These are the most common cause of ovarian enlargement and are usually felt as a cystic adnexal mass on bimanual examination of less than 8 cm diameter which regresses following the subsequent menstrual period.
Management is influenced by the age of the patient. If none of the conditions warranting exploratory laparotomy are indicated - see the relevant section - then a policy of wait and see is justifiable, possibly with the prescription of an oral contraceptive to suppress gonadotrophin levels.
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