ovarian cyst treatment

Ovarian Cysts

Cysts are fluid-filled sacs, which commonly develop on the ovaries. In the majority of cases they have no symptoms and disappear of their own accord. However, a large ovarian cyst may need removal if it causes symptoms, splits or blocks the ovarian blood supply. If you do need surgery though, it is often possible to perform this laparoscopically, which is a less invasive procedure for removing ovarian cysts.

Ovarian Cyst Symptoms

Although most women have no symptoms with smaller cysts, when symptoms develop due to a sizable cyst, a rupture or disrupted blood supply, you are likely to notice the following:

  • Dull or heavy pain in your pelvis (when a cyst is large) or a sharp and sudden pain (when a cyst tears or twists)
  • Pelvic pain may also occur during intercourse
  • Your periods may become lighter, heavier or irregular
  • Feeling full quickly, indigestion or bloating
  • Increased frequency of urination
  • Difficulty with bowel movements
  • Feeling light-headed, dizzy or extremely tired

As these symptoms may indicate you have ovarian cysts, you should seek medical advice, particularly if you suffer from pelvic pain or notice several of these signs together.

Ovarian Cyst Causes

A cyst on your ovaries is either classed as functional, which occurs in relation to your menstrual cycles and is harmless, or pathological, where the cyst is either a benign or malignant tumour. Most cysts on the ovaries are functional in nature and are subdivided into follicular and luteal cysts.

Follicular cysts occur most frequently. When an egg forms in your ovary, it does so inside a follicle. These follicles are filled with fluid to protect your egg as it matures and then burst to allows its release to travel down the fallopian tube. However, if a follicle doesn\'t release its egg or doesn\'t shrink after release, the follicle swells to form a follicular cyst. Most follicular ovarian cysts disappear in a matter of weeks without any treatment. Meanwhile, if the follicle fills with blood after releasing its egg, a luteal cyst develops. These less common cysts may take several months to resolve, though may burst causing bleeding and pain.

Dermoid pathological cysts usually occur if you are under 40. These form from cells that create the eggs in your ovaries and can potentially reach 15cm across. While dermoid cysts are rarely cancerous, due to their size they often need removal. Alternatively, cystadenomas are more common in the over 40s and form from the cells covering the outer surface of your ovary. They can grow to various sizes, causing symptoms if they become large or rupture. However, like dermoid cysts, cystadenomas aren\'t usually cancerous.

Ovarian Cyst Diagnosis

Most cysts affecting the ovaries are never diagnosed, as they are too small to cause problems and quickly disappear. Sometimes these cysts are detected during a scan that is carried out for another reason. However, if you have symptoms suggestive of ovarian cysts, a gynaecologist can carry out an examination to detect the presence of possible swelling. You will still need an ultrasound scan of your ovaries to confirm it is indeed a cyst causing your symptoms. If a cyst is found, the scan also shows how large the cyst is and whether it is composed of fluid or more solid material. As cysts with a more solid appearance are sometimes cancerous, you may need a blood test and further investigation to rule this out.

Ovarian Cyst Treatment

Although watchful waiting is often recommended for small cysts that cause no symptoms, as they are highly likely to disappear, larger or symptomatic cysts often need removing. Even if they are not causing you any problems, removing the cyst allows proper identification in the lab and also reduces the risk that it will become cancerous in the future. Previously, a larger cut was needed to remove an ovarian cyst, but it is now possible to use keyhole surgery for the procedure.  Mr Davis is an expert in laparoscopic surgery for all types of gynaecological conditions including ovarian cysts.

A laparoscopic procedure reduces your discomfort afterwards, enhances your recovery and leads to less scarring. When removing ovarian cysts, as much healthy tissue is preserved as possible to minimise the chance of ovarian failure. However, rarely if a cancerous cyst if highly probable or it has likely spread to your ovary, it might be necessary to remove your whole ovary. Thankfully, even with one ovary it is still possible to conceive, as long as your other ovary continues to function.

If you are concerned you may have cysts on your ovaries, book an appointment with Mr Colin Davis now for expert diagnosis and treatment.



Make Appointment/Enquiry

For all further information, if you have questions or to discuss treatment please contact Mr Colin Davis on:

Telephone : 020 7034 5000 Fax:020 7034 5080 Email: secretary@gsc.uk.com

From the first consulation with Mr. Davis | immediately felt confident in his abilities and expertise. He explained everything | needed to know about endometriois and PCOS so that we could make decisions to fix the problems and avoid fertillty issues...