Is It Necessary to Return for Follow-Up After Ovarian Cyst Surgery? - Obstetrics and Gynecology

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Regular check-ups


Hello, doctor.
Two years ago, I had surgery for an endometrioma at Taipei Medical University Hospital, and Dr.
Liu reminded me to return for a follow-up after six months.
I haven't paid attention to the time and have visited Hong Chi Women's and Children's Hospital a few times, where I was checked and found no signs of recurrence.
However, the doctor still suggested that I return to the hospital where I had the surgery for an examination.
Is it necessary for me to go back to the hospital where I had the surgery for a check-up? Thank you.

Niu Niu, 20~29 year old female. Ask Date: 2017/02/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if the examination results are normal, it is not necessary to return to the original hospital for further testing.
Wishing you good health.

Reply Date: 2017/02/12

More Info


After undergoing surgery for an ovarian cyst, particularly a chocolate cyst, it is indeed advisable to have follow-up appointments with your healthcare provider. The necessity for these follow-ups stems from several important factors related to your health and the nature of ovarian cysts.

Firstly, ovarian cysts, including chocolate cysts (which are a type of endometrioma), can recur. Regular follow-ups allow your doctor to monitor your condition and check for any signs of recurrence. While you mentioned that you have had examinations at another hospital without signs of recurrence, the original surgical team may have specific protocols or insights regarding your case that are important for your ongoing care. They may also have access to your complete medical history, which can be crucial for making informed decisions about your health.

Secondly, follow-up visits are essential for monitoring any potential complications that could arise from the surgery itself. These complications can include issues such as adhesions, which are bands of scar tissue that can form after surgery and may cause pain or affect organ function. Regular check-ups can help identify these issues early on, allowing for timely intervention if necessary.

Moreover, the follow-up appointments are an opportunity for you to discuss any symptoms or concerns you may have experienced since your surgery. For instance, if you have been experiencing pain, irregular menstrual cycles, or any other unusual symptoms, these should be addressed with your healthcare provider. They can perform necessary examinations, such as ultrasounds, to ensure that everything is healing properly and that there are no new developments.

In addition to physical health monitoring, follow-up visits also provide a platform for discussing lifestyle modifications or treatments that may be beneficial for you. For example, if you have a history of endometriosis or polycystic ovary syndrome (PCOS), your doctor may suggest hormonal treatments or lifestyle changes to help manage your symptoms and reduce the risk of future cysts.

Lastly, while it may seem inconvenient to return to the original hospital for follow-up care, it is important to consider the continuity of care. Your original surgical team will be familiar with the specifics of your surgery and recovery, which can lead to more personalized and effective care. They can also provide you with tailored advice based on their knowledge of your case.

In conclusion, while you may have had recent check-ups at another facility, returning to the hospital where you had your surgery for a follow-up is advisable. It ensures comprehensive monitoring of your health, allows for early detection of any potential issues, and provides continuity of care that is crucial for your long-term well-being. Always prioritize open communication with your healthcare providers and do not hesitate to seek their guidance regarding your health concerns.

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