This clinical protocol addresses the management of follicular cysts of the ovary in adolescent females — the most common ovarian cyst presentation in this age group.
An adolescent female presenting with a follicular ovarian cyst. The majority of ovarian cysts in adolescents are follicular cysts, which occur due to a maturing follicle's failure to ovulate and involute.
The approach in adolescent females centres on observation, taking advantage of these cysts' natural tendency toward self-resolution. Where clinically indicated, a specific class of combination oral contraceptive is incorporated to interrupt ongoing follicular activity and prevent new functional cysts from forming. The complete regimen — including selection criteria, specific agent considerations, and monitoring guidance — is detailed in the full protocol.