Ovarian Cysts

Dr Jenny Cook  |  Sydney Gynaecologist & Advanced Laparoscopic Surgeon

Understanding Different Types of Ovarian Cysts

There are many types of ovarian cysts. While most are benign and often resolve on their own, some can cause pain, grow over time, or require surgical treatment. Knowing the differences can help you understand your diagnosis and options for care.

Young beautiful girl at home
Most ovarian cysts are benign, and with the right care, they can be safely managed.

Types of Ovarian Cysts

Common ovarian cysts explained, with symptoms and treatment options.

Simple Cyst

The most common ovarian cyst is a functional (simple) cyst, which is a fluid-filled cyst — like a balloon on the ovary.

These cysts usually resolve spontaneously. Sometimes they can rupture suddenly, causing severe pain.

Dermoid Cyst

A dermoid cyst is present from birth and may contain different tissues such as hair, teeth, nerve tissue, lung tissue, or thyroid tissue. They are most commonly benign, though very rarely can be cancerous. Most are discovered incidentally on ultrasound.
  • Large dermoid cysts can cause bloating or pressure symptoms.
  • Dermoid cysts will continue to slowly grow.
  • Can be removed laparoscopically when they are greater than 3 cm.

Cystadenoma

A cystadenoma is a benign ovarian cyst which may be mucinous or serous.

  • These cysts typically grow slowly over time.

  • They are treated with laparoscopic removal, with particular care taken to preserve normal ovarian tissue.

Endometrioma

An endometrioma is a cyst of the ovaries caused by endometriosis.

It is also known as a “chocolate cyst”, because it is filled with thick brown fluid (old blood).

Torsion of a Cyst

Sometimes an ovarian cyst can twist on its blood supply (torsion), cutting off circulation to the ovary.

  • This presents with sudden, extreme pain and is a medical emergency.

  • A laparoscopy is performed to untwist the ovary and remove the cyst, taking care to preserve normal ovarian tissue.

  • Occasionally, if the ovary has become necrotic (dead), it must be removed.

Get clarity and care for ovarian cysts.

Most ovarian cysts are not dangerous, but they should always be assessed properly. With the right diagnosis and management, you can feel confident about your health and treatment options.

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