Ovarian Cysts: When to Worry and When Not To

Ovarian Cysts: When to Worry and When Not To

Hearing that you have an ovarian cyst can feel alarming. The truth is, ovarian cysts are extremely common—and in many cases, they aren’t cause for concern. However, some cysts can lead to complications or signal a need for treatment.

Understanding the difference is key to protecting your health without unnecessary worry.

What Are Ovarian Cysts?

Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. Many women develop small cysts as a normal part of their menstrual cycle, and these typically resolve on their own without causing symptoms.

However, certain types of cysts can become large, painful, or interfere with normal ovarian function.

When to Watch and Wait

In most cases, ovarian cysts don’t require treatment. Simple, functional cysts often disappear within a few weeks or months. If your cyst is small, not causing symptoms, and discovered incidentally on an ultrasound, your doctor may recommend monitoring it over time.

When to Seek Medical Attention

While many cysts are harmless, some require closer evaluation or intervention. You should see a doctor if you experience:

  • Sudden, severe pelvic pain
  • Pain during sex
  • Persistent bloating or abdominal swelling
  • Changes in your menstrual cycle
  • Difficulty emptying your bladder or bowels

In rare cases, a cyst can rupture or twist (ovarian torsion), which is a medical emergency. Additionally, some complex or persistent cysts may need to be removed surgically, especially if they are suspicious for cancer or cause significant symptoms.

Treatment Options

If a cyst needs to be removed, minimally invasive surgery offers an excellent option with smaller incisions, faster recovery, and less postoperative pain. Dr. Paul MacKoul specializes in advanced minimally invasive techniques that preserve healthy ovarian tissue whenever possible—an important consideration for women wishing to maintain fertility.

The Bottom Line

Most ovarian cysts are not dangerous and will resolve without treatment. But if you experience new or worsening symptoms, or if your doctor recommends further evaluation, it’s important to follow up.

Schedule a consultation with Dr. Paul MacKoul today to ensure you receive expert guidance and personalized care for any concerns about ovarian cysts.