Ovarian Cysts - Gynecology

What Are Ovarian Cysts?

Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Women have two ovaries — each about the size and shape of an almond — on each side of the uterus. Ovarian cysts are quite common and can occur in women of all ages.

Types of Ovarian Cysts

There are several types of ovarian cysts, including functional cysts, dermoid cysts, cystadenomas, and endometriomas. Functional cysts are the most common and are usually harmless. They often disappear on their own within a few months.

What Causes Ovarian Cysts?

Ovarian cysts can develop for a variety of reasons. Most ovarian cysts are functional, which means they are related to the menstrual cycle. Other causes include hormonal imbalances, endometriosis, and polycystic ovary syndrome (PCOS).

Symptoms of Ovarian Cysts

Many ovarian cysts are small and do not cause symptoms. However, larger cysts can cause:
Pelvic pain
Fullness or heaviness in the abdomen
Bloating
In some cases, an ovarian cyst can cause severe pain if it ruptures or causes the ovary to twist (ovarian torsion).

How Are Ovarian Cysts Diagnosed?

Ovarian cysts are often discovered during a pelvic exam. If a cyst is suspected, further evaluation may include an ultrasound to determine its size, shape, and composition. Sometimes, additional tests like blood tests or a CT scan may be necessary.

Treatment Options for Ovarian Cysts

Treatment depends on several factors, including the cyst's size, type, and whether it is causing symptoms. Options include:
Watchful waiting: Small, asymptomatic cysts may be monitored with regular follow-ups.
Medications: Hormonal contraceptives can prevent the formation of new cysts.
Surgery: If a cyst is large, symptomatic, or potentially cancerous, surgical removal may be required.

Can Ovarian Cysts Affect Fertility?

Most ovarian cysts do not impact fertility. However, conditions like endometriosis and PCOS, which are associated with ovarian cysts, can affect a woman's ability to conceive.

Preventing Ovarian Cysts

While there is no sure way to prevent ovarian cysts, regular pelvic exams can help ensure that changes in the ovaries are diagnosed as early as possible. Hormonal contraceptives may also reduce the risk of developing new cysts.

When to See a Doctor

It's important to consult a healthcare provider if you experience:
Sudden, severe abdominal or pelvic pain
Pain with fever or vomiting
Signs of shock, such as cold, clammy skin, rapid breathing, and lightheadedness
These symptoms could indicate a ruptured cyst or ovarian torsion, both of which require immediate medical attention.

Conclusion

Ovarian cysts are a common gynecological issue that can vary widely in presentation and severity. While many cysts are benign and resolve on their own, others may require medical intervention. Regular gynecological check-ups and awareness of symptoms can help in early detection and management.



Relevant Publications

Partnered Content Networks

Relevant Topics