Causes of ovarian cysts

Written by Hou Jie
Obstetrics and Gynecology
Updated on September 11, 2024
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The cause of ovarian cysts is unclear, with many factors that can lead to ovarian cysts. The most common type of physiological ovarian cyst is the follicular cyst. The most common pathological causes are chronic inflammation or abnormalities in hormone secretion and endocrine factors, but most causes are unclear. If an ovarian cyst is discovered, it is recommended to regularly check with a color Doppler ultrasound, which is a common gynecological test for tumor markers. If the results are abnormal, timely surgical treatment is recommended to more directly understand the nature of the ovarian cyst. If the cyst is smaller than five centimeters in diameter and has good internal sound transmission, it can be observed regularly; otherwise, aggressive surgical treatment is advised.

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Written by Hou Jie
Obstetrics and Gynecology
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Causes of ovarian cysts

The cause of ovarian cysts is unclear, with many factors that can lead to ovarian cysts. The most common type of physiological ovarian cyst is the follicular cyst. The most common pathological causes are chronic inflammation or abnormalities in hormone secretion and endocrine factors, but most causes are unclear. If an ovarian cyst is discovered, it is recommended to regularly check with a color Doppler ultrasound, which is a common gynecological test for tumor markers. If the results are abnormal, timely surgical treatment is recommended to more directly understand the nature of the ovarian cyst. If the cyst is smaller than five centimeters in diameter and has good internal sound transmission, it can be observed regularly; otherwise, aggressive surgical treatment is advised.

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Written by Xia Hu
Obstetrics and Gynecology
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Early Symptoms Judgment of Ovarian Cysts

The early symptoms of ovarian cysts include pain in the lower abdomen on one side, which is generally mild, persistent, and tolerable discomfort. However, this pain needs to be differentiated from other conditions. Since the pelvic area contains the uterus and ovaries, sometimes it is necessary to distinguish these symptoms from gastrointestinal diseases. For example, appendicitis often needs to be differentiated from cysts on the right side, as both can cause abdominal pain. However, appendicitis also includes gastrointestinal symptoms such as nausea and vomiting, and during examination, there is tenderness at McBurney's point, indicating appendicitis. On the other hand, the pain from an ovarian cyst is usually positioned slightly lower, and thus can often be differentiated through a gynecological examination.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to cure ovarian cysts?

Most ovarian cysts are physiological, meaning they will naturally disappear or shrink within two to three months. Generally, treatment is not necessary, and there are no effective medications for treating ovarian cysts. If an ovarian cyst does not disappear after three months, or if it continues to grow, then it is considered an ovarian tumor. Such ovarian tumors require surgery for treatment. Therefore, if an examination reveals that an ovarian cyst has not disappeared after three months, surgery is necessary. This is because if an ovarian cyst persists for a long time, it may cause torsion or even become malignant.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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malignant symptoms of ovarian cysts

Malignant ovarian cysts, commonly known as ovarian cancer, often present with no symptoms in most people. Patients generally do not exhibit any specific symptoms. In advanced stages, however, symptoms such as ascites and abdominal swelling or pain may occur due to the cyst pressing on other organs in the abdomen. Initially, these symptoms might be mistaken for gastrointestinal issues, hence the importance of undergoing a gynecological ultrasound examination. In early stages, ovarian tumors may not show any symptoms, so it is recommended that women undergo tumor marker tests, such as CA125 and HE4, as well as routine ultrasound examinations.

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Written by Xia Hu
Obstetrics and Gynecology
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How to check for ovarian cysts?

There are two methods for examining ovarian cysts. Firstly, through a gynecological examination, especially in cases of sexual activity, a bimanual examination can be conducted. Under bimanual examination, a mass in one of the adnexal areas can be palpated, where the nature of the mass such as whether its boundaries are clear can be observed, as well as checking for tenderness. This allows for the examination of ovarian cysts. Another method involves an ultrasound. Generally, if performing an abdominal ultrasound, it is necessary to hold urine to view the ovaries clearly. If performing a vaginal ultrasound, especially in cases of sexual activity, this can be chosen; thus, the ultrasound can provide a clearer view. It is closer to the uterus and ovaries, and thus under ultrasound, the masses in the ovaries can be detected. Therefore, both of these methods are viable.