Ovarian cysts can sometimes develop in postmenopausal women due to hormonal imbalances. While many resolve on their own, some persistent cysts may require treatment. There are several options to consider:
- Watchful waiting - For small, asymptomatic cysts, your doctor may recommend watching and waiting to see if they go away in a few months. They will monitor with follow-up pelvic exams or ultrasounds.
- Hormone therapy - Supplemental estrogen and progesterone can help restore hormonal balance and sometimes cause cysts to shrink. This may include:
- Low-dose birth control pills
- Estrogen patches
- Vaginal estrogen
- Surgery - If cysts are large, painful, or persisting despite medication attempts, surgical removal may be warranted. Options include:
- Cyst aspiration - draining fluid from the cyst with a needle
- Laparoscopic cystectomy - minimally invasive surgery to excise the cyst
- Oophorectomy - removal of the ovary with the cyst
- Lifestyle changes - Some natural remedies may help promote hormonal balance:
- Reduce inflammation with anti-inflammatory foods
- Try stress-reducing activities like yoga, meditation
- Maintain a healthy weight
- Optimize nutrition and gut health
When to see a doctor
You should make an appointment with your gynecologist if you have:
- Pelvic or abdominal pain
- Pressure, bloating, or swelling
- Abnormal bleeding
- Rapidly growing cysts
- Persistent complex cysts
Your doctor can check for cysts with pelvic exams, blood tests, ultrasounds, or other imaging tests. Early evaluation and proper management are important for symptom relief and preventing complications.
At
Hormone Harmony Clinic, we specialize in treating hormonal issues in perimenopausal and postmenopausal women.
Our board-certified obstetrician-gynecologists and nurse practitioners can provide personalized care plans to help regulate hormones, manage cysts, and improve symptoms.
We offer:
- Comprehensive lab testing to evaluate hormonal levels
- Bioidentical hormone therapy, including customized estrogen, progesterone, testosterone, and DHEA pellets or creams
- Nutraceuticals and supplements to support hormone balance
- Telehealth appointments for your convenience
With an integrative approach, we work closely with each patient to develop individualized treatment regimens aimed at restoring wellness, vitality, and an optimal quality of life. Contact us today to learn more or schedule your first visit.