Are ovarian cysts in postmenopausal women considered malignant until proven otherwise?

In the context of postmenopausal women, ovarian cysts are considered potentially malignant until proven otherwise due to the increased risk of ovarian cancer in this population. After menopause, the ovaries normally cease to function, leading to a reduction in hormonal stimulation. Therefore, the presence of an ovarian cyst in a postmenopausal woman raises more concern compared to premenopausal women, where cysts are often functional and benign.

The risk of malignancy in postmenopausal women is heightened, and rather than assuming a cyst is benign, clinicians typically recommend further evaluation. This may include imaging studies like ultrasound or CT scans and potentially surgical intervention to obtain a definitive diagnosis. This cautious approach is essential to ensure that any malignant condition is identified early and managed appropriately.

Overall, the classification of ovarian cysts in postmenopausal women as malignant until proven otherwise is a fundamental principle in the management of gynecological health in this demographic.