Ovarian Cyst

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Ovarian cyst

An ovarian cyst is a fluid-filled sac in the ovary.

Types

The two most common types of ovarian cysts are called functional and include:

 Follicular cysts. Follicular cysts form when an ovarian follicle (the tiny sac
where the egg grows) doesn't open to release the egg and continues to grow
into a cyst.
 Corpus luteum cysts. A "corpus luteum" develops after an egg is released
from a follicle during ovulation. The follicle sac shrinks into cells that
produce hormones to support the rest of the menstrual cycle, or, in the case
of a pregnancy, to support the growing baby. If fluid collects in the empty
follicle and the sac doesn’t shrink, however, a cyst forms.

Other, less common, types of ovarian cysts are called pathological cysts and
include:

 Dermoid cysts. Called teratomas, these cysts are made up of ovarian germ


cells and can contain teeth, hair, skin or fat.
 Endometrioma, or "chocolate cysts," in women who have endometriosis.
These cysts are filled with old blood, so they can be darker in color. 
 Cystadenomas cysts. These can develop on the surface of the ovary and are
solid, like a ball of muscle. 

Causes of ovarian cyst during pregnancy

During pregnancy, the corpus luteum produces hormones to nourish and support
the uterine lining and the growing baby until the placenta takes over at around 10 to
12 weeks. But in a small number of pregnancies, this corpus luteum fills with fluid
and remains on the ovary instead of regressing. This is called a corpus luteum cyst.

Ovarian cyst symptoms

 Pain, which can occur in the lower abdominal or pelvic area on the side the
cyst is located. Such ovarian cyst pain can be sharp or dull in nature, can feel
like a twinge, and/or be fleeting (aka come and go). Sometimes pain may be
more moderate following an ovarian cyst rupture, or the pain can be sudden
and severe. In rare cases, an ovarian cyst can cause the ovary to twist (called
torsion). This can be extremely painful.
 Bloating
 Abdominal fullness or pressure

Ovarian cyst treatments

Most ovarian cysts disappear on their own and don’t need any treatment. In rarer
cases, such as in the case of an ovarian cyst rupture or ovarian torsion, the following
treatment may be warranted:

 Rest
 Pain medication
 Surgery. If surgery is necessary during pregnancy, your doctor will make
every effort to perform the surgery laparoscopically (through tiny incisions).
If the cyst is large, surgery using laparoscopes may not be possible, and
regular abdominal surgery may be necessary.
 Other types of cysts can continue to grow during pregnancy, and in some
cases cause pain, but even in those cases, such cysts usually don’t cause
problems for the pregnancy.
 An ovarian cyst ultrasound will track the size and condition of any cyst to
make sure it doesn’t grow or change in any way that may make it worrisome.

Ovarian cyst bursts during pregnancy

Usually a ruptured ovarian cyst, even during pregnancy, isn’t cause for alarm — the
fluid from the cyst will dissipate and the burst cyst will heal on its own.

Sometimes all that is needed is some medication to manage the pain and rest until
the cyst heals. In fact, most practitioners recommend watchful waiting (which
involves observation, ultrasounds, and monitoring) as the preferred treatment
during pregnancy.

However, if there is concern about an infection due to the rupture, if there is a lot of
bleeding, if there’s a torsion (when the cyst causes the ovary to twist, it can often
block blood flow to the ovaries), or if the burst cyst is impacting the pregnancy is
some way, surgery may be needed.
Burst ovarian cyst symptoms

 Moderate to severe pain. In some cases, a burst ovarian cyst can result in a
significant amount of pain. It can be sharp and sudden, and the pain can be
located in the lower abdominal area or even the back.
 Vaginal bleeding or spotting
 Nausea or vomiting, along with pain (in the case of a torsion)
 Dizziness, along with pain
 Fever, along with pain.

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