Do all ovarian cysts require surgery? How would you know if you don’t look!

Ovarian cyst is a common gynecological disease in women. It is an important reproductive organ in women and can affect ovarian function and hormone secretion. Therefore, once it is confirmed that it is an ovarian cyst, it is best to undergo surgery immediately. However, there are many types of ovarian cysts. Do they all require treatment?

1. Functional cyst

This is the most common cyst. It occurs in women of childbearing age during the ovulation cycle, when an abnormal amount of fluid accumulates in the follicles or corpus luteum, forming follicular cysts or corpus luteum cysts. This functional cyst can sometimes be quite large, but it usually disappears on its own within three months, regardless of medication or not.

2. Hemorrhagic cyst

Sometimes follicular cysts and corpus luteum cysts grow too rapidly, causing ovarian tissue to be pulled and bleeding. If the ovarian corpus luteum ruptures, it will cause a lot of bleeding in the abdominal cavity, which can easily cause shock and require surgical treatment. If the amount of bleeding is not much, the body can absorb it on its own.

3. Chocolate Cyst

It is a type of endometriosis, which causes a large amount of sticky brown, chocolate-like fluid to form in the ovaries. With or without abdominal pain during menstruation, because endometriosis will grow larger over time, gradually eroding normal tissues and causing irreversible damage to ovarian tissues. In severe cases, it can affect conception. If drug treatment is ineffective, surgical treatment is required.

4. Teratoma

This is a very special cyst. It may be caused by a problem in cell differentiation during the embryonic period. It takes a long time to manifest itself and can occur at any age. It will produce hair, teeth, etc. in the ovaries, so it is best to remove it early.

Ovarian cysts are small and mostly asymptomatic. When the cysts grow larger, clinical manifestations include lower abdominal distension, discomfort, abnormal vaginal discharge, or menstrual disorders. When cysts affect hormone secretion, symptoms such as irregular vaginal bleeding may occur. Larger cysts can put pressure on the area near the bladder, causing symptoms such as frequent urination, constipation, shortness of breath, and palpitations.