Functional Ovarian Cysts: a Multicenter Study of the Current Management Among Iranian Patients

Ovarian cysts occur in 30% of females with regular menses, 50% of females with irregular menses and 6% of postmenopausal females. In the present study we aimed to compare the actual practice with optimal practice in management of F.O.C. The aim of this study is to find out how many functional ovarian cysts are removed in studied gynecologic departments with the current practice. Methods and Material: In a multi-centric study histopathology of benign ovarian involvements of patients coming to 20 hospitals were reviewed from 1998 to 2005. Age, sonographic findings and histopathology were recorded. Statistical analysis used: Analysis was done using SPSS software (Version 13, SPSS Inc., Chicago, Illinois, USA). Statistical analysis of the results were recorded as frequency, (mean + SD) and median (range). In 2981 patients with benign ovarian histopathology undergoing surgery, 1732 (58.5%) had functional ovarian cysts. Among patients with functional ovarian cyst, 1005 (58%) were uncomplicated, followed by 686 patients (39.6%) having hemorrhagic and 41 patients (2.3%) having torsed ovarian cyst. Our finding suggests more functional ovarian cysts might have avoided surgery, if more strict criteria for surgery were followed in gynecological departments.