What is an Ovarian Cyst?
An Ovarian Cyst is a fluid-filled sac of semisolid material that develops within an ovary. In most cases a cyst on the ovary does no harm and goes away by itself. Most women have them sometime during their lives. Cysts are rarely cancerous in women under 50. Cysts sometimes hurt - but not always. Often, a woman finds out about a cyst when she has a pelvic exam.
If you're in your childbearing years or past menopause, have no symptoms, and have a fluid-filled cyst, you may choose to monitor the cyst. You may need surgery if you have pain, are past menopause or if the cyst does not go away. Birth control pills can help prevent new cysts.
A health problem that may involve ovarian cysts is polycystic ovarian syndrome (PCOS). Women with PCOS can have high levels of male hormones, irregular or no periods and small ovarian cysts.
Common Causes:
Typically, ovarian cysts are functional (not disease related) and occur as a normal process of ovulation. During the days before ovulation, a follicle grows. But at the time of expected ovulation, the follicle fails to break open and release an egg, as it is supposed to. Instead, the fluid within the follicle remains and forms a cyst.
Functional, or physiological, ovarian cysts usually disappear within 8 - 12 weeks without treatment. They are relatively common, and are more common during a woman's childbearing years (puberty to menopause). Ovarian cysts are rare after menopause.
Functional ovarian cysts are not the same as ovarian tumors (including ovarian cancer) or cysts due to hormone-related conditions such as polycystic ovarian disease. Some non-functional ovarian cysts must be treated to go away.
Common Symptoms:
An ovarian cyst can cause pain if it pushes on nearby structures, ruptures, or bleeds. Pain may also occur if the cyst is twisted or causes twisting (torsion) of the fallopian tube. Symptoms of ovarian cysts can include:
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Pelvic pain -- constant, dull aching
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Pain with intercourse or pelvic pain during movement
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Pain during bowel movements
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Pelvic pain shortly after beginning or ending a menstrual period
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Abnormal uterine bleeding (change from normal menstrual pattern)
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Abdominal bloating or swelling
Source: National Women's Health Information Center & U.S. National Library of Medicine (NLM)