If an ultrasound shows that you have a fluid-filled functional ovarian cyst, and it isn't causing you severe pain, your doctor will probably suggest a watchful waiting period.

A follicular, or simple, cyst occurs when the small egg sac ( follicle ) on the ovary does not release an egg, and it swells with fluid either inside the ovary or on its surface. A functional ovarian cyst forms because of slight changes in the way the ovary makes or releases an egg. A functional ovarian cyst is a sac that forms on the surface of a woman's ovary during or after ovulation It holds a maturing egg.

Laparoscopy : In this surgical procedure, a doctor inserts a laparoscope (a thin, lighted instrument) into the abdomen through a small incision to see your ovaries, remove the cyst, or take a small piece of tissue to test for cancer. Dermoid cysts: These cysts develop from cells that produce eggs and may contain tissue such as hair, skin, or teeth. Most women will have an ovarian cyst at some point in their lives, but most will never realize it. The majority of these cysts are harmless, don't cause symptoms, and disappear without treatment within a few months.

Ovarian cysts are fluid-filled sacs that develop on or within an ovary. Drainage is more commonly required in patients with pseudocysts or necrosis (dead tissue) causing symptoms (such as abdominal pain, nausea, vomiting, and difficulty eating), and in those with complications such as infection or bleeding. If it doesn't resolve they will organise another ultrasound scan in 8-12 weeks time to reassess it. However if the cyst is more complex, or causing significant pain or distress, it may need to be removed.

Ovarian cysts can cause symptoms, the most common of which is pain. They are termed either "follicular" cysts that occur when a developing follicle enlarges and fills with fluid, or "corpus luteal" cysts, when a corpus luteum gets filled with fluid or blood. Most ovarian cysts are not dangerous, but some do cause symptoms, and might need to be removed.

●If the suspicion for ovarian cancer is low but the cyst does not resolve after several ultrasounds, you may choose to have it removed after a discussion with your healthcare provider. If you have risk factors for ovarian cancer or the cyst looks potentially cancerous on imaging studies, your healthcare provider may recommend surgery. Some premenopausal women will be advised to take a birth control pill during this time to help prevent new ovarian cysts from developing.

If a cyst is large, causing pain, or appears suspicious for cancer, treatment usually involves surgery to remove the cyst or the entire ovary. — Although ovarian cancer is not the most common cause of ovarian cysts, many women who are diagnosed with a cyst are concerned that they could have cancer. ●Endometriosis - Women with endometriosis can develop a type of ovarian cyst called an endometrioma, or "chocolate cyst." (See "Patient education: Endometriosis (Beyond the Basics)")

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