Best Hospital for Ovarian Cyst Treatment in Hyderabad, India

Ovarian cyst management (treatment) mainly involves two approaches that include:

• Medical management of ovarian cyst
• Surgical management of ovarian cyst

Medical management of ovarian cyst

Ovarian cyst treatment without surgery

Usually, ovarian cysts don't need any treatment. In premenopausal women (who still have monthly menstrual periods), ovarian cysts often resolve on their own within one to two months without any therapy. However, in women who have been through menopause, ovarian cysts are less likely to resolve.

If the patient has an ovarian cyst, whether it needs to be treated or not may depend on the following:

• Cyst size and appearance 
• Whether the patient has any symptoms. 
• Likelihood of torsion/twisting or rupture
• Whether the patient has had menopause (post-menopausal women have an increased risk of ovarian cancer)
• Level of concern for malignancy

The following are the possible approaches (ovarian cyst treatment options) that might be recommended to manage the ovarian cysts in patients:

• Watchful waiting (Observation)
• Pain management
• Oral contraceptives (birth control pills)
• Cyst drainage

Simple ovarian cyst treatment is not required for all patients because simple cysts resolve on their own.

There is no difference between the right ovarian cyst treatment and left ovarian cyst treatment. Both have the same approaches.

Watchful waiting (observation)

• Before menopause – Most ovarian cysts in reproductive age are follicular or corpus luteum cysts, which are harmless, have no long-term (chronic) medical consequences, and naturally disappear or resolve within two or three months. However, they may cause pain by rupturing rarely. If the person has not yet been through menopause, and if the cyst is functional, a gynaecologist may recommend the watchful waiting (wait and see) approach for a few weeks or months to see if the cyst is resolving on its own or not with frequent monitoring. Observation usually involves monitoring for symptoms such as pressure or pelvic pain and repeating the ultrasound after about six weeks. If the cyst does not increase its size (not getting bigger), or if it disappears during the observation, the patient most likely doesn’t need surgery.
  
• Generally, in premenopausal women, < 4cm or a 4-cm simple cyst is considered as low risk; for example,3 cm ovarian cyst treatment often involves observation because low-risk cyst may resolve within a few months without any medicines or surgery, whereas a complex mass with blood flow to a solid component in a postmenopausal woman can be categorised as high risk. High-risk ovarian cysts may require surgical management.
• Observation or monitoring may be sufficient for low-risk ovarian cysts such as asymptomatic or intermediate ovarian cysts. A general gynaecologist can assess these low-risk ovarian cysts. 
• However, patients might be referred to a gynaecologic oncologist for highly suspicious masses for malignancy.
• Low-risk lesions such as simple cysts, dermoid cysts and endometriomas may have a < 1% chance of malignancy. Most people with these cysts often need reassurance or follow-up with repeated ultrasounds.
• Rather than undergoing emergency cyst removal surgery, multiloculated ovarian cyst treatment includes imaging follow-ups with intermittent transvaginal ultrasonography, whereas unilocular cyst treatment involves the observation of small asymptomatic cysts for a few months.
• Septated ovarian cyst treatment may depend on the size and malignancy of the cyst. Biopsy and blood tests are generally performed to determine its nature.
• Complex septated ovarian cyst treatment also depends on the size and malignancy of the cyst. However, it may require surgical treatment because of its malignancy risk.

In premenopausal women, the society of radiologist in ultrasound may suggest the following:

• There is no need for additional testing yearly for 5 cm or smaller cysts.
• Follow-up ultrasounds will be required for cysts larger than 5cm and 7cm 
• MRI or surgical assessment may be needed for ovarian cysts larger than 7cm, as ultrasound may not capture the large cysts completely, which makes it difficult to complete the imaging.

• After menopause -- If the patient has been through menopause, the decision to undergo observation depends on the results of the ultrasound and cancer antigen 125 testing. Suppose the ovarian cyst does not appear to be malignant. In that case, observation (watchful waiting) may be an option, which involves the testing with pelvic ultrasound and CA 125 at regular intervals (e.g., for every six weeks, 12 weeks and then every 3 to 6 months for one year), or until the cyst disappears or resolves. However, these cysts do not go away in people who have been through menopause.
  
• Yearly re-imaging (follow-up) might be advised for postmenopausal women with simple cysts larger than 1 cm up to 7 cm. However, an MRI test or surgery may be recommended for larger cysts that exceed 7cm.

Ovarian cyst treatment medicine involves pain medications and oral contraceptives, that includes:

Pain Management: If an ovarian cyst is causing any discomfort or pain, Nonsteroidal anti-inflammatory drugs (NSAIDs) and narcotic analgesics may be recommended to relieve the symptoms. 

Ruptured ovarian cyst treatment involves the administration of the intravenous (IV) pain medicine through a needle inserted into the patient vein. Patients may require fluids or blood replacement due to internal bleeding, in rare cases surgery also needed.

Oral Contraceptives (birth Control Pills): Functional ovarian cyst treatment often involves the use of oral contraceptive pills (OCPs). A gynaecologist may recommend them to women to protect against the development of functional ovarian cysts. The OCPs reduce the hormones produced in the ovaries and prevent ovulation. OCPs may not speed up the healing of existing cysts, but they can prevent new ones from forming.

Follicular ovarian cyst treatment and corpus luteum cyst treatment usually involve hormonal medications or birth control pills that aid in regulating the menstrual cycle (periods). However, most of the time, follicular cysts resolve on their own within a few months without any medications.

Chocolate cyst treatment often includes birth pills (medication) that inhibit ovulation, which helps to reduce pain and slow the development of cysts.

As per the studies, the treatment with combined oral contraceptive pill has been found to effectively suppress ovarian cysts. It is suggested to use a combination pill that contains a higher dose of oestrogen with birth control pills to treat recurrent ovarian cysts. However, the effectiveness of this treatment has not been proven yet.

As per a review, low-dose monophasic and multiphasic birth control pills have limited to no impact on the formation or growth of functional ovarian cysts.

Hemorrhagic ovarian cyst treatment depends on symptoms, if the patient has very mild symptoms, watchful waiting (observation) and blood tests may be suggested, whereas if the cyst is large (more than 5cm), bleeding a lot and causing some complications, surgery will be recommended to remove it. Generally, left and right ovarian hemorrhagic cyst treatments are similar.

Tubo ovarian cyst treatment includes antibiotics, pain medications, hormonal medications and sometimes surgery.

Cyst Drainage: Fluid-filled ovarian cyst treatment may involve cyst drainage, especially large or painful cysts, which can be drained with a needle or minor incision, but this may not be a long-term solution as the cyst can be refilled. In postmenopausal women, usually, aspiration(draining) of cysts is not recommended except to alleviate the symptoms in those who cannot undergo surgery with the presence of advanced malignancy.

Ovarian cyst alternative treatment (ovarian cyst treatment at home): Using OTC pain relievers, heat therapy to manage cramps, taking an Epsom salt bath to relax the muscles, having magnesium-rich foods and root dong quai, and drinking chamomile tea and ginger tea to relieve pain and ease anxiety.

Polycystic ovarian cyst treatment involves following a healthy lifestyle by eating the proper diet, exercising regularly, and reducing stress. It can aid in balancing the hormones and may act as a long-term ovarian cyst natural treatment.

A gynaecologist may consider the following situations before performing the ovarian cyst removal surgery

• If the woman has a cyst that is causing persistent pressure or pain or may twist, rupture or bleed
• A cyst that is caused by endometriosis
• Large cysts (>5 to 10cm) are more likely to need surgical removal than smaller cysts
• If the cyst has suspicion of malignancy
• If the woman has risk factors for developing ovarian cancer
• Even though the woman has a low chance of developing ovarian cancer, the cysts are not resolving after several ultrasounds, the patient may choose the removal of ovarian cysts after discussing it with a gynaecologist.

• To confirm the detection of an ovarian cyst
• To remove the cyst without damage
• To examine the other ovary and other abdominal structures 
• To investigate whether the cyst is malignant
• To perform the additional surgery as specified
• To gather the fluid from peritoneal washings for evaluation

🔷Which type of surgery is right for you?

Gynaecologists choose the type of surgery based on the cyst location, size and overall health condition of the patient. When a patient requires surgical therapy, a gynaecologist can perform either laparoscopy or laparotomy, and both have significant advantages and disadvantages. 

Laparotomy (ovarian cyst open surgery): It is usually preferable for patients who are haemodynamically unstable and who have a large cyst or cyst that could be cancerous. Laparoscopy is inappropriate for patients with chronic lung disease who cannot endure a high-intra abdominal pressure or a steep head-down position. It has benefits such as a clear view and quicker access to internal organs. However, it has the disadvantages, such as larger incisions and a longer recovery period.

Laparoscopic surgery: Laparoscopic surgery is preferable for patients of non-emergency cases, who have benign and smaller cysts, and who want fertility preservation and quicker recovery. It is minimally invasive than a laparotomy and offers a shorter recovery time. Precautions after laparoscopic surgery of ovarian cyst often includes rest, proper diet, incision care and follow-up appointments.

🔷What to expect after surgery?

After ovarian cyst surgery, the patient may experience pain, swelling, and bruising around the incision sites and have to stay in the hospital for a few days (based on the type of surgery). A gynaecologist may prescribe the pain medication to manage the pain and advice resting and avoid strenuous activity for a few weeks. Most patients are usually able to resume normal activities within 4 to 6 weeks after their surgery.

🔷Fertility ability after surgery

• If the patient has not been through menopause, a gynaec surgeon may prioritize preserving the reproductive ability of that patient by possibly removing the cyst without ovaries.

• If one of the patient's ovaries needs to be removed, the remaining ovary will still produce eggs and hormones as usual.

• Rarely, gynaecologists recommend removing an ovary, or even both ovaries – for example, if they think it could be cancer or that it will be difficult to cut the cysts out of the ovary tissue, even if the patient has not been through menopause. This may trigger an early menopause.

• However, it may still have the possibility to conceive a baby by having a donated egg implanted into the patient's uterus.

• If the patient has been through the menopause, both the ovaries may be removed because they no longer produce eggs.

• A gynaec surgeon might discuss all the fertility concerns with a patient before the operation.

🔷Cancer treatment

If the test results show that the patient has a cancerous ovarian cyst and is in the starting stages (not spread to other structures), surgery might be recommended to the patient for removing both of the ovaries.  Based on the patient's age, medical condition, stage and spreading of cancer, the gynaec oncologist might remove the fallopian tubes, uterus and some of the surrounding tissue.

🔷Monitoring

In some patients, ovarian cyst recurrence after surgery may happens, therefore, a regular monitoring is needed to ensure that the ovarian cyst does not return and to monitor for any new developments. Dermoid ovarian cyst surgery warning may include re-occurrence. Therefore, a gynaecologist may advise regular follow-up appointments and imaging studies to monitor the patient for reoccurrence of ovarian cysts. While most ovarian cysts are benign (harmless), the chance of developing ovarian cancer may rise with age. Therefore, a woman after menopause (postmenopausal woman) with any ovarian cyst has to receive the proper monitoring and treatment to diagnose the cancer.

The ovarian cyst surgery cost in Hyderabad, India ranges varies from ₹85,000 to ₹1,35,000 (US$995 to US$1,576). However, the actual cost of ovarian cyst removal may vary depending on several factors such as:

• Type of Surgery - laparoscopic or open surgery
• The size, location, and complexity of the ovarian cyst
• The length of your hospital stay and the facilities
• Pre-operative assessments, including blood tests, imaging studies, and other diagnostic tests
• The expertise and experience of the gynecological surgeon
• Coverage through health insurance for cashless treatment or corporate tie-ups

Frequently Asked Questions (FAQs) on Ovarian Cyst Treatment

What does ovarian cyst pain feel like?

Pain or pressure in the lower abdomen (pelvic region) is the most common symptom of an ovarian cyst, ranging from a dull, intermittent, aching sensation to sharp and severe discomfort that could be frequent or come and disappear. The pain range and severity may vary; if the cyst twists or ruptures, it may cause severe and sharp pain along with nausea and vomiting. If the cyst bleeds, it may lead to severe pelvic pain on the side where the ovarian cyst is located.

What size of ovarian cyst is dangerous?

Ovarian cysts that are bigger than 5 cm may be considered as potentially dangerous and it may be the right ovarian cyst size for surgery. Most women have a small (1-3 cm) ovarian cyst with a simple appearance. However, sometimes, they may grow larger than 5cm and cause complications such as ovarian torsion or rupturing.

What is an ovarian cyst?

An ovarian cyst is a fluid-filled sac that develops on or within the ovary. They are common and differ from half an inch to 5 inches, sometimes even larger. Most of them are benign (harmless), do not cause noticeable symptoms, and may resolve within a few months without treatment. A cyst can be problematic if it continuously grows bigger, bleeds, twists or ruptures. Rarely, there is a possibility of an ovarian cyst becoming a cancerous.

Will I lose weight when they remove the ovarian cyst?

Not necessarily. A woman will not necessarily lose weight after the removal of an ovarian cyst because cysts are not filled with fat. However, a cyst can cause bloating or fullness in the abdomen, and its removal might reduce these symptoms, making the patient feel less bloated. If the patient has polycystic ovarian syndrome, the proper treatments, such as medication and lifestyle modifications, may lead to weight loss.

What to eat after ovarian cyst surgery?

A patient may eat and drink everyday foods after ovarian cyst surgery. However, a patient may experience reduced appetite for the first few days after the surgery. Therefore, it is advised to eat small, frequent meals or bland, well-cooked, soft foods. Eating more fiber-rich foods may help prevent constipation. If the patient cannot eat or drink anything or is vomiting, it is recommended to contact the healthcare team.

Post ovarian cyst surgery, the patient may lose some blood. Thus, it is essential to have a proper diet at home to give the body time to recover quickly. 

Fresh fruits, vegetables, high fiber foods, lean protein foods, vitamin C and magnesium-rich foods may be suggested. Patients might not be recommended to have refined carbs, processed foods, aerated beverages, or oily and deep-fried food items.