Ovarian Cysts
Expert Evaluation & Personalised Treatment for Ovarian Cysts
Ovarian cysts are fluid-filled sacs or growths that develop in or on the ovaries. Many ovarian cysts are harmless and may disappear on their own, while others may require medical evaluation and treatment.
Dr. Ruchika Sharma, experienced Obstetrician & Gynaecologist, provides comprehensive evaluation and personalised management of ovarian cysts, helping women understand their condition and choose appropriate treatment based on their symptoms, cyst characteristics, age, and reproductive goals.
What Are Ovarian Cysts?
Ovarian cysts can develop for different reasons and may occur at various stages of a woman’s life. Many are related to the normal menstrual cycle and may resolve without treatment.
However, a cyst that is large, persistent, symptomatic, or has unusual features may require further investigation and follow-up.
Common Symptoms of Ovarian Cysts
Lower abdominal or pelvic pain
Pain during or around menstruation
Abdominal bloating or fullness
Pressure in the lower abdomen
Pain during intercourse
Changes in menstrual periods
Frequent urination or bowel pressure
Difficulty conceiving in some cases
Types of Ovarian Cysts
Functional Cysts
These are commonly associated with the normal menstrual cycle and often resolve naturally.
Follicular Cysts
These may develop when a follicle does not release an egg as expected.
Corpus Luteum Cysts
These can form after ovulation when the corpus luteum fills with fluid or blood.
Endometriotic Cysts
Also known as endometriomas, these can develop in women with endometriosis and may be associated with pelvic pain and fertility concerns.
Dermoid Cysts
These are a type of ovarian cyst that can contain different types of tissue and may require monitoring or treatment depending on their characteristics.
What Causes Ovarian Cysts?
Ovarian cysts can develop due to several factors, including:
- Normal changes during the menstrual cycle
- Hormonal changes
- Endometriosis
- Certain reproductive health conditions
- Abnormal cell growth
The cause and nature of a cyst can usually be assessed through clinical evaluation and appropriate imaging.
How Are Ovarian Cysts Diagnosed?
Depending on your condition, evaluation may include:
- Clinical and pelvic examination
- Pelvic ultrasound
- Blood tests when appropriate
- Follow-up imaging to monitor the cyst
- Additional investigations when required
The aim is to determine the size, location, appearance, and likely nature of the cyst.
Treatment for Ovarian Cysts
Not every ovarian cyst requires immediate treatment. Management depends on factors such as the cyst’s size, appearance, symptoms, age, menopausal status, and whether it changes over time.
Observation & Monitoring
Many simple cysts can be monitored with follow-up consultations and ultrasound to see whether they resolve naturally.
Medication
Depending on the underlying condition and symptoms, medication may be recommended to manage pain or associated hormonal concerns. Medication does not necessarily remove an existing cyst.
Minimally Invasive Surgery
If a cyst is persistent, large, symptomatic, or has features requiring removal, laparoscopic surgery may be considered when appropriate. This approach uses small incisions and may allow recovery sooner than traditional open surgery in suitable cases.
Surgical Management
Surgery may be recommended when the cyst causes significant symptoms, continues to grow, has concerning features, or requires definitive diagnosis or treatment.
Ovarian Cysts & Fertility
Most ovarian cysts do not prevent pregnancy. However, certain conditions associated with ovarian cysts, such as endometriosis, may affect fertility.
For women planning pregnancy, treatment decisions should consider ovarian health and future reproductive goals. Dr. Ruchika Sharma can evaluate the condition and discuss appropriate options based on individual circumstances.
Ovarian Cysts During Pregnancy
Ovarian cysts may sometimes be detected during pregnancy, often during routine ultrasound examinations. Many are benign and can be safely monitored.
The recommended approach depends on the cyst’s size, appearance, symptoms, and stage of pregnancy. Your gynecologist can determine whether observation or further management is appropriate.
When Should You See a Gynecologist?
- Persistent pelvic or abdominal pain
- Unexplained abdominal swelling or fullness
- Changes in your menstrual cycle
- Pain during intercourse
- A cyst detected during an ultrasound
- Difficulty conceiving
- Persistent or worsening symptoms
Why Choose Dr. Ruchika Sharma?
- Experienced Obstetrician & Gynaecologist
- Comprehensive evaluation of ovarian cysts
- Personalised treatment planning
- Focus on reproductive and women’s health
- Expertise in minimally invasive and laparoscopic surgery
- Treatment decisions based on individual needs
- Compassionate and patient-focused care
Frequently Asked Questions
Are all ovarian cysts dangerous?
No. Many ovarian cysts are benign and may disappear without treatment. However, persistent, large, symptomatic, or unusual cysts may require further evaluation.
Can ovarian cysts go away on their own?
Yes. Many functional ovarian cysts resolve naturally over time. Your doctor may recommend follow-up imaging to monitor the cyst.
Can ovarian cysts cause infertility?
Most ovarian cysts do not cause infertility. However, certain conditions, such as endometriosis, can be associated with both ovarian cysts and fertility difficulties.
Do ovarian cysts always require surgery?
No. Surgery is not required for every ovarian cyst. Observation or medical management may be appropriate depending on the cyst and your symptoms.
How are ovarian cysts detected?
Ovarian cysts are commonly detected through pelvic ultrasound. Additional tests may be recommended depending on the cyst’s appearance and your symptoms.
Can ovarian cysts cause irregular periods?
Some ovarian conditions can be associated with changes in menstrual patterns. If your periods become persistently irregular, a gynecological evaluation can help identify the underlying cause.
Can an ovarian cyst become cancerous?
Most ovarian cysts are benign. Certain features may require further assessment to determine whether additional investigations or treatment are needed.
When is an ovarian cyst considered large?
There is no single size that determines whether a cyst needs treatment. Doctors consider its size along with appearance, symptoms, age, menopausal status, and whether it is changing over time.