Not all teratomas show symptoms; often ovarian cysts are only discovered during physical examinations. If an examination reveals a heterogeneous mass in the adnexal region, and a teratoma is suspected from the ultrasound, a detailed assessment must be conducted first. It is important to evaluate if the teratoma has any functional issues or if it causes general health problems, considering its size among other factors. Some teratomas can be rechecked and observed over time, while others may require surgical treatment. Additionally, some teratomas might undergo torsion or rupture, leading to symptoms such as abdominal pain, although the likelihood of this occurring is not very high.