Ovarian pathologies are diagnosed by ultrasound. When required imaging techniques like magnetic resonance (MRI) can be performed. Ovarian mass when detected by transvajinal ultrasound has to be further evaluated with Ca 125 test and other tumor markers.
Ovarian cyst signs and symptoms are irregular menstruation abdominal discomfort, and pelvic pain. Ovarian cyst pain symptoms are on the side of the cyst. Ovary pain symptoms are not severe unless there is torsion of the ovary.
Different Types of Ovarian Cysts
- Simple ovarian cyst : A simple ovarian cyst is a cystic structure on the ovary where the ultrasound view is diagnostic. Simple ovarian cyst natural treatment is expectant management. Expectant management for ovarian cyst treatment is only possible in simple cysts. Simple ovarian cyst treatment is follow-up by ultrasound for two months. Ovarian cyst pain treatment is analgesic pills.
- Complex ovarian cyst : Complex ovarian cyst is a cyst, which has solid areas, septa, high blood flow, and thick capsula. Unless simple cystic structures, all cystic masses on ovary are operated. Complex ovarian cyst treatment is surgical removal and histopathological diagnosis. Complex cyst surgery is performed without splitting the tumor inside the abdomen.
- Dermoid cyst of the ovary : Dermoid tumor or dermoid cyst is common ovarian pathology. Ovarian dermoid is called mature cystic teratoma. Dermoid cyst of the ovary is a benign tumour. Dermoid cyst symptoms do not occur when the cyst is small. Dermoid cyst might cause menstruel irregularities and pelvic discomfort. Dermoid cyst ovary causes pain if ovarian torsion develops. Dermoid cyst is not a malign tumor. The ovarian dermoid cyst treatment is surgery. Dermoid cyst treatment without surgery is not possible. When detected if the dermoid cyst is bigger than 2 cm, the cyst is removed by laparoscopic surgery.
Ovarian dermoid cyst symptoms are sometimes sudden onset pain indicating ovarian torsion. Ovarian torsion is an emergency necessitating surgery. When early diagnosis of ovarian torsion is done, with laparoscopic surgery detorsion of the ovary and removal of the cyst is done.
- Fibroid cyst is called a cyst but it is a solid mass. Fibroid cyst symptoms are usually seen after menopause Fibroid cyst on ovary is a solid mass detected by ultrasound in advanced age women. Ovarian fibroids are not malignant tumors. Fibroid tumor on ovary needs to be removed by surgery to confirm the diagnosis. Passing a fibroid cyst without surgery is not possible.
- Hemorrhagic ovarian cyst : Hemorrhagic cyst of the ovary is diagnosed at the ultrasound. Ovarian hemorrhagic cyst is observed on one side. Hemorrhagic ovarian cyst symptoms are pain and irregular menstruation. Hemorrhagic cyst pain is pelvic pain on one side. Hemorrhagic ovarian cyst treatment is observation and follow-up for two months with ultrasound. Complex hemorrhagic ovarian cyst might necessitate laparoscopic surgery for differential diagnosis. Excision of the cyst or removal of one ovary might be performed depending on findings at surgery. If the diagnosis is ruptured hemorrhagic cyst, then the patient might need laparoscopy in case of severe bleeding.
- Chocolate cyst natural treatment is not possible. Chocolate cyst is an endometrioma. Chocolate cyst of ovary is either treated medically or by surgery. Chocolate cyst symptoms and treatment are explained in detail at link
Ruptured Cyst Symptoms and Treatment
Ruptured ovarian cyst is an emergency in gynecology. Ruptured ovarian cyst symptoms are sudden sharp pain in the pelvis, fainting, and dizziness. Ruptured cyst pain is sharp and sudden. Signs of a ruptured ovarian cyst are free fluid in the abdomen.
Ruptured cyst treatment depends on the case. If there is no bleeding from the cyst, the patient can be followed after hospitalization. If there is bleeding, the patient needs to undergo laparoscopic surgery.
Ovarian cyst treatment prices in Turkey range from 2200 to 2500 dollars on average.
Ovarian Cysts and Cancer
Ovarian tumors can be benign or malign. The detected masses on ovary need to be operated to discriminate malignant or benign disease. Borderline ovarian tumor is another group of tumors, which needs definitive surgery after childbearing is completed.
Ovarian tumor symptoms are abdominal discomfort, abdominal pain, bloating, weight loss. Malignant ovarian cyst can be incidentally detected as an ovarian mass. Ca 125 blood test for ovarian cysts is used for preoperative evaluation and postoperative follow-up. Ca 125 test price is quite low. Ovarian neoplasms are invasive tumors that necessitate extensive surgery. Cystic ovarian neoplasm surgery is a radical surgery for removal of uterus, ovaries, fallopian tubes, lymph nodes, appendix and omentum and the whole tumor.
Ovarian cysts after menopause are usually diagnosed by visualization of the cyst at ultrasound. Usually there are no signs and symptoms in cases with ovarian cysts in menopause. Postmenopausal ovarian cyst is an important finding. The ovarian cyst after menopause might be malignant. Therefore, ovarian cyst after menopause necessitates surgery. Types ovarian cysts after menopause can be various. Only simple and small ovarian cysts can be followed for short term. Surgery is recommended also for the simple cysts that do not pass in time.
Ovarian Cyst After Hysterectomy
Cyst on ovary after hysterectomy is not rare. If the ovaries are not removed as the same session with hysterectomy, simple ovarian cysts can be detected at ultrasound. These cysts do not cause any symptoms. Sometimes, Symptoms after hysterectomy keeping ovaries can be listed as pelvic discomfort or pelvic pain.
Simple ovarian cyst after hysterectomy needs follow-up by transvaginal ultrasound. If it is a complex cyst, then another surgery is needed to remove the ovary. In order not to have such a situation, removal of uterus and ovaries are usually performed at the first surgery in advanced age women.
Ovarian cyst and fibroids together can be diagnosed with a transvaginal ultrasound. Fibroid and ovarian cyst surgery can be performed by laparoscopy. Ovarian cyst and fibroids can be at the same time in a patient. Ovarian cyst and fibroid treatment can be performed simultaneously
Frequently Asked Questions
How serious is a cyst on your ovaries?
A cyst on your ovaries is usually harmless and causes little or no discomfort. However, in some cases, they can become twisted or burst open, leading to serious symptoms. It is essential to monitor any symptoms and seek medical attention if you experience severe pain or discomfort. Most cysts resolve naturally without treatment, but your doctor may recommend monitoring or surgical intervention if necessary.
What is the symptoms of ovarian cyst?
Symptoms of ovarian cysts vary depending on its type and size. Pelvic pain, pain during sex, and difficulty in bowel movements are some common symptoms. Other symptoms include frequent urination, irregular periods, bloating, and heavy or light periods than usual. It is important to consult a doctor if you have any of these symptoms.
What does ovarian cyst pain feel like?
Ovarian cyst pain can feel like period cramps, but it can also cause pressure and discomfort in the pelvic area. Severe pain may occur if the cyst ruptures. It’s important to consult a gynecologist if you experience persistent pelvic pain or swelling. Maintaining a healthy lifestyle with regular exercise and a balanced diet may help reduce your risk of developing ovarian cysts.
What is the main cause of ovarian cyst?
The primary cause of ovarian cysts is abnormal cell growth, resulting in the development of pathological cysts. Unlike functional cysts, these cysts are not related to the menstrual cycle and can appear before and after menopause. Pathological cysts develop from either the cells that cover the ovary’s outer part or the cells involved in egg creation. Proper diagnosis and treatment are necessary to manage pathological cysts effectively.