Ovarian cysts are common growths that develop on or inside your ovaries. There are several types of cysts.
The most common kinds are harmless, don’t cause symptoms and eventually go away without treatment. Rarely, cysts can cause complications that require
your provider’s attention. Getting regular pelvic exams can help reduce your chances of experiencing problems with a cyst.
An ovarian cyst is a sac filled with fluid or semisolid material that forms on or within one or both
of your ovaries. Your ovaries are small organs in your pelvis that hold egg cells and make hormones, such as estrogen and progesterone.
Ovarian cysts are fluid-filled structures that may be simple or complex. They are common
findings usually discovered incidentally on physical examination or imaging. Ovarian cysts can cause complications, including rupture, hemorrhage, and
torsion, which are considered gynecological emergencies.
Some smaller cysts cause no symptoms. In these cases, you may not even know you have a cyst. Larger cysts may cause:
Treatment will depend on factors like your age, your symptoms and what’s likely causing your cyst.
Watchful Waiting : Functional ovarian cysts usually go away without treatment. If your cyst is likely functional, your provider may suggest a
wait-and-see approach. You may have a follow-up ultrasound within a few weeks or months after your diagnosis to see if your cyst has resolved on its own.
Ovarian Cyst Medications : Your provider may give you medications containing hormones (such as birth control pills) to stop ovulation and prevent future cysts from forming.
Ovarian Cyst Surgery : If a cyst is causing symptoms and getting bigger, you may need surgery to remove it. The type of surgery depends on the size of the cyst and how it appears on the ultrasound. The different procedures used include:
Laparoscopy : This is a procedure where your provider inserts a small camera through a small incision in your abdomen. They view your
reproductive organs and pelvic cavity using the device. The ovarian cyst can be removed through tiny incisions (ovarian cystectomy).
Laparotomy : Your provider may perform this procedure if the cyst is very large or if there are other concerns.