Generally ultrasonography is first line. Other tests as indicated by diagnosis. Treatment of Ovarian Masses Women of childbearing age with clinically benign ovarian cysts under 6 cm in diameter may be observed monthly. If the cyst persists but decreases in size, it may be observed through another cycle. A palpable ovary in a postmenopausal female is abnormal, and one should proceed to full evaluation without a period of observation.
Early diagnosis is essential and usually necessitates surgical excision.
Cysts greater than 10 cm in diameter are more likely to be malignant and require immediate evaluation and probable excision. An exception to this is the rare luteoma of pregnancy. All rights reserved.