Ovarian Cyst
Ovarian Cyst
Ovarian Cyst
• Infertility
• Oral contraceptive/birth control pill use decreases the risk of developing ovarian cysts because they
prevent the ovaries from producing eggs during ovulation.
Symptoms
• Cysts may grow quietly and go unnoticed until they are found
on routine examination. However, if they are ruptured (by
sexual intercourse, injury or childbirth) and/or become large
enough, the following symptoms may occur:
• Intense abdominal pain (symptom in all types of cysts)
• Menstrual changes such as late periods, bleeding between
periods or irregular periods (symptom occurring in corpus
luteum cysts and polycystic ovaries)
• Heavy menstrual flow (symptom occurring in polycystic
ovaries)
• Infertility (symptom occurring in polycystic ovaries and
endometrial cysts)
• Internal bleeding (symptom occurring in endometrial cysts)
• Severe menstrual cramps (symptom occurring in
endometrial cysts)
• Pain with sexual intercourse (symptom occurring in
endometrial cysts)
• Pain during a bowel movement (symptom occurring in
endometrial cysts)
• Weight gain (symptom occurring in polycystic ovaries and
endometrial cysts)
• If a cyst becomes twisted, the woman may experience
spasmodic pain. Sudden or sharp pain may mean a cyst has
ruptured. The twisting or rupture of a cyst may increase the
likelihood of an infection. If the woman is experiencing
abdominal pain, fever, vomiting and symptoms of shock
such as cold, clammy skin and rapid breathing, get help
immediately.
Surgical Procedure
• Salpingectomy is the surgical removal of one
or both fallopian tubes. The fallopian tubes
serve as a passageway for an ovum to travel
from the ovary to the uterus. In a unilateral
salpingectomy, only one fallopian tube is
removed; in a bilateral salpingectomy, both
fallopian tubes are removed.
• A salpingectomy can be performed for a
number of reasons, including treatment of
ectopic pregnancies and infections in the
fallopian tubes (salpingitis). Women afflicted
with the sexually transmitted diseases
gonorrhea, syphilis, and chlamydia are prime
candidates for salpingectomy. These conditions
are the most common causes of infection of the
fallopian tubes. Childbirth, abortion, and
insertion of intrauterine devices (IUDs) have
also been associated with salpingitis and the
salpingectomy procedure.
Why is it done
• Surgery is used to confirm the diagnosis of an
ovarian cyst, remove a cyst that is causing symptoms,
and rule out ovarian cancer.
• Surgery for an ovarian cyst or growth may be advised
in the following situations:
• Ovarian growths (masses) are present in both ovaries.
• An ovarian cyst is larger than 3in.
• An ovarian cyst that is being watched does not get
smaller or go away in 2 to 3 months.
• An ultrasound exam suggests that a cyst is not a
simple functional cyst.
• You have an ovarian growth and you:
– Have never had a menstrual period (for example, a
young girl).
– Have been through menopause (postmenopausal
woman).
– Use birth control pills (unless you are using low-dose
progestin-only pills or have missed a pill, which would
make an ovulation-related functional cyst more likely).
• Your doctor is concerned that ovarian cancer may
be present. In this case, it is also advised that you
see a gynecologic oncologist.