traditional Chinese Medicine (TCM): According to TCM, uterine cysts are associated with dysfunction of internal organs and Qi stagnation with blood stasis. Treatment typically involves methods such as promoting blood circulation to remove blood stasis, resolving nodules, and clearing heat and detoxifying, aiming to improve endometrial blood circulation and soften and dissipate the cyst.

5. Surgical treatment: Larger cysts or symptomatic cases may require surgical intervention. Surgical options include laparoscopic surgery and open abdominal surgery, depending on the cyst's location, size, and characteristics.

6. Interventional therapy: For larger uterine fibroids, interventional procedures such as uterine artery embolization can be used to reduce blood supply and promote fibroid shrinkage.

7. Assisted reproductive technology: For women desiring fertility, treatment plans should consider the impact on fertility and may involve assisted reproductive techniques such as in vitro fertilization (IVF).

8. Minimally invasive surgery: An effective method for treating large or malignant cysts, avoiding the drawbacks of traditional open abdominal surgery, such as significant trauma, excessive bleeding, and slow recovery.

It is recommended to seek timely medical attention and follow medical advice for treatment.