oral cont Oral contraceptives an effective therapy for ovarian cysts but recently its role have been debated!!

Formation of foliccualr cyst is an common side effect of OI drugs. Quite often after one two cycles of OI (CC/ hMG cycle)-we come across residual Ov Cyst on day 3 scan on subsequent cycle: This is a common phenomenon. Method :: 1)   In such situation we usually refrain from stimulation in that cycle till foll disappears after 3--4 months time in case the age of the woman concerned is< 24 yrs of age. Spont resolution of foll  cyst without any medication is not uncommon. Method :: 2 )    But if her age is > 28 yrs-we should treat by OC to decrees the residual Foll cyst-so as to   enable us to initiate stimulation in next month. Age, as we already aware, is an   important factor in deciding the initiation of OCP for rapid diminution of Cyst-

 . If between:-24-27 yrs:-Then. Review without medication after 2-cycles thereby allowing spont resolution again without OCP. We agree that, oral contraceptives an effective therapy for ovarian cysts but recently its role have been debated!!

Oral contraceptives are not an effective treatment for ovarian cysts, whether the cysts are spontaneous or associated with medically induced ovulation. Most cysts resolve without intervention within two to three months. Those that do not resolve in this time frame are more likely to be pathologic in nature and should prompt referral for a surgical evaluation. (Strength of Recommendation: B, based on inconsistent or limited-quality patient-oriented evidence.)

Oral contraceptives have long been known to be highly effective at suppressing the development of ovarian cysts. In one study but  the relative risk of developing ovarian cysts was 0.22 (95% confidence interval, 0.13 to 0.39) for women taking an oral contraceptive compared with those not taking an oral contraceptive. Although oral contraceptives are commonly used to treat ovarian cysts, the authors sought to clarify whether OCP will be beneficial .