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Pelvic Conditions

Ovarian Cysts — Evaluation & Management in Maryland

Ovarian cysts are fluid-filled sacs on or within an ovary — extremely common and usually benign. Characteristics on ultrasound guide appropriate management.

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Common Signs & Symptoms

  • !Often asymptomatic — found on ultrasound incidentally
  • !Pelvic pressure or fullness
  • !Dull aching pelvic pain
  • !Sharp pain with ovarian cyst rupture
  • !Bloating

What Causes This?

  • •Functional follicular or corpus luteum cysts (most common)
  • •Endometrioma from endometriosis
  • •Dermoid cyst (benign teratoma)
  • •Cystadenoma
  • •Rarely — ovarian cancer

Treatment Approaches

Observation

Simple cysts < 7cm in premenopausal women — repeat ultrasound in 6–12 weeks.

Oral Contraceptives

Suppress new follicular cyst formation — not effective for existing cysts.

Surgical Cystectomy

For persistent, growing, complex, or symptomatic cysts.

Frequently Asked Questions

Are ovarian cysts dangerous?▾

Most are benign functional cysts that resolve in 1–3 cycles. Ultrasound characteristics guide the need for further evaluation.

Related Topics

Think This Could Be Your Issue?

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