Ovarian Cysts: When Are They Normal… and When Should You Worry?

Dr Vanshika Balani

Dr Vanshika Balani

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Ovarian cysts are very common, especially in young women, and most are harmless functional cysts that form during the menstrual cycle and disappear on their own. But some cysts need proper evaluation — especially if they are large (6–8 cm), increasing in size, persistent across multiple cycles, or show abnormal features like solid components or septations on scans.

Symptoms such as abdominal pain, bloating, loss of appetite, or cysts detected after menopause should never be ignored. While not every ovarian cyst is cancerous, some ovarian masses can carry a risk of malignancy and must be evaluated carefully.

Treatment depends on the type of cyst — some only need observation and follow-up scans, while complex or suspicious cysts may require surgery. Importantly, if there is a risk of ovarian cancer, laparoscopic surgery may not be suitable because rupture of the mass can potentially spread cancer cells. In such cases, open surgery is often the safer option.

If you or a family member has been diagnosed with an ovarian cyst or ovarian mass, don’t panic — consult a gynae oncologist for proper evaluation and treatment.

Dr. Vanshika Balani Himthani
MBBS, MS, DNB (Gynaecology) – 🥇 Gold Medalist
Fellowship in Gynae Oncology (GCRI)
Fellowship in Robotic Surgery
Consultant Gynecology and Gynaec Oncology

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