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Different Types of Cysts on the Ovaries – A Guide to Ovarian Cysts

Ovarian cysts are a very common problem for women, especially for those of pre-menopausal age. Most cysts on the ovaries are functional cysts – these will frequently clear up by themselves without treatment, and often don’t cause any symptoms either. However, there are other types of abnormal cysts that can be more problematic, and it’s important to know which type you’re suffering from when deciding which type of treatment to choose. This article takes a look at the different types of ovarian cyst that can develop.

Functional Cysts

These are so called because they develop during the course of the normal menstrual cycle, and are not generally associated with disease. Each month an egg is released from one of the ovaries. This egg grows within a small sac called a follicle, and is released during ovulation. After this, the follicle dissolves, and turns into a body called the corpus luteum, which produces female hormones. A cyst can be formed during this process if the egg isn’t released properly, or if the follicle fails to dissolve afterwards. Functional ovarian cysts fall into two general categories: follicular and corpus luteum cysts.

Follicular Cysts

These ovarian cysts are formed when the egg is not properly released from the follicle during ovulation. Instead, the sac continues to grow, and eventually forms a cyst. These don’t always produce symptoms, although a sharp pain may be felt in the abdominal area if the cyst bursts. They can grow up to about 6cm in diameter, and are usually diagnosed via ultrasound. Also known as simple cysts, they usually clear up by themselves within a few months, although some women have found that using home treatments such as heat packs and stress reduction techniques helps to alleviate any symptoms and to prevent them from recurring.

Corpus Luteum Cysts

This second type of functional cyst is formed when the follicle doesn’t dissolve properly after the release of the egg. Instead it becomes sealed, and fluid builds up inside, sometimes growing the cyst to up to 10cm across. Like follicular cysts, these often don’t produce symptoms, and will normally go away by themselves, although some women may experience pain if the cyst ruptures or twists.

Functional cysts don’t always cause symptoms, and for those that do, doctors may advise a ‘watchful waiting’ period, to see if they disappear by themselves. Many women who are suffering from these types of cyst find that they respond well to natural remedies, thus avoiding the need for drug treatment or surgery.

Abnormal Cysts

Unlike functional cysts, abnormal cysts aren’t associated with the normal menstrual cycle. They are also known as pathological ovarian cysts, and various types may develop, most of which are benign. Although the majority of these types of cysts aren’t cancerous, they can cause problems (such as infertility, pain etc.), so should always be checked out by your doctor.

Cystadenomas

These are tumours that are nearly always benign, and form from cells on the surface of the ovary. They can grow very large if they’re not detected early on, sometimes reaching sizes of up to 30cm in diameter, and can cause complications and considerable pain. Small cystadenomas that are not causing problems may be left untreated, although larger cysts may require surgery.

Endometrioid Cysts

Also known as endometriomas, these cysts are a form of endometriosis, a disorder characterised by the growth of uterine tissue outside the womb. This tissue can attach itself to the ovary wall, and a cyst forms, filling with blood (this has a brown appearance, which is why these cysts are also known as chocolate cysts). Endometrial cysts are sometimes associated with infertility and pain, although they don’t always cause symptoms. They are sometimes treated with hormonal drugs to help control their growth, although large cysts may be surgically removed if they are causing complications.

Dermoid Cysts

These are a type of benign tumour (known as a teratoma) which develops from the germ cells in the ovary. These complex cysts are unusual in that they may contain tissues that are normally found elsewhere in the body, such as skin, hair and teeth (in fact, they are often diagnosed from the presence of teeth on an ultrasound scan). They often don’t cause any symptoms, unless they grow large or twisted, in which cases they may need to be surgically removed.

Polycystic Ovarian Syndrome (PCOS)

PCOS is a hormonal disorder that has a number of symptoms, one of which may be the presence of multiple follicular cysts on the ovaries. It is relatively common in younger women, and although not all sufferers have symptoms, those that do may experience irregular or absent menstruation, heavy periods, acne, excess body hair, weight gain and fertility problems. Although PCOS is often treated with birth control pills, many women have found that it responds well to natural approaches also, such as dietary changes and weight loss – unlike drugs, these address the underlying causes, rather than just treating the symptoms.

Malignant Cysts

Malignant ovarian cysts are those which have been diagnosed as cancerous. Unfortunately, ovarian cancer is often not diagnosed until it is quite advanced, since it typically doesn’t produce specific symptoms in the early stages. Surgery is the usual treatment, and may involve removal of one or both ovaries in some cases.

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