Ovarian cysts have no symptoms

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 03, 2024
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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.

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Can ovarian cysts cause infertility?

Women with ovarian chocolate cysts may experience effects on their reproductive function. When the cysts are small, they typically do not significantly impact fertility. However, as the cysts grow in size, they can compress the normal ovarian tissue, causing ovulatory disorders and leading to infertility. Additionally, certain types of ovarian cysts, such as chocolate cysts, can cause adhesions in the female pelvic area. For instance, they may result in abnormal fallopian tube function, leading to infertility due to tubal factors. These cysts may also alter the pelvic environment, making conception difficult. If the ovarian cysts are malignant or capable of secreting hormones, they can also affect normal ovulation, leading to infertility.

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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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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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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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How to prepare for pregnancy with ovarian cysts

If you have ovarian cysts and the cysts are relatively large, it is recommended to control the cysts before considering pregnancy. If the cysts are not very large and do not have a significant impact on the body, you can also consider pregnancy and preparing for pregnancy, which generally proceeds as per the normal preparatory process. During the preparation period, try to avoid eating particularly stimulating foods, and abstain from drinking and smoking, as these may likely impact the fetus. It is also important to pay attention to regular exercise, strengthen the body, and maintain a robust constitution, which is conducive to the conception of a healthy fetus.