Ovarian Cysts

Ovarian cysts are the tiny sacs filled with fluid that are present within the surface of an ovary surrounded by cells. Ovarian cysts are a common gynaecological problem,however, they cause concern for some women who fret ovarian cancer. Every woman at some point in her life will face the problem of cysts, which may or may not present symptoms.

In case the cysts leak some of the fluid or result in symptoms like abdominal pain, nausea and bloating then it needs medical attention. the symptoms may become severe that can also happen after sexual intercourse. There is also a corpus luteum cyst that may rupture during menstruation. After the egg is formed, it is released.

Corpus luteum remains after its release. What follows, later on, is decided by whether the ovum gets fertilised by a sperm or not. If the ovum does not get fertilised by a sperm then corpus luteum generally degenerate — tears down — and disappear. If the ovum is fertilised it helps in the formation of the placenta. However, before its degeneration it helps in collecting the blood and fluid inside and thus leads to the formation of a cyst. These cysts can get larger in size and cause abdominal pain, bloating and ruptures or fluid leak


  • The foremost sign of ovarian cysts are usually pain occurring on either side where the cyst is present

  • That pain occurs usually on one side, especially on your lower abdomen or pelvic region Most of the time this pain is ‘sharp’ and ‘focused, and the onset is quite sudden, however, it can be stimulated by heavy exercise or intercourse

  • In certain cases when a lot of fluid is released in the rupture, you may feel pain in the upper abdomen or shoulders because as this fluid stings the nerves present in the diaphragm that may be perceived as shoulder pain.

  • What does the doctor do?

    Considering the severity of your symptoms and the risk factors the treatment options are determined.

  • If the cyst is benign and does not pose any symptom and is smaller than 4cm the doctor will assist you and rescan in a period of 12 weeks

  • If the cyst is greater than 6cm removing it is usually suggest

  • If cyst lies between 4-6cm, a repeat ultrasound is recommended from 4 to 6 weeks for checking any change in size.

  • The doctor may recommend removing the cyst. Cysts can be removed with the help of either laparoscopic (keyhole) surgery, however not all cysts can be removed this way.