Understanding Ovarian Cysts

A Comprehensive Guide for Patients

Family Medicine

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Last updated: Mar 24, 2025

What Is an Ovarian Cyst?

An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. They are common among women of reproductive age and are usually harmless.

Types of Ovarian Cysts

Functional Cysts

  • Follicular cysts: Form when a monthly follicle doesn't release its egg
  • Corpus luteum cysts: Develop after an egg has been released

Other Types

  • Dermoid cysts: Contain tissue like hair, skin, or teeth
  • Endometriomas: Associated with endometriosis
  • Cystadenomas: Filled with watery or mucous material

Common Symptoms

  • No symptoms (most common)
  • Pelvic pain or pressure
  • Bloating
  • Painful intercourse
  • Changes in menstrual patterns
  • Frequent urination

Risk Factors

  • Being of reproductive age
  • Hormonal imbalances
  • Pregnancy
  • Endometriosis
  • Previous ovarian cysts

Diagnosis

  1. Pelvic examination
  2. Ultrasound imaging
  3. Blood tests
  4. Other imaging tests as needed

Treatment Options

Watchful Waiting

  • Most cysts disappear naturally within a few months
  • Regular monitoring through ultrasound

Medical Management

  • Birth control pills to prevent new cysts
  • Pain medication as needed

Surgical Options

  • Laparoscopy for smaller cysts
  • Laparotomy for larger or suspicious cysts

When to Seek Medical Attention

  • Sudden severe abdominal pain
  • Fever
  • Rapid breathing
  • Weakness or dizziness
  • Nausea and vomiting

Prevention

  • Regular pelvic exams
  • Prompt attention to unusual symptoms
  • Maintaining a healthy lifestyle

Long-term Outlook

Most ovarian cysts are benign and resolve without treatment. Regular medical check-ups help ensure early detection and appropriate management when necessary.

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