Dr. Human Fatemi
Dr. Barbara Lawrenz
Ovarian cysts are closed, sac-filled like structures within an ovary that contain fluids, gaseous or semi-solid substance. The vast majority of ovarian cysts are benign (non-cancerous) but some are cancerous or may become cancerous over time. Ovarian cysts can vary in size and may occur at different sites in the ovary.
Functional Ovarian Cysts are the most common type and develop as part of the menstrual cycle. They are harmless and short-lived. There are two types:
Ovarian cysts often cause no symptoms. However, depending on the type of cyst you have, it is possible you may have:
Because most ovarian cysts do not cause symptoms, many cysts are diagnosed by chance during a routine examination. If patients have symptoms suggestive of an ovarian cyst, the clinician may do a pelvic examination and perform an ultrasound scan to confirm the presence of the cysts.
In seldom, cases a CT scan/ Magnetic Resonance Imaging (MRI) might be performed by using a large special magnet to take pictures of the body. thus giving a detailed picture of the number, size and exact location of the cyst. Not all women with ovarian cysts need a CT scan / MRI.
In most cases, ovarian cysts disappear on their own without the need for treatment. But, if the cyst does not disappear spontaneously, there are some possible treatment options that can be discussed in the outpatient clinic.
Hormonal treatment/oral contraceptive may be helpful to regulate the menstrual cycle. They may prevent the formation of follicles that can turn into cysts, and possibly reduce the size of the existing cyst. The doctor may recommend hormonal therapy for preventing future development of ovarian cysts.
If surgical treatment is required, the removal of the cyst(s) will be done with laparoscopy. In exceptional cases, a laparotomy may be required.
The decision will be taken accordingly by your physician on individual cases. Also here, it should be mentioned that invasive surgery should be avoided since that will reduce the ovarian reserve significantly.
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