types of ovarian cysts
Follicular ovarian cyst: This type of simple ovarian cyst can form in females when ovulation does not occur or when a mature follicle involutes (collapses on itself). The rupture of this type of ovarian cyst can create sharp severe pain on the side of the ovary on which the ovarian cyst appears. Usually, these cysts produce no symptoms and disappear by themselves within a few months.
• Corpus luteum ovarian cyst: This type of functional ovarian cyst occurs after an egg has been released from a follicle. After this happens, the follicle becomes what is known as a corpus luteum. If a pregnancy doesn't occur, the corpus luteum usually breaks down and disappears. It may, however, fill with fluid or blood and persist on the ovary. Usually, this cyst is found on only one side and produces no symptoms
• Hemorrhagic ovarian cyst: This type of functional cyst occurs when bleeding occurs within a cyst. Symptoms such as abdominal pain on one side of the body may be present with this type of cyst.
• Dermoid ovarian cyst: This is a type of benign tumor sometimes referred to as mature cystic teratoma. It is an abnormal cyst that usually affects younger women and may grow to 6 inches in diameter. A dermoid cyst can contain other benign types of growths of body tissues such as fat and occasionally bone, hair, and cartilage.
•Endometriomas or endometrioid ovarian cyst: Part of the condition known as endometriosis, this type of cyst is formed when endometrial tissue (the lining tissue of the uterus) is present on the ovaries. It affects women during the reproductive years and may cause chronic pelvic pain associated with menstruation..
•Polycystic-appearing ovary: Polycystic-appearing ovary is diagnosed based on its enlarged size - usually twice that of normal - with small cysts present around the outside of the ovary. This condition can be found in healthy women and in women with hormonal (endocrine) disorders..
Treatment for Ovarian Cyst
Our gynaecologists Dr Smita Vats and Dr Nidhi Goel at GNH Hospital Gurgaon decides the line of treatment for ovarian cysts based on the symptoms, type, size of the ovarian cyst and your age. Treatment options for Ovarian Cyst at GNH Hospital Gurgaon India may include:
•Watchful waiting to see if the ovarian cyst goes away on its own within a few months. Regular ultrasounds need to be done to check any changes.
•Removal of an ovarian cyst if it is large, growing, or persists through two or three menstrual cycles. Ovarian Cysts that cause pain or other symptoms may be removed.
•Some ovarian cysts can be removed without removing the ovary in a procedure known as a cystectomy. In some circumstances, gynaecologist may suggest removing the affected ovary and leaving the other intact in a procedure known as oophorectomy.
•If a cystic mass is cancerous, however, your doctor will likely advise a hysterectomy to remove both ovaries and your uterus. Your doctor is also likely to recommend surgery when a cystic mass develops on the ovaries after menopause.
Ovarian Cyst Surgery
•In a laparoscopic surgery, the surgeon will make three small cuts (about 1cm long) near your belly button and pass special instruments and a tube-like telescopic camera (called a laparoscope) through the cuts and examine your ovaries and remove the cysts. The cuts on your skin are closed with dissolvable stitches.
•Sometimes the surgeon may need to convert your keyhole procedure to open surgery (a single, large cut is made in your lower abdomen to reach your ovary).
After the ovarian cyst removal surgery
After the surgery you will be kept under observation for a few hours. Then you will be shifted to the ward/room. You will discharged after 2 to 3 days from the hospital.