Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet]. Women of reproductive age usually release an egg about once a month, birth control pill and ovarian cysts.
When the blister or cyst reaches the surface of the ovary, it bursts and releases the egg into the abdominal cavity. After this occurs, the blister can develop into another type of cyst, which makes a hormone progesterone that helps the pregnancy to grow. Most of these cysts come and go without problems. Sometimes, however, the cysts get large or painful; others may remain for months.
Several decades ago, health care providers learned that women taking birth control pills had fewer cysts, since the pills usually kept an egg from being released. Based on this fact, many clinicians started treating these cysts with birth control pills to make them go away faster. In Marchwe did a computer search for all randomized controlled trials that studied use of birth control pills to treat these benign also called functional cysts. We wrote to researchers to find other trials.
We found eight trials from four countries; they caps ball and cadet women.
Three trials included women receiving drugs to help them get pregnant. The other five included women who developed cysts without fertility treatment. In none of these trials did oral contraceptives help the cysts go away faster. Thus, birth control pills should not be used for this purpose. A better approach is waiting two or three months for the cysts to go away on birth control pill and ovarian cysts own. Functional ovarian cysts are a common gynecological problem among women of reproductive age worldwide.
When large, persistent, or painful, these cysts may require operationssometimes resulting in removal of the ovary. Since early oral contraceptives were associated with a reduced incidence of functional ovarian cysts, many clinicians inferred that birth control pills could be used to treat cysts as well.
This became a common clinical practice in the early s. This review examined all randomized controlled trials that studied oral contraceptives as therapy for functional ovarian cysts. We also examined the reference lists of articles. For the initial review, we wrote to authors of identified trials to seek articles we had missed. We included randomized controlled trials in any language that included oral contraceptives used for treatment and not prevention of functional ovarian cysts.
Criteria for diagnosis of cysts were those used by authors of trials. Data collection and analysis: Two authors independently abstracted data from the articles. One entered the data into RevMan and a second verified accuracy of data entry. We identified eight randomized controlled trials from four countries; the studies included a total of women.
Treatment with combined oral contraceptives did not hasten resolution of functional ovarian cysts in any trial. This held true for cysts that occurred spontaneously as well as those that developed after ovulation induction. Most cysts resolved without treatment within a few cycles; persistent cysts tended to be pathological e.
Although widely used for treating functional ovarian cystscombined oral contraceptives appear to be of no benefit. Watchful waiting for two or three cycles is appropriate, birth control pill and ovarian cysts.
Should cysts persist, surgical management is often indicated. Oral contraceptives for functional ovarian cysts. Cochrane Database of Systematic ReviewsIssue 4. Link to Cochrane Library. Number to email 5 10 20 50 Number to download 5 10 20 50 Turn recording back on. National Center for Biotechnology InformationU.
What is a systematic review? Finding systematic reviews Understanding research results Blog. Oral contraceptives to treat cysts of the ovary First published: Link to full article: Plain language summary Women of reproductive age usually release an egg about once a month. Cochrane Fertility Regulation Group.
Edited no change to conclusions. Generate a file for use with external citation management software. Number to download 5 10 20 50 Create File. Plain language summary Abstract. Clear Turn Off Turn On.