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Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 08

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Ginecol Obstet Mex 2024; 92 (08)

Involvement of simple ovarian cysts with combined oral hormones in patients of chilbearing age.

Villa VF, Villa GRA, Bravo RJ, Ballesteros MA, Panduro BJG, Ochoa HM

Language: Spanish
References: 15
Page: 352-357
PDF size: 196.30 Kb.


ABSTRACT

Objective: To determine the natural evolution and effects, after two months, of combined oral hormonal drugs indicated for patients of childbearing age with simple ovarian cysts and their difference with a control group.
Materials and Methods: Prospective, longitudinal, descriptive, comparative and experimental study conducted in the Gynecobstetrics Service of the Civil Hospital of Guadalajara Fray Antonio Alcalde in patients attended between April 2018 and March 2019 with a diagnosis of simple ovarian cyst. Patients were randomized to two study groups: those treated with ethinyl estradiol and drospirenone (group A) and those who received only placebo (group B). The groups were similar with respect to age, marital status, occupation, pregnancies, and history of ovarian cysts.
Results: Two groups of 40 patients each were studied. After two months of treatment, regression occurred in 32 cases in group A and in 22 cases in group B, with a significant difference. None of the cysts larger than 65 mm regressed.
Conclusion: The most common age of onset of simple ovarian cysts is between 20 and 29 years. Of the sample studied, regression was observed in 32 of 40 patients treated, but not in ovarian cysts larger than 65 mm. The prescription of combined oral contraceptives is recommended in the treatment of patients with simple ovarian cysts between 30 and 65 mm to increase their regression rate and thus avoid surgery.


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