Do ovarian cysts hurt?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 01, 2024
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This ovarian cyst is generally a benign tumor change. Normally, ovarian cysts do not show any symptoms. However, as the cyst grows larger, it may cause an increase in abdominal size and bloating. It may also press on the gastrointestinal tract and the bladder, leading to corresponding urinary and gastrointestinal symptoms. Additionally, changes in body position may lead to acute abdomen, such as ovarian cysts, torsion of the stalk, rupture of ovarian cysts, and other conditions.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can you get pregnant with ovarian cysts?

Ovarian cysts are generally physiological and may affect pregnancy, as physiological ovarian cysts secrete hormones. At this time, there may be abnormal hormone secretion, or the cyst itself may be caused by abnormal follicle development, mainly presenting as follicular cysts. Therefore, if there is a follicular cyst, there is generally no normal ovulation, so pregnancy will not occur. Ovarian cysts can be observed for 2 to 3 months; if they are physiological, they will disappear naturally. If the ovarian cyst has not decreased in size or has increased after 2 to 3 months, it indicates that it is an ovarian tumor, and surgery is required.

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Written by Xia Hu
Obstetrics and Gynecology
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How to check for ovarian cysts?

There are two methods for examining ovarian cysts. Firstly, through a gynecological examination, especially in cases of sexual activity, a bimanual examination can be conducted. Under bimanual examination, a mass in one of the adnexal areas can be palpated, where the nature of the mass such as whether its boundaries are clear can be observed, as well as checking for tenderness. This allows for the examination of ovarian cysts. Another method involves an ultrasound. Generally, if performing an abdominal ultrasound, it is necessary to hold urine to view the ovaries clearly. If performing a vaginal ultrasound, especially in cases of sexual activity, this can be chosen; thus, the ultrasound can provide a clearer view. It is closer to the uterus and ovaries, and thus under ultrasound, the masses in the ovaries can be detected. Therefore, both of these methods are viable.

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Written by Xia Hu
Obstetrics and Gynecology
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Symptoms of ovarian cyst carcinogenesis

The main symptom of malignant transformation of ovarian cysts is increased abdominal pain, which generally occurs on one side, including either the left or right side, since the ovaries are present on both sides. If the cyst is unilateral, rapid growth can cause lower abdominal distension and pain. Therefore, when such symptoms aggravate, timely examination is necessary. Initially, a gynecological examination is recommended to assess the boundaries of the ovarian cyst and to palpate its nature and texture. These are essential evaluations. If there is a potential for malignancy, sometimes nodular changes, which may be metastases, can be detected in the posterior cul-de-sac. Subsequently, an ultrasound should be performed, with vaginal ultrasound generally providing greater accuracy.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to check for ovarian cysts?

Firstly, in gynecological outpatient clinics, an ovarian cyst requires examination through a gynecological color ultrasound, which can clearly determine the presence of an ovarian cyst, or evaluate the size and echo of the ovarian cyst to assess the severity of the condition. Additionally, a gynecological examination can also be performed to confirm the presence of an ovarian cyst. The main purpose is to assess the severity of the ovarian cyst disease through palpation.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Are ovarian cysts easy to treat?

Most ovarian cysts are physiological. If it's the first time an ovarian cyst is detected, it can be observed, and a re-examination can be conducted after two months. If the cyst disappears or reduces in size, it is physiological and there is no need for concern or treatment. However, if the ovarian cyst has not reduced but has increased in size after two months, this is pathological, indicating an ovarian tumor. In this case, surgical treatment is necessary. This is because if an ovarian tumor persists for a long period, it may become malignant or lead to ovarian torsion, both of which can affect the body adversely.