Ovarian Cysts Overview
Learn About Ovarian Cysts
An ovarian cyst is a sac filled with fluid that forms on or inside an ovary.
This article is about cysts that form during your monthly menstrual cycle, called functional cysts. Functional cysts are not the same as cysts caused by cancer or other diseases. The formation of these cysts is a perfectly normal event and is a sign that the ovaries are working well.
Physiologic ovarian cysts; Functional ovarian cysts; Corpus luteum cysts; Follicular cysts
Each month during your menstrual cycle, a follicle (cyst) grows on your ovary. The follicle is where an egg is developing.
- The follicle makes the estrogen hormone. This hormone causes normal changes of the uterine lining as the uterus prepares for pregnancy.
- When the egg matures, it is released from the follicle. This is called ovulation.
- If the follicle fails to break open and release an egg, the fluid stays in the follicle and forms a cyst. This is called a follicular cyst.
Another type of cyst occurs after an egg has been released from a follicle. This is called a corpus luteum cyst. This type of cyst may contain a small amount of blood. This cyst makes progesterone and estrogen hormones.
Ovarian cysts are more common in the childbearing years between puberty and menopause. The condition is less common after menopause.
Taking fertility medicines often causes the development of multiple follicles (cysts) in the ovaries. These cysts most often go away after a woman's period, or after a pregnancy.
Functional ovarian cysts are not the same as ovarian tumors or cysts due to hormone-related conditions such as polycystic ovary syndrome.
Ovarian cysts often cause no symptoms.
An ovarian cyst is more likely to cause pain if it:
- Becomes large
- Bleeds
- Breaks open
- Interferes with the blood supply to the ovary
- Is twisted or causes twisting (torsion) of the ovary
Symptoms of ovarian cysts can also include:
- Bloating or swelling in the abdomen
- Pain during bowel movements
- Pain in the pelvis shortly before or after beginning a menstrual period
- Pain with intercourse or pelvic pain during movement
- Pelvic pain -- constant, dull aching
- Sudden and severe pelvic pain, often with nausea and vomiting (may be a sign of torsion or twisting of the ovary on its blood supply, or rupture of a cyst with internal bleeding)
Changes in menstrual periods are not common with follicular cysts. These are more common with corpus luteum cysts. Spotting or bleeding may occur with some cysts.
Functional ovarian cysts often do not need treatment. They often go away on their own within 8 to 12 weeks.
If you have frequent ovarian cysts, your provider may prescribe birth control pills (oral contraceptives). These pills may reduce the risk of developing new cysts. Birth control pills do not decrease the size of current cysts.
You may need surgery to remove the cyst or ovary to make sure that it is not ovarian cancer. Surgery is more likely to be needed for:
- Complex ovarian cysts that do not go away
- Cysts that are causing symptoms and do not go away
- Cysts that are increasing in size
- Simple ovarian cysts that are larger than 10 centimeters
- Women who are near menopause or past menopause
Types of surgery for ovarian cysts include:
- Exploratory laparotomy
- Pelvic laparoscopy
You may need other treatments if you have polycystic ovary syndrome or another disorder that can cause cysts.
St Vincent Physician Services Hospital And Health Care Center
Michael Callahan is a Gynecologic Oncologist and an Oncologist in Indianapolis, Indiana. Dr. Callahan and is rated as an Advanced provider by MediFind in the treatment of Ovarian Cysts. His top areas of expertise are Vulvar Cancer, Malignant Mixed Mullerian Tumor, Endometrial Cancer, Oophorectomy, and Salpingo-Oophorectomy. Dr. Callahan is currently accepting new patients.
St Vincent Pediatric Subspecialties
Dawn Zimmer is a Neonatologist and an Obstetrics and Gynecologist in Indianapolis, Indiana. Dr. Zimmer and is rated as an Advanced provider by MediFind in the treatment of Ovarian Cysts. Her top areas of expertise are Neonatal Ovarian Cyst, Ovarian Cysts, Preeclampsia, and Hormone Replacement Therapy (HRT). Dr. Zimmer is currently accepting new patients.
St Vincent Physician Services Hospital And Health Care Center
Sarah Goodrich is a Gynecologic Oncologist and an Oncologist in Indianapolis, Indiana. Dr. Goodrich has been practicing medicine for over 17 years and is rated as an Advanced provider by MediFind in the treatment of Ovarian Cysts. Her top areas of expertise are Endometrial Cancer, Endometritis, Endometrial Stromal Sarcoma, and Malignant Mixed Mullerian Tumor. Dr. Goodrich is currently accepting new patients.
Cysts in women who are still having periods are more likely to go away. A complex cyst in a woman who is past menopause has a higher risk of being cancer. Cancer is very unlikely with a simple cyst.
Complications have to do with the condition causing the cysts. Complications can occur with cysts that:
- Bleed.
- Break open.
- Show signs of changes that could be cancer.
- Twist, depending on size of the cyst. Bigger cysts carry a higher risk.
Contact your provider if:
- You have symptoms of an ovarian cyst
- You have severe pain
- You have bleeding that is not normal for you
Also contact your provider if you have had following on most days for at least 2 weeks:
- Getting full quickly when eating
- Losing your appetite
- Losing weight without trying
These symptoms may indicate ovarian cancer. Studies which encourage women to seek care for possible ovarian cancer symptoms have not shown any benefit. Unfortunately, there is no proven effective means of screening for ovarian cancer.
If you are not trying to get pregnant and you often get functional cysts, you can prevent them by taking birth control pills. These pills prevent follicles from growing.
Background: Brown adipose tissue (BAT) is a type of fat in the body. It may prevent weight gain, improve insulin sensitivity, and reduce fatty liver. Researchers want to see if BAT helps the body burn energy.
Summary: A prospective study to determine the metabolic effects of the contraceptive vaginal ring among overweight and obese women with polycystic ovary syndrome (PCOS). We will recruit a total of 40 participants and study use of the vaginal ring over a 4-month period.
Published Date: March 31, 2024
Published By: LaQuita Martinez, MD, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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