Combined hormonal contraception in woman with persistent functional ovarian cysts – case report

Czech version

Authors: R. Jarošová; Tomáš Fait
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2009; 74(5): 393-395

Overview

Objective:
This case report refers about possibilities of conservative treatment of functional ovarian cyst by oral hormonal contraception including women after hysterectomy.

Design:
Case report.

Settings:
Department of Gynecology and Obstetrics, First Faculty of Medicine, Charles University and General Teaching Hospital, Prague.

Subject and method:
We present the case of patient after hysterectomy with persistent functional ovarian cysts. The case shows that low – dose hormonal contraception could protect to development of functional ovarian cysts.

Conclusion:
Generally acknowledged influence of combined hormonal contraception to risk of recurrent ovarian cysts is possible to use in the woman after hysterectomy whose do not require contraceptive effect more.

Key words:
ovarian cyst, hormonal contraception, hysterectomy, laparoscopic intervention.

Sources

1. Braendle, W., Kuhl, H., Mueck, A., et al. Does hormonal contraception increase the risk for tumors? Ther Umsch, 2009, 66, 2, p. 129-35.

2. Baerwald, AR., Pierson, RA. Ovarian follicular development during the use of oral contraception: a review. J Obstet Gynaecol Can, 2004, 26, 1, p. 19-24.

3. Cibula, D., a kol. Základy gynekologické endokrinologie. Praha : Grada Publishig, 2002, 340s.

4. Christensen, JT., Boldsen, JL., Westergaard, JG.. Functional ovarian cysts in premenopausal and gynecologically healthy woman. Contraception, 2002, 66, 3, p. 153-157

5. Fait, T. Antikoncepce – průvodce ošetřujícího lékaře. Praha: Maxdorf, 2008, 102 s.

6. Fait, T., Nouzová, K., Sýkorová, P., a kol. Přínosy a rizika moderní kombinované hormonální antikoncepce. Čas Lék čes, 2005, 144, 4, s. 238-243.

7. Fait, T., Nováková, A., Živný, J. Osteoporóza a hormonální kontracepce, Čes Gynek, 2001, 66, 5, s. 309-313.

8. Grimes, DA., Jones, LB., Lopez, LM., Schulz, KF. Oral contraceptives for functional ovarian cysts. Cochrane Database Syst Rev. 2006, Oct 18, 4, CD 006134.

9. Lukanova, M. Chronic pelvic pain and combined oral hormonal contraception. Akush Ginekol 2008, 47, 3, p. 20-29.