Ovarian cysts are common findings for women of reproductive age. During reproductive years, physiologic cysts, such as follicular cyst or corpus luteal cyst, may occur. The rupture of these cysts typically cause no symptoms. Oftentimes, these are incidental findings during routine pelvic ultrasounds. Other times, these cysts may become large enough to cause discomfort or pain. Occasionally, cysts will rupture and release cyst fluid or blood and can cause pain due to irritation of the peritoneal lining of the pelvis. Typically, this discomfort is short lived and causes no long term complications. A dermoid cyst is a cyst that has hair, fat, bone, cartilage or sebaceous fluids and the presence or rupture of these cysts may require surgical intervention. Typically, physiologic cyst ruptures can be managed with rest, observation, and anti-inflammatory medications and will resolve on their own. In pregnant women, ovarian cysts typically resolve on their own by mid-second trimester. Pelvic ultrasound imaging is used to identify and monitor ovarian cysts.
Typically, pain from ovarian cysts are one-sided and short lived. If severe left lower or right lower quadrant pain occurs without relief then immediate medical attention is indicated. It is important to rule out infection, ectopic pregnancy, or ovarian torsion. Some women who have recurrent symptomatic ovarian cysts opt to use the combined hormonal birth control pill to manage their symptoms. At Kennesaw Gynecology we routinely identify and manage ovarian cysts. If you are concerned about a suspected ovarian cyst or intermittent pelvic discomfort please contact your provider for a thorough evaluation.