Doctor insights on:
Echogenic Ovarian Cyst
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
I have a ovarian echogenic cyst, its 20cm. Am not experiencing any pain and my periods are regular. What is the best way of treating it?
20 cm?: I'm going to ask to clarify are you certain you mean 20 cm or do you mean 20 mm? The former is about the size of a softball, the latter more like a golf ball. If you mean 20 cm this can be an emergency requiring surgery, you need to see your doctor ASAP. If the latter (the small one) there is no emergency but you need a doctor to follow it. ...Read more
Abdom. Pain, freq. Urination. U/sound- 8cm complex ovarian cyst, heterogeneous echogenicity, septations, debris, honeycomb configs. No hypervasc. Advice?
A pelvic scan revealed an ovarian cysts of 4.8cm X 3.5cm with internal echogenic debris. I have slight pressure pain. Will this go away on its own?
Time: Most ovarian cysts go away by themselves over time. If a cyst stays around for more than 3 months, what we would do next depends on it's size, your age, any symptoms and very specific details of the ultrasound report describing the cyst. ...Read more
Depends on the cyst: Some cysts (small simple follicular) don't need any help and resolve on their own. Large symptomatic cysts most likely will require surgical intevention. There are some cysts that resolve with hormonal treatment. ...Read more
Ultrasound: Ovarian cysts are best evaluated by transvaginal ultrasound. If you are young and have periods, most cysts are ok, though they may grow large and rupture and cause pain. If you have gone through menopause, ovarian cysts need to be followed more closely, since they may be cancer. Pelvic MRI is helpful in evaluating persistent cysts or cysts which may partially contain solid tissue. ...Read more
Complex question: This depends on many details: your medical history, your family history, features seen on ultrasound like size, solid areas, blood flow. Most cysts at age 44 if you are still having menstrual cycles will be benign, but you should follow up with your gynecologist as directed to be sure. ...Read more
Patience vs. Surgery:
Most ovarian cysts in young women are "functional cysts", which evolve from a follicle that you ovulate from, then grow and finally resolve spontaneously over several weeks. Birth control pills do not speed up the resolution, but do decrease recurrences.
If the cyst persists then surgery, often laparoscopic, is necessary to remove the cyst and have it tested for cancer. ...Read more
Ovarian Cyst: Cysts may be asymptomatic for the most part and only discovered during a routine gyn examination. Occasionally they may present as a vague to severe abdominal pain. Some malignant ovarian cysts may also present as a gastric disturbance like bloating, eructations, dyspepsia. ...Read more
No: Life is difficult enough without people trying to worry you over something like this. Ovarian cysts are extremely common and only the large ones come to a physician's attention; most are harmless. I trust you're having the cysts followed. ...Read more
Different types: Ovarian cysts are collections of fluid, or soft or hard tissue that develop within the substance of the ovary. They can be normal- where the body produces eggs & hormones every month; or they can be either benign or malignant tumors. The size, and characteristics give an idea of whether they are benign or not. Most simple cysts are small, and resolve on their own with time. ...Read more
Pain: An ovarian cyst can have no symptoms, it could just be discovered on an exam. A cyst could throw off a menstrual cycle: delay it or make it early. But it can also cause pain, or pain with intercourse, bloating, or pressure. If a cyst ruptures or twists on itself, you can have severe, crippling pain that sends you to the emergency room. ...Read more
Maybe no symptoms: Those who get ovarian cysts are usually young menstruating women. Typically, it is in the mid cycle. Many have absolutely no symptoms though they form small cysts. Some have symptoms of sudden acute pain on the left or right sides, low in the pelvis. Some have an achy feeling, almost like a cramp. There are more symptoms as the cysts get bigger. When big enough they can distend your abdomen. ...Read more