Ovarian Cysts
Ovarian cysts are fluid-filled sacs that form on or inside the ovaries. They are very common and most resolve on their own without treatment. However, some cysts cause symptoms or complications that require medical attention.
Many ovarian cysts are functional — meaning they form as part of the normal menstrual cycle and typically disappear within a few weeks. Others may be related to conditions such as polycystic ovary syndrome (PCOS), endometriosis, or other gynecologic issues.
Symptoms, when present, can include a dull or sharp ache in the lower abdomen, bloating, pressure, or pelvic discomfort. In rare cases, a large cyst can cause the ovary to twist — a condition called ovarian torsion — which causes sudden severe pain and requires urgent care. A ruptured cyst can also cause acute symptoms.
Evaluation typically involves a pelvic exam and ultrasound to assess the size, type, and location of the cyst. Management depends on your age, symptoms, and the characteristics of the cyst. Many cysts are monitored with repeat imaging, while others may require medication or surgical intervention.
When to contact us
Go to the emergency room or call immediately if you experience sudden severe pelvic pain, vomiting, or fever — these may indicate torsion or rupture.
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