1. How important are the follicular cysts?
The follicle contains the egg which is normally released from this sac when it is mature enough. After the sac had ruptured and set free the egg, it will normally disintegrate. But when this sac does not rupture it will continue to grow and if it ends up measuring more than 8 cm then surgery is necessary. In most of the cases they do not get so large because they shrink after ovulation. If the follicular cyst breaks then pelvic pain will be felt by the women for at least 24 hours due to the bleeding which irritates the abdominal cavity. If bleeding does not stop then he surgeon must interfere and resolve this problem.
2. How are the follicular cysts diagnosed?
Diagnosing such cysts is made with an ultrasound tool. Also, a pelvic exam is helpful in a lot of cases. Without any complication the follicular cysts will disappear after 3 to 6 weeks. Sometimes the ovarian cysts can be confused with ovarian cancer so more tests must be done in order to be sure of the diagnose.
3. What is the corpus luteum cyst?
Generally after the egg is removed from the follicle and if the woman is not pregnant the follicle has to transform into luteum( also known as the yellow body), a smaller sac and then disintegrate. If this small sac gets filled with liquid and measures more than 3 cm it will form the corpus luteum cyst which will remain inside the ovary. This cyst generally ruptures during sexual intercourse and in the last days of the menstrual cycle.
In both follicular cysts and corpus luteum cysts cases, oral contraceptive therapy seems to prevent them from forming.
4. What is the endometrial cyst?
The endometrial tissue is normally found in the uterus but sometimes it can form in other places like outside the ovaries. They are produced during the menstrual cycle by hormone simulation and contain blackish blood which gives them the name of chocolate cysts. Their rupture leads to pelvic pain as all the material they contain gets in that area and creates adhesions between the local structures.
5. Are there any symptoms for the ovarian cysts?
At the beginning while these cysts are still under 3 cm there will be no symptoms. If they get to be larger than 10 cm or they rupture than pain on both sides or only on one side of the abdomen will occur. This pain differs in intensity during the menstruation cycle for each type of ovarian cyst.
6. Is there a risk of infertility if I have ovarian cysts?
The endometrial cyst is the only one that can interfere with the egg release and pickup. These cysts do not affect the quality of the egg but they can affect the ovulation and the follicular development.
7. What other ways are there of diagnosing an ovarian cyst besides ultrasounds?
There can be performed blood tests along with MRI and CT scanning in order to exclude the possibility of an ovarian cancer.
8. How exactly are these cysts treated?
Many gynecologists will recommend the patient an oophorectomy, meaning that the ovary will need to be removed. Sometimes even the hysterectomy will be considered as a measure of treatment. Some surgeons try to remove the cysts safely without spilling any of their contents into the abdomen and then try to reconstruct the ovary.
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