Ovarian cysts

What are ovarian cysts?

Ovarian cysts are formations that usually have a liquid content and rarely can have solid structures inside. The ovarian cyst is a bag of fluid in the ovary that measures more than 3 cm, of a benign nature, round or oval, with a thin wall, it does not have solid parts inside and normally measures less than 10 cm.

On the other hand, we have the complex ovarian cyst with blood and solid and liquid areas.

Every month in the ovaries appear cysts of 2-3 cm, even larger, which are follicles that grow until they rupture and produce ovulation. When the follicle breaks, bleeding sometimes occurs and we have a hemorrhagic ovarian cyst.

However, on some occasions they do not disappear after the period, continuing to grow after ovulating and usually disappear around 3-6 months.

They are very common in women up to 40-45 years of age and the vast majority usually remit spontaneously without giving symptoms. However, on rare occasions, they may be large enough to cause symptoms and require specific treatment.

Quiste en el Ovario

Symptoms of ovarian cysts

Most cysts are diagnosed by chance, and it is very common not to have any symptoms to detect them.
The most frequent symptoms are:

  • Nonspecific pelvic pain
  • Chronic pelvic pain
  • Abdominal distension
  • Urgency to urinate or defecate

Request an appointment with Doctor Lucas Minig in Valencia, Spain for a review in case of symptoms related to ovarian cysts

If you suffer from any of these symptoms you may have an ovarian cyst, request an appointment with our specialists in Valencia.

Diagnosis of ovarian cysts

The diagnosis of ovarian cysts is made by physical examination and gynecological ultrasound. The determination of the value of the tumor marker CA 125 and magnetic resonance imaging are usually only useful in selected cases to more accurately determine the content of the cyst, determine some additional characteristics, and establish the probability of malignancy or not of the ovarian cyst.

Ovarian cysts can be physiological and organic.

  • Physiological ovarian cysts: they always occur in women of childbearing age, before menopause, they are usually small (up to 4-5 cm) and usually disappear spontaneously after 2-3 periods.
  • Organic ovarian cysts: do not disappear spontaneously. They tend to remain stable or grow over time. Certain types of cysts such as those of endometriosis disappear spontaneously with menopause.
    • Benign: endometriosis, teratoma, cystadenomas
    • Borderline tumors: serous, endometrioid, mucinous
    • Malignant tumors: serous, endometrioid, mucinous, clear cell

The degree of suspicion arises from combining:

  1. The sonographic characteristics of the cyst
  2. The value of CA 125
  3. The age of the patient.

With this information, different follow-up and treatment strategies can be established.

Request a diagnosis of Ovarian Cysts with a specialist by clicking here.

Treatment of Ovarian Cysts

They usually disappear spontaneously after a few months. However, if they are large, cause symptoms, or have certain sonographic features, the cysts should be surgically removed.

Ovarian cysts are generally physiological, so they do not usually require any type of treatment.

There are three ways to monitor and treat Ovarian Cysts:

  1. Do nothing
  2. Follow-up after 1-2 months
  3. Surgery

There is currently no type of medication that makes ovarian cysts reabsorb.

Certain drugs such as oral contraceptives are beneficial to prevent new cysts from forming, but not to make the existing ones disappear.

Ovarian Cyst Operation

Surgical Treatment of Ovarian Cysts: It is very important that surgery on the ovaries, both in young women and in those with suspected cancer, is performed by properly trained professionals. This, on the one hand, will reduce the trauma to the ovary to a minimum and, on the other hand, it will be able to give a more accurate treatment in the case of a malignant tumor.

Surgical procedures to treat an ovarian cyst include:

  • Ovarian cystectomy: Removal of the ovarian cyst with its preservation.
  • Adnexectomy: It consists of the removal of one or both ovaries and tubes (uterine adnexa).

There are 2 ways to perform a Cystectomy / Adnexectomy:

  1. Laparoscopic minimally invasive surgery: Today, practically 100% of ovarian cysts that require surgical treatment are operated on using laparoscopic minimally invasive surgery. The main exception is those large ovarian cysts that make it impossible to approach them through the millimeter holes of minimally invasive surgery.
  2. Traditional or open surgery: It is done through an abdominal incision. Depending on the size of the cyst and the previous suspicion regarding its benign or malignant origin, the incision may be horizontal or vertical.

Quistes de ovario

Where do we treat it?

We are specialists in the treatment of ovarian cysts in the Community of Valencia, located in Spain. We offer a national service throughout the Spanish territory, visiting patients from the main cities of Spain (Madrid, Sevilla, etc). In addition to a remote service through Skype, Whatsapp or Zoom, we offer remote medical care. Dr. Lucas Minig treats patients with Ovarian Cysts Internationally with a quick contact and a prior request to book a face-to-face appointment if required.

Frequent questions

What symptoms can ovarian cysts cause?

  • Nonspecific pelvic pain
  • Chronic pelvic pain
  • Abdominal distension
  • Urgency to urinate or defecate

How are ovarian cysts diagnosed?

The diagnosis of ovarian cysts is made by physical examination and gynecological ultrasound. Nuclear magnetic resonance is usually only useful in selected cases to more accurately determine its content and determine some additional characteristics.

Opinions of patients with Ovarian Cysts

Get to know in depth the opinions of our patients with ovarian cysts who have passed through the hands of Doctor Lucas Minig specialist in problems with ovarian cysts in Spain.

La paciente ha preferido no mostrar su identidad

Maria Ángel, patient operated on Ovarian Cysts

A very good doctor recommended it to me, and she told me it was the best there was. And so it is!!! I had surgery for a cyst…
Two hours after the operation, I was great and eating a sandwich!!
A great doctor and a great treatment!

I recommend it one hundred percent!!!

La paciente ha preferido no mostrar su identidad

Amelia, Patient operated on for ovarian cysts.

Excellent doctor, twice I have undergone surgery for an ovarian tumor is unbeatable!!! the tranquility with which you enter the operating room thanks to his way of explaining things to you….very careful in his work, you hardly notice the scar, the two operations in the same place…excellent doctor!!!