Will ovarian tissue be destroyed after cystectomy?

Cystectomy may cause minor damage to ovarian tissue but usually does not severely disrupt ovarian function. Cystectomy refers to the removal of ovarian endometriosis cysts. During the operation, the doctor will try to preserve normal ovarian tissue to reduce damage to ovarian function.

Under normal circumstances, cystectomy will first make a small incision on the surface of the cyst, and then carefully peel off the adhesion between the cyst and the ovarian tissue. The ovarian cortex may be slightly damaged during this process, but the use of electrocoagulation hemostasis or suturing techniques during the operation can effectively reduce bleeding and trauma area. Ovarian blood flow can usually be restored in a short period of time after surgery. Most patients' menstrual cycles are not significantly affected after surgery. Hormone level tests also show that ovarian reserve function does not decrease significantly. Clinical follow-up data show that for unilateral cysts operated by experienced doctors, the incidence of premature ovarian failure is less than 5%.

In rare cases, if the adhesion between the cyst and the ovarian tissue is severe, the dissection range is large, or too much electrocoagulation energy is used to stop bleeding during the operation, more follicles may be damaged. Such patients may experience short-term menstrual disorders after surgery, and a small number of people need medication to regulate their menstrual cycles. In very special cases, removal of large areas of bilateral ovarian cysts may lead to a significant decrease in ovarian reserve function. This type of situation is more common in older patients or patients with a history of multiple ovarian surgeries. Anti-Müllerian hormone testing three months after surgery can more accurately assess the preservation of ovarian function.

It is recommended to regularly review vaginal ultrasound and six sex hormones after surgery to observe the development of follicles. Daily intake of soy products rich in phytoestrogens can be moderate to avoid ovarian torsion caused by strenuous exercise. If ovulation disorders are found during pregnancy preparation, you should seek medical evaluation in time. Assisted reproductive technology can be used if necessary. Six months after surgery is a critical period to evaluate the recovery of ovarian function. During this period, maintaining a regular schedule and a balanced diet are crucial for ovarian repair.