What is the typical treatment approach for functional ovarian cysts that are less than 8 cm?

The typical treatment approach for functional ovarian cysts that are less than 8 cm is supportive management. These cysts are generally functional in nature, meaning they are related to the normal functioning of the ovaries and often arise in the follicular or luteal phases of the menstrual cycle. In most cases, these cysts do not cause significant symptoms or complications and can resolve on their own without intervention.

Supportive management may include monitoring and reassurance, as many functional ovarian cysts can spontaneously regress within one to three menstrual cycles. Patients are often advised to follow up if they experience worsening symptoms or if the cyst does not resolve after a few months.

The other treatment options, such as surgery, chemotherapy, and hormonal therapy, are typically reserved for cases where there is suspicion of malignancy, significant symptoms, or larger cysts that do not resolve over time. Hence, supportive management is the best initial approach for small functional ovarian cysts, focusing on observation and symptom management rather than invasive procedures or aggressive treatments.