Tuesday, August 27, 2013

Gynecological Tumor or Ovarian Cyst


It is common for women who are experiencing pain and discomfort to be concerned whether or not they have an ovarian cyst or gynecological tumor (also known as an ovarian tumor). There can be confusion surrounding the differences in definition and treatment, and we are here to help women get the gynecological answers they need.

An ovarian cyst is an air- or fluid-filled sac that forms in the ovaries (organs on either side of a woman’s uterus that produce hormones and prompt the menstruation cycle each month). There are several types of ovarian cysts including the functional cyst. Considered to be the most common, the functional cyst forms either when a woman’s egg is not released during ovulation or when the fluid-filled sac in which the egg forms neglects to dissolve after the egg has been released.

Others types of ovarian cysts include the following:

  • ·       Cystadenomas are made up of the cells which cover the surface of the ovary.
  • ·       Dermoid cysts contain tissue which is similar to the tissue found in other parts of the body. This can include teeth, skin and hair tissue.
  • ·       Endometriomas are made up of tissue from the lining in uterus.
  • ·       Polycystic ovaries occur when the follicles (in which the eggs mature) do not open.


It is difficult to determine whether a patient has an ovarian cyst, because the symptoms are not evident until a gynecologist performs a routine pelvis exam. However, if you exhibit any of the following symptoms, be sure to contact your gynecologist immediately:

  • ·       Abdomen pain or bloating
  • ·       Pain during intercourse
  • ·       Loss of appetite
  • ·       Nausea and/or vomiting
  • ·       Difficulty or frequent urination
  • ·       Weight gain
  • ·       Dull ache in the lower back
  • ·       Painful menstruation and abnormal bleeding


It is important to note that these symptoms are similar to those of a gynecological tumor which can lead to ovarian cancer. This form of cancer often spreads before it is detected, so you should be sure to get your routine pelvic exam each year.

The good news is that if you are diagnosed with ovarian cysts, they are likely to go away on their own. In fact, ovarian cysts are not a concern unless they bleed, spiral or rupture. If the symptoms are troublesome, your gynecologist will suggest frequent check-ups to determine whether a change has occurred. Birth control pills, which prevent ovulation, may be prescribed to rid the body of pain and discomfort.

There are two ways to remove ovarian cysts that continue to grow, cause pain or do not go away on their own: Laparoscopic surgery or a Laparotomy.

  • ·       Laparoscopic surgery – This technique is recommended for small, noncancerous ovarian cysts. Laparoscopic surgery – an outpatient procedure – uses small incisions with the aid of a tiny telescope-like instrument to remove the ovarian cyst. After two weeks of light lifting and easy exercise, patients can jump back into their regular routine.  

  • ·    Laparotomy – Doctors use this technique when a cyst is larger than 3 inches. It is also recommended for multiple cysts and a gynecological tumor. General anesthesia is administered, and the surgeon removes the tumor. When necessary, a hysterectomy is performed – the removal of the ovaries, uterus, lymph nodes, fallopian tubes and the fatty abdominal tissue known as the omentum. An overnight stay is common, and a hospital discharge is granted if infection has not set in. After six weeks, patients can get back to leading a full life.


A genetic cell mutation can transform healthy cells into abnormal cells. They begin to multiply out of control and form a mass which is known as a gynecological tumor. This mass can take on neighboring cells and spread throughout the body without dying as normal, healthy cells do. A gynecological tumor is any abnormal tissue mass that is either malignant (cancerous) or benign (cancer-free). A biopsy will help the gynecologist determine whether or not a patient has ovarian cancer.

Ovarian cancer has several stages (I to IV). Depending on the stage of the gynecological tumor, a gynecologic oncologist will recommend various types of treatments plans. A Stage I ovarian cancer patient could undergo a total abdominal hysterectomy. Other cancer stages could be helped with surgery, chemotherapy or radiation.

  • ·       Chemotherapy – Designed to kill cancer cells, chemotherapy is administered by the mouth, in the abdomen or intravenously. Side effects – hair loss, nausea, vomiting, kidney damage and a greater chance of infection – will go away once the chemotherapy treatments have been completed.

  • ·       Radiation – Strategically placed X-rays – either outside of the body or inside near the ovarian tumor – will target and either shrink or destroy the cancer cells. Side effects include  nausea, diarrhea, fatigue and reddening of the skin.


Keep in mind that there is a chance ovarian cancer will return after surgery. In which case, patients will need to discuss additional treatment plans with their gynecologist.

If you are diagnosed with ovarian cysts or a gynecological tumor, contact MedToGo today. Our team of highly-qualified gynecologists can help you reclaim your health with safe and affordable treatment options.  

Tuesday, August 20, 2013

A Hysterectomy or Not?

A Hysterectomy or Not?


Women all over the world are faced with the dilemma of whether or not to have a hysterectomy (a surgical procedure to remove a woman’s uterus). They may find themselves suffering from extreme gynecological issues that can only be treated this type of procedure. Of course, there are those who elect for nonsurgical, uterine-sparing treatments.

Either way, deciding whether or not to have a hysterectomy is a very personal decision. It can have a great impact on a woman’s self-esteem and emotional well-being.

The August 2013 edition of the journal Obstetrics and Gynecology published a study that listed hysterectomy surgery as one of the most commonly performed procedures in women. The journal noted that over 600,000 hysterectomies were performed annually in the United States (a high number for medically conservative patients and doctors).

There are a number of reasons why a doctor would recommend 1 of 3 hysterectomy surgeries: total (entire uterus removed), partial or subtotal (part of the uterus) or radical (uterus, cervix, and part of the vagina).
At the top of the list is the onset of fibroid tumors. Female patients who are plagued with severe symptoms – prolonged menstrual periods and pelvic pressure or pain – resort to this gynecology procedure. Other reasons include:

·       A lower risk of uterine, ovarian or cervical cancer (especially helpful for women who are predisposed)
·       Relief from chronic pelvis pain, endometriosis, excessive bleeding, benign ovarian mass, uterine prolapse or placenta percreta

Some women elect to have hysterectomy surgery because they no longer want to have children. Others may be undergoing gender transformation.  Patients give "informed consent,” acknowledging the possible side effects and health risks.

  • ·       Fever
  • ·       Urinary infections
  • ·       Wound infections which prolong hysterectomy recovery
  • ·       Blood clots
  • ·       Allergic reaction to medications
  • ·       Anesthesia complications
  • ·       Injury to nearby organs
  • ·       Extreme bleeding
  • ·       Painful sex, decreased sexual desire or difficulty reaching orgasm
  • ·       Quick onset of menopause (especially if the ovaries are removed)
  • ·       Urinary incontinence
  • ·       Hormonal changes
  • ·       Emotional side effects of not being able to have children again and feeling inadequate as a woman
  • ·       Estrogen replacement therapy (ERT) to prevent osteoporosis, heart disease and menopause


Studies show that complications occur in 11 out of 10,000 women who undergo hysterectomy surgery with qualified personnel. This statistic does not take into account early menopause and a decreased sex drive. The risk of death is less than 1%.  

Hysterectomy recovery time depends on the type of surgery and a woman’s overall health. A patient should plan to recover in the hospital for 2 to 5 days. Once home, hysterectomy recovery will take anywhere from 3 to 6 weeks with light activity and a whole lot of rest. Women can typically enjoy sex after 6 weeks and are back to their regular activities after 6 months.

Talk to your doctor to determine whether a hysterectomy is right for you.

Contact us today to learn more about gynecology treatments that will help get you get back to living a full, pain-free life.