Ovarian cysts

/ Medical & Surgical Gynaecology / Ovarian cysts

Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. Most are harmless and go away on their own, but some may cause symptoms or complications.

Types of Ovarian Cysts:

  • Functional cysts – Common, usually disappear in a few weeks
  • Dermoid cysts – May contain tissues like hair or skin
  • Cystadenomas – Form from ovarian tissue
  • Endometriomas – Linked to endometriosis
  • Polycystic ovaries – Multiple small cysts due to hormonal imbalance (PCOD/PCOS)

Common Symptoms

  • Lower abdominal or pelvic pain
  • Bloating or heaviness
  • Irregular periods
  • Pain during intercourse or bowel movements
  • Frequent urination

Many cysts are asymptomatic and found during routine checkups.

Diagnosis:

  • Pelvic examination
  • Ultrasound scan
  • Blood tests (like CA-125 in some cases)

Treatment Options:

  • Watchful waiting – Small, harmless cysts often resolve on their own
  • Medications – Hormonal pills to prevent new cysts
  • Surgery – For large, painful, or suspicious cysts

When to See a Doctor

  • Sudden severe pelvic pain
  • Rapid abdominal swelling
  • Fever or vomiting
  • Faintness or dizziness

Most ovarian cysts are not cancerous, but proper evaluation and follow-up are essential.