Ovarian Cysts Treatment
Ovarian cysts are fluid-filled sacs that form on or within the ovaries. While most cysts are harmless and resolve on their own, some may grow large, cause pain, or lead to complications such as rupture or torsion (twisting) that require medical intervention.
Dr. Sowmya Sampurna provides thorough evaluation using ultrasound and blood markers, with treatment ranging from observation to laparoscopic surgical removal when necessary.
Common Symptoms
- Pelvic pain — dull or sharp
- Bloating or fullness in the abdomen
- Pain during intercourse
- Irregular menstrual cycles
- Frequent urination
- Difficulty getting pregnant
- Sudden severe pain (cyst rupture or torsion — emergency)
Diagnosis
- Pelvic ultrasound (transvaginal and transabdominal)
- Tumour markers (CA-125) when indicated
- Hormonal evaluation
Treatment Options
- Watchful Waiting: Small, functional cysts often resolve within 2-3 menstrual cycles
- Hormonal Therapy: Oral contraceptive pills to prevent recurrence of functional cysts
- Laparoscopic Ovarian Cystectomy: Minimally invasive removal of the cyst while preserving the ovary
- Laparoscopic Oophorectomy: Removal of the ovary in cases of large, complex, or suspicious cysts
- Emergency Surgery: For cyst rupture or ovarian torsion
- Accurate diagnosis with advanced imaging
- Conservative management when appropriate
- Ovary-preserving laparoscopic surgery
- Quick recovery with minimal scarring
- Relief from pain and discomfort
- Fertility preservation for women planning pregnancy
Dr. Sowmya Sampurna's fellowship training in minimal access surgery ensures that ovarian cysts are managed with the most advanced techniques, preserving ovarian tissue and fertility whenever possible.
No. Most functional cysts resolve on their own. Surgery is recommended for cysts that are large (>5cm), persistent, complex, causing symptoms, or suspicious on imaging.
Some cysts like endometriomas can affect fertility. However, with proper treatment and ovary-preserving surgery, most women can conceive successfully.