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Ovarian Cysts

Women may encounter various ovarian cysts at certain times in their lives. The main complaints are groin pain and abdominal pain. The diagnosis of ovarian cyst is made by ultrasonography performed during the examination. Cysts are divided into benign or malignant. Cysts are evaluated according to ultrasonographic features, age and complaints of the patient. Types of cysts vary according to age groups. Even newborn girls can have ovarian cysts.

Functional cysts are among the most common ovarian cysts in young girls, and they are usually disappared on their own without the need for medication or surgery. Again at this age, there are hemorrhagic cysts formed due to bleeding during ovulation. One of the most common cysts of this period is the cysts called dermoid or cystic teratoma that require surgery. 

Cysts observed in women in the reproductive (reproductive) period are: functional cysts, hemorrhagic cysts, and benign cysts called serous and mucinous. Again in this period, chocolate cysts (endometrioma) formed in the ovary are observed in the disease called endometriosis, which causes painful menstruation, pain during intercourse and difficulty in conceiving.

 

Ovarian cysts observed after menopause should be followed carefully in terms of ovarian cancer. However, it does not mean that every cyst observed during this period is malignant.

Ovarian cysts can also be detected during pregnancy, the majority of which are benign and require only follow-up. Generally bilateral, ovarian cysts larger than 8 cm, which can be followed up to the 16-18 gestational week and those which do not regress, require surgery. Simple cysts, functional cysts and dermoid cysts are the most common cysts during pregnancy. 

If an ovarian cyst is diagnosed in an examination, this does not mean that surgery should be performed immediately. The decision is made according to the age of the patient, the ultrasonographic characteristics of the cyst, the patient's complaint, and how long the cyst has been present or followed. In general, cysts of 5-8 cm and larger and ovarian cysts of any size that do not regress after 2 months of follow-up are candidates for surgery.