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The management of ovarian cysts before menopause is a critical aspect of women's reproductive health care. Ovarian cysts are fluid-filled sacs that can develop on or within the ovaries, and while they are a common occurrence, their proper management is essential to ensure the well-being of women. These cysts can vary in size and composition, and their presence may be asymptomatic or accompanied by a range of symptoms. Before menopause, the ovaries play a pivotal role in a woman's reproductive system, and any abnormalities, such as the development of cysts, can potentially impact fertility and overall reproductive health. Therefore, a comprehensive understanding of the types, causes, and appropriate management strategies for ovarian cysts is crucial for healthcare professionals involved in women's healthcare. The management of ovarian cysts involves a multifaceted approach, including accurate diagnosis, careful monitoring, and, when necessary, intervention. Different types of ovarian cysts may require specific considerations in terms of treatment and follow-up, and the decision-making process is often guided by factors such as the size of the cyst, its characteristics, and the presence of associated symptoms. In this context, healthcare providers aim to strike a balance between conservative management, which may involve regular monitoring through imaging techniques, and more interventional approaches, such as surgical removal, if the cyst poses potential risks or if it is not resolving spontaneously. The management plan is tailored to the individual needs and health status of the patient, taking into account factors such as age, reproductive goals, and overall health. This introduction will delve further into the nuances of ovarian cysts before menopause, exploring the different types, diagnostic methods, risk factors, and contemporary approaches to their management. By addressing these aspects comprehensively, healthcare professionals can better equip themselves to provide personalized and effective care for women navigating the complexities of ovarian cysts during their premenopausal years.