How to eliminate ovarian cysts?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 24, 2024

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Currently, most ovarian cysts in clinical practice require surgical removal. However, not all ovarian cysts need to be removed surgically. For some ovarian cysts, such as pelvic inflammatory cysts, anti-inflammatory treatment can be given first. After one course of anti-inflammatory treatment, the treatment effect should be evaluated. If the treatment effect is unsatisfactory, surgical treatment can be considered again.

Furthermore, if the ovarian cyst is not large, it is also not indicated for surgical removal. Therefore, the severity of the condition needs to be assessed before treating an ovarian cyst.

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Symptoms of benign ovarian cysts

When women develop benign ovarian cysts, the clinical symptoms are somewhat related to the number and size of the cysts. For example, when the cysts are relatively small in diameter, they usually exhibit no clinical manifestations and are often only discovered during routine gynecological exams or ultrasound screenings. As the cysts grow in size, some women may experience heaviness and pain on one side of the lower abdomen, along with a sore back. These abdominal symptoms can worsen with excessive fatigue, staying up late, or during intercourse. Some women may also experience abnormalities in their menstrual cycle, such as changes in the amount of menstrual bleeding, duration of menstruation, or irregular vaginal bleeding.

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Do ovarian cysts require the removal of the ovary?

Generally, ovarian cysts do not require the removal of the ovary; the common practice is to perform a cystectomy, which involves peeling off the cyst from the ovary. After that, the situation of bleeding is assessed. If there is no significant bleeding on the surgical surface, suturing can be done, which preserves both the morphology and function of the ovary. Ovaries are crucial for females as they produce estrogen, progesterone, and also have the function of ovulation. Therefore, removing ovaries would reduce the levels of estrogen and progesterone in the body and decrease ovulation functions, which is why ovary removal is generally not recommended. Typically, the impact of the cystectomy on these ovarian functions is minimal. Thus, recovery tends to be good, with minimal impact on daily life in terms of prognosis.

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Symptoms of malignant and benign ovarian cysts

Some benign ovarian cyst symptoms are relatively mild, with the most common being slight lower abdominal bloating and pain. However, if there are malignant changes, the pain can be more severe, often causing widespread abdominal pain and even cramp-like pain similar to intestinal obstruction. If the malignant tumor metastasizes, nearby areas may show symptoms. For example, if it spreads to the bladder, symptoms such as frequent urination and urgency can occur. If it metastasizes to the intestines causing intestinal obstruction or adhesions, it may lead to abdominal bloating, lower abdominal pain, cessation of passing gas, and even vomiting. Distant metastasis, such as to the lungs, might present symptoms like coughing and coughing up blood, so the symptoms of malignant tumors tend to be more varied.

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Ovarian cysts have no symptoms

Many ovarian cysts are asymptomatic, generally detected during physical examinations or gynecological assessments, sometimes palpable as masses. An ultrasound can confirm the diagnosis by assessing the size of the mass near the adnexa, as well as the location and characteristics of the cyst. Often after an ultrasound, it may also be necessary to check for ovarian tumor markers. This is because ultrasound may reveal mixed masses that could potentially be malignant. If tumor markers are normal, not elevated, the likelihood of malignancy is low. If an ovarian cyst is discovered, regular check-ups are necessary, typically involving ultrasound examinations as many individuals display no obvious symptoms.

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Can you get pregnant with ovarian cysts?

Ovarian cysts are generally physiological and may affect pregnancy, as physiological ovarian cysts secrete hormones. At this time, there may be abnormal hormone secretion, or the cyst itself may be caused by abnormal follicle development, mainly presenting as follicular cysts. Therefore, if there is a follicular cyst, there is generally no normal ovulation, so pregnancy will not occur. Ovarian cysts can be observed for 2 to 3 months; if they are physiological, they will disappear naturally. If the ovarian cyst has not decreased in size or has increased after 2 to 3 months, it indicates that it is an ovarian tumor, and surgery is required.