Gynecology \u00b7 Postmenopause
Ovarian cysts after menopause: when to worry
Postmenopausal ovaries are quiet \u2014 new cysts warrant more scrutiny than premenopausal ones. Simple <5cm cysts are usually benign and managed with follow-up ultrasound; complex features change the picture.
Key points
- Simple cyst <5cm: repeat US 3–6 months
- Complex features: gyn-oncology
- CA-125 with caution — nonspecific
Frequently asked questions
Are postmenopausal cysts always cancer?
No — most are benign. But threshold for workup is lower.
What labs help?
CA-125, HE4, ROMA score in complex cases.
When is surgery indicated?
Complex morphology, growth, or elevated tumor markers.
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Medically reviewed by Kindr Health Clinical Team · Last reviewed 2026-06-19. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.