Ovarian cyst meaning
An ovarian cyst is a fluid-filled sac that develops either on or inside the ovaries (a part of the female reproductive system). If the cyst of the ovary is filled with fluid, it is called a simple ovarian cyst, which is more common at any age, whereas a cyst is filled with blood or solid material, it is referred to as a complex ovarian cyst, which is less common and more likely to become cancerous.
Cyst meaning
Cysts are closed sacs that contain liquid, semi-solid, gaseous, or other substances. Usually, they are caused by infection, injury, or other medical issues. Cysts are typically harmless (benign) but may need treatment if complications occur.
However, most ovarian cysts are non-cancerous (benign ovarian cyst) and harmless, but they can differ in size and develop for various reasons. The, ovarian cysts do not cause any symptoms, however, a cyst can be problematic if it gets bigger, bleeds or causes pain.
Preventing the ovarian cysts completely is not possible. However, specific measures must be taken to decrease the risk, such as maintaining a healthy weight, using contraception (birth control) and getting regular pelvic examinations.
Ovarian cyst epidemiology or the actual number of ovarian cyst cases in women is not known (uncertain) because many people don’t have any noticeable symptoms and are never diagnosed.
Out of 100, every four women will be hospitalized for ovarian cysts by the age they turn 65. In a study of 335 healthy women aged 24 to 40, without symptoms, 8% had an adnexal lesion. An adnexal cyst is a fluid-filled or solid growth that forms around the ovaries, fallopian tubes and surrounding connective tissue.
2.5 out of every 100 postmenopausal women have a simple unilocular adnexal cyst, which is typically benign and may resolve spontaneously.
In a large survey of 33,739 women premenopausal (before menopause) and postmenopausal (after menopause) women, nearly half of the women had an adnexal cyst on transvaginal ultrasound. Among those with the cysts, about 63.2 or 9,958 showed the resolution of the cyst on ultrasounds.
Most of the cysts are benign ovarian cysts (non-cancerous). However, a type called mature cystic teratomas or dermoids is a non-cancerous (benign ovarian cyst) that accounts for over 10% of all ovarian growths.
Para ovarian cysts occur in the broad ligament between the fallopian tube and ovary, which are relatively uncommon and account for only 5–20% of all adnexal masses.
Ovarian cysts are the most common tumour in infants (babies) and foetuses (unborn babies). More than 30 out of every 100 infants and foetuses will have ovarian cysts.
Women contain two ovaries located on either side of the uterus in the lower abdomen as part of the reproductive system. When a cyst develops on the left ovary, it is referred to as a left ovarian cyst, whereas if it forms on the right ovary, it is referred to as a right ovarian cyst. Sometimes, the cysts, called bilateral ovarian cysts, may develop on both sides of the ovaries.
There are different types of ovarian cysts, but they can be broadly categorized into two main groups:
1. Functional ovarian cysts: These are the most common type harmless (benign ovarian cyst) and short-lived cysts that often develop as part of the menstrual cycle and indicate a sign of healthy ovarian function. Generally, these cysts shrink over time, usually within two months (60 days), without any specific treatment.
There are two subtypes of functional cysts:
In some cases, both follicular and corpus luteal cysts can potentially turn into hemorrhagic cysts, which may occur due to ovulation rather than any medical condition. Other haemorrhagic ovarian cyst causes include follicle rupture, injury to ovary, some fertility drugs or anticoagulant medications. Haemorrhagic ovarian cyst treatment includes bed rest, pain medication and surgery (if the cyst is large and causing severe symptoms.
2. Pathological cysts: These cysts are rare and can develop due to various medical conditions. Examples include:
Women may have ovarian cysts without experiencing any noticeable symptoms. Usually, an ovarian cyst may cause symptoms when it ruptures, grows very large, twists (twisted ovarian cyst), or blocks the blood supply to the ovaries. However, when symptoms do occur, they can vary in severity and may include the following:
The exact cause of most ovarian cysts is idiopathic (unknown). The most probable reason for ovarian cyst formation depends on several factors, including the regularity of the menstrual cycle. In premenopausal women, the most common causes of ovarian cysts include:
In postmenopausal women (who no longer have menstrual periods), the following are the most common causes of ovarian cysts:
Multiple factors may increase the risk of ovarian cysts. The following are some of the risk factors might be associated with ovarian cyst development:
Family history of ovarian cysts, endometriosis condition, pelvic infections and cancer may also increase the risk of ovarian cysts. Not all women develop ovarian cysts with these risk factors, while some women may develop ovarian cysts without apparent risk factors.
While most ovarian cysts are benign and resolve on their own without treatment. However, some can lead to complications. The complications associated with this condition can depend on factors such as the type, size, and location of the cyst and whether it stays asymptomatic or causes symptoms.
Possible complications of the ovarian cyst include:
Usually, ovarian cysts may occur during pregnancy to support it until the placenta forms. It is common for a woman to develop at least one ovarian cyst during their lifetime. However, sometimes, it may persist on the ovary until later in pregnancy. Most ovarian cysts are harmless but become problematic if they continue to develop throughout the pregnancy. Ovarian cysts might cause complications such as sudden and severe pelvic pain and interference with childbirth if they rupture or twist.
The diagnostic evaluation of an ovarian cyst usually involves a combination of medical history, physical examination, and diagnostic tests. Here's an overview of the steps involved in diagnosing ovarian cysts:
Other tests:
A gynaecologist may perform other tests to confirm cysts, which include:
Ovarian cyst treatment without surgery: There are various treatment options available, but ultimately, management (treatment) depends on factors that include the patient's age, menopausal status, the ovarian cyst size, and whether the cyst has characteristics suspicious of malignancy.
In general, there are several approaches to managing ovarian cysts:
The steps mentioned above will be applicable under ovarian dermoid cyst treatment and simple ovarian cyst treatment is not required for all patients because simple cysts resolve on their own.
A gynaecologist may recommend removing the cyst if it:
If an ovarian cyst is getting bigger and causing symptoms, surgery will be needed to remove it. Sometimes, gynaecologists suggest removing the cyst even if it is not causing any symptoms. Removing the cyst also reduces the risk of the cyst becoming malignant (cancerous) later on. The type of surgery may depend on the ovarian cyst size and how it seems (appears) on the ultrasound.
The ovarian cyst removal surgery involves two main types, such as
Laparoscopy: The ovarian cyst laparoscopic surgery is a minimally invasive procedure where the gynaecologist inserts a camera and surgical tools through small incisions in the patient's abdomen to view and access the reproductive organs and pelvic cavity to remove the cyst from the ovary.
A gynaecologist performs the following techniques to remove the cysts by using laparoscopy:
Laparotomy: It is an open surgery that involves a larger incision in the abdomen to access the ovaries and fallopian tubes to remove the cyst. After removing the cyst, incision will be closed with stitches. This approach is typically reserved for large cysts, complex, or suspected cancer cases.
It is not possible to prevent ovarian cysts, but one can reduce the risk of developing ovarian cyst by taking specific measures:
Ovarian cyst vs PCOS (polycystic ovarian syndrome)
Ovarian cysts and polycystic ovaries are two distinct conditions affecting the ovaries. The most significant difference between PCOS and ovarian cysts is that PCOS causes a hormonal imbalance, whereas ovarian cysts do not. Although these are similar, they have some differences:
Elements | Ovarian cysts | Polycystic ovarian syndrome |
---|---|---|
Definition | Fluid-filled sacs on the ovary | A hormonal disorder characterised by the overproduction of hormones such as testosterone and androstenedione by the ovary. This can cause the ovaries to form multiple small cysts. |
Cause | Hormonal imbalances, pregnancy, endometriosis, ovulation problems, and pelvic infections | The exact cause is idiopathic (unknown). However, insulin resistance, genetic factors and over-androgen production are thought to be causes of PCOS. |
Symptoms | Usually, ovarian cysts do not cause any symptoms. However, when symptoms do occur, they can vary in severity and may include pelvic pain, bloating, fullness in abdomen, painful intercourse, urinary incontinence, nausea and vomiting. | Irregular periods, unexplained weight gain, acne, excess hair growth and fertility issues |
Diagnosis | Pelvic ultrasound, rarely CT scan or MRI scan | Medical history, physical examination, blood tests to check hormone levels and ultrasound |
Treatment | In most cases, ovarian cysts tend to resolve themselves without treatment. However large or symptomatic cysts may need surgical removal | Treatment options may differ from person to person based on symptom severity and may include lifestyle modifications (exercise, diet), medication, or surgery. |
Impact on fertility | Generally, ovarian cysts do not affect fertility. However, if the cyst continues throughout the pregnancy, becomes large, ruptures, or twists, it may affect the child's birth. | May impact infertility due to irregular ovulation |
Ovarian cyst vs UTI (Urinary tract infection)
Ovarian cysts affect ovaries, whereas urinary tract infections (UTI) mainly affect the urinary system. The following are the differences between the ovarian cyst and UTI, that include:
Elements | Ovarian cysts | Urinary tract infections |
---|---|---|
Definition | Fluid-filled sacs on or within the ovary | A common infection that occurs in any part of the urinary system, such as kidneys, ureters, bladder (most common) and urethra |
Causes | May cause due to hormonal imbalances, pregnancy, endometriosis, ovulation problems, and pelvic infections. | Due to the bacteria, virus and fungus. The infection may enter the urethra, bladder and travels up to the ureters and kidneys. |
Symptoms | Usually, most women with ovarian cysts do not show any noticeable symptoms. However, when symptoms do occur, they can vary in severity and may include pelvic pain, bloating, fullness in the abdomen, painful intercourse, urinary incontinence, nausea and vomiting. | UTI causes the inflammation in the lining of urinary tract, which may lead to the symptoms such as back pain, fever, cloudy – foul smelled urine, painful, urgent and frequent urination, rarely bloody urine. |
Risk factors | Older age, endometriosis, hormonal imbalance, family history of ovarian cysts. | A previous UTI, sexual activity, older age, frequent use of antibiotics, poor hygiene, weak immune system. |
Diagnosis | Pelvic exam, blood tests and ultrasound | Urinalysis, urine culture |
Treatment | Observation, pain relievers, birth control and surgery | Antibiotics, pain relievers, fluids |
No, most ovarian cysts are not serious and often disappear or resolve on their own without any medical treatment. However, some ovarian cysts may cause discomfort, pain or complications, and few are cancerous. Consulting a gynaecologist is important for identifying and treating the related symptoms of cysts.
The most probable reason for ovarian cyst formation depends on several factors, including the regularity of the menstrual cycle. The exact cause of most ovarian cysts is idiopathic (unknown). The most common causes of ovarian cysts in the woman include:
The effect of an ovarian cyst may vary from woman to woman because many people don’t have any noticeable symptoms and are never diagnosed. Others may experience noticeable symptoms such as pelvic pain, bloating, pressure or fullness in the abdomen, painful intercourse and bowel movements, nausea and vomiting, breast tenderness, or changes in the menstrual cycle. If a cyst ruptures or becomes big, especially large, it may lead to more severe symptoms and complications.
Yes, the ovarian cysts will be cured without any medical treatment and may disappear or resolve on their own within few days or months. However, some cysts may need medical and surgical management, especially if the cysts are large and causing pain or are suspected of being malignancy (cancerous).
No, a 4 cm ovarian cyst is not considered big and may be relatively small. In many cases, it does not cause any noticeable symptoms. However, determining the significance of a cyst depends not only on its size but also on its type, location, and presence of symptoms.
Yes, A woman can become pregnant with an ovarian cyst because the impact on fertility depends on the size and type of the cyst and whether it is causing any complications. Very few cysts may interfere and complicate the pregnancy, while many cysts may not have any effect on the pregnancy.
Although having ovarian cysts may cause some concern for a woman who is trying to become pregnant, it's essential to know that many women with ovarian cysts are still able to have a successful pregnancy.
No, ovarian cysts cannot completely stop periods, but they can lead to irregular or heavy periods or abnormal vaginal bleeding between periods (spotting). Menstrual cycle problems will happen when the cyst produces sex hormones, causing the lining of the womb to thicken (grow more). It is important to note that not all cysts have the same effect.
No, ovarian cysts cannot cause a miscarriage. Usually, most cysts are harmless (benign). However, if the cysts continue to grow (become larger) throughout the pregnancy of the woman, they might twist, rupture or even cause problems with childbirth. It is important to consult a gynaecologist if the woman is pregnant and has concerns about ovarian cysts or other gynaecological issues.
Yes, a woman with an ovarian cyst can give birth to a child. In most cases, a woman with ovarian cysts can still have a healthy pregnancy and delivery. However, if the cysts continue to grow (become larger) throughout the pregnancy of the woman, they might twist, rupture or even cause problems with childbirth.
The impact of the cyst on pregnancy and childbirth may vary from woman to woman and depends on the size and type of the cyst and complications.
No, an ovarian cyst cannot affect early pregnancy. However, an ovarian cyst may affect early pregnancy of the woman when the ovarian cyst causes complications such as rupturing or twisting, leading to the symptoms of severe pelvic pain, nausea and vomiting, and sometimes blood loss. Most ovarian cysts cannot affect the early pregnancy directly and may not require any treatment during pregnancy.
An average ovarian cyst size generally ranges from a few millimetres to a few centimetres. Most ovarian cysts are small (1-3 cm), with a simple appearance, but sometimes they may grow larger than 5cm and cause ovarian torsion or rupture. A cyst size may vary from woman to woman, where the ovarian cyst size for surgery is the dependent variable for surgical considerations, as the larger cysts (>5 to 10 cms) required surgical treatment compared to smaller ones.
It is not possible to prevent ovarian cysts, but one can reduce the risk of developing ovarian cysts by taking specific measures such as maintaining a healthy weight, eating a healthy diet, using contraception (as prescribed by a gynaecologist), exercising regularly, getting regular body checkups and seeking medical help promptly for any symptoms or concerns.
The warning signs of ovarian cysts may differ from person to person, and some people may not experience any noticeable symptoms at all. However, here are some of the signs and symptoms that may be associated with ovarian cysts:
In most cases, ovarian cysts do not cause pain or show symptoms. However, if the cyst is ruptured, it may show symptoms like pelvic pain.
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