Ovarian Cyst
Dr. Ria Katwala Solanki is a gynaecologist and gynaecological oncosurgeon consulting in Andheri East and Vile Parle West, Mumbai, who diagnoses and treats ovarian cysts — a sac filled with liquid or solid material in the ovary. Ovarian cysts are rather common in women, and the treatment depends on the type of cyst you have.
Common Symptoms :
Irregular or
heavy periods
Persistent bloating or pressure
Sudden, severe abdominal pain
Difficulty conceiving
Types of cyst :
Commonest. Occur naturally every month. Can dissolve with medication
Haemorrhagic cyst / functional cyst
Dermoid / Endometriotic
/ Mucinous or serous cystadenoma
Non-cancerous but need surgical excision
Ovarian Cancer
Need extensive evaluation and treatment
What if I don’t remove the cyst?
Increase in size: Some grow quickly to occupy the whole abdomen making you look like a pregnant woman.
Torsion: Some cysts may turn around itself, giving rise to episodes of pain, fever and vomit. This may compromise the health of the ovary and usually is dealt with on priority in emergency.
Rupture: Burst in the abdomen giving rise to severe pain and need to be dealt with on priority in emergency.
Infertility: They alter the local hormonal balance and can cause infertility
Treatment Options
Conservative :
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Yes some cysts can be treated medically. Depending on the size and nature of your cyst, your gynaecologist will be the best judge to decide
Radical (Laparoscopy / robotic) :
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This procedure removes the unhealthy ovarian tissue and preserves the normal parts of the ovary.
Frequently Asked Questions
Q: Do all ovarian cysts need surgery?
No. Many cysts, especially functional ones, resolve on their own and can simply be monitored by your gynaecologist.
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Q: Will an ovarian cyst affect my chances of getting pregnant?
Most simple cysts don't affect fertility, but some types, like endometriotic cysts, can — your gynaecologist will guide you based on the type found.
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Q: Is surgery always necessary?
No. Surgery is considered when a cyst is large, persistent, causing pain, or suspicious in nature.
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Q: Is robotic surgery an option for ovarian cysts?
Yes. Robotic surgery offers the same minimally invasive benefits as laparoscopy with added precision, and is especially helpful for complex or larger cysts.
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Q: How are ovarian cysts diagnosed?
An ultrasound is usually enough to diagnose and characterise most ovarian cysts; further imaging may be used if needed.
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Q: Can ovarian cysts come back after treatment?
Yes, new cysts can form over time, which is why regular follow-up with your gynaecologist is important.
