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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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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Is an adnexal cyst an ovarian cyst?

In clinical terms, the adnexa include the fallopian tubes and ovaries, so an adnexal cyst is not solely an ovarian cyst; rather, ovarian cysts are just one type of adnexal cyst. Adnexal cysts can also include fallopian tube cysts, but in clinical practice, most adnexal cysts are manifestations of ovarian cysts. Therefore, when patients hear the term "adnexal cyst," they should further inquire whether it is an ovarian cyst, instead of simply assuming it to be one.

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Do ovarian cysts hurt?

Some ovarian cysts do not have painful symptoms, while others may cause abdominal pain, thus there are individual differences. This varies depending on the size of the ovarian cyst and whether it is accompanied by any infections. If an ovarian cyst is combined with torsion, the affected ovary might suffer from ischemia and hypoxia, resulting in acute abdominal pain. This situation is quite dangerous and requires emergency surgery. However, if the ovarian cyst does not undergo torsion, most are asymptomatic and are often incidentally found during physical examinations or routine ultrasound scans. If cysts are discovered without any significant symptoms, special treatment is generally not necessary initially; a follow-up check after three months is recommended, as many cysts may disappear naturally, which is a normal occurrence.

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Symptoms of ovarian cyst rupture

It often manifests as severe pain that feels downward, and if it ruptures, there is obvious intraperitoneal bleeding, along with a sensation of heaviness in the anus. The pain is persistent and intense. If there is significant blood loss in the pelvis, there may also be symptoms of blood loss such as dizziness and fatigue, and other discomforts may occur. For example, there may be complications related to anemia and even symptoms of shock. Once an ovarian cyst ruptures, it requires prompt treatment. First, it is necessary to identify the specific location, as the ovaries are located on the left and right sides. After locating the affected area, timely treatment can be administered. The examination of ovarian cysts often reveals quite noticeable tenderness.

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Ovarian cysts have no symptoms

Most ovarian cysts are physiological, so few people experience symptoms. Common ovarian cysts include corpus luteum cysts and other ovarian cysts, which generally disappear naturally after two to three months. Therefore, if the ovarian cyst is not large, within five centimeters, and there are no symptoms, it is possible to temporarily observe it and perform an ultrasound after two to three months. If the cyst has not decreased in size or continues to grow, it may be an ovarian tumor, which would require surgical treatment. This is because if an ovarian tumor is left for a long time, it may become malignant or may lead to ovarian torsion.