Follicular cysts are the commonest functional cysts. They are usually multiple and small as seen in cases of cystic glandular hyperplasia of the endometrium or in association of fibroid. Hyperestrinism is implicated as its cause. However, an isolated cyst may be formed in unruptured Graafian follicle, which may be enlarged but usually not exceeding 5 cm. The cyst is lined by typical granulosa cells without lutein cells or the cells may be flattened due to pressure.
In majority of cases, the detection is made accidentally on bimanual examination, sonography, laparoscopy or laparotomy.
SYMPTOMS OF FOLLICULAR CYSTS
The cyst may remain asymptomatic or may produce vague pain.
Management: A follicular cyst < 3 cm requires no further investigations. A simple cyst, < 8 cm, unilocular, echo free without solid areas or papillary projections, with normal serum CA 125 should be followed up with repeat ultrasound in 3 to 6 months' time.
Whenever a cyst persists or grow, it should be removed by laparoscopy/laparotomy.
HOMEOPATHIC MANAGEMENT OF FOLLICULAR CYSTS:-
The medicines that can be help in managing are:-