How do you approach use of tamoxifen in premenopausal patients who developed ovarian cysts while on therapy?

Tamoxifen is a potent inducer of ovarian function, which can lead to ovarian cysts and hyperestrogenism in premenopausal women. Although ovarian cysts may cause complications and be revealed as malignancy, the majority of tamoxifen induced ovarian cysts are benign and can be observed without surgica...