How Do Ovarian Cysts Go Away? A Comprehensive Guide

Ovarian cysts are a common occurrence in women, with up to 10% experiencing surgery for an ovarian mass during their lifetime. While most cysts are harmless and resolve on their own, it is important to recognize signs that may indicate the need for uterus cyst removal. Some cysts can cause symptoms such as pelvic pain, discomfort during sexual intercourse, or pain on one side of the abdomen, which may warrant medical attention.

In this blog, we have covered different types of cysts, who is affected, the signs and treatment options in detail.

A] What Is An Ovarian Cyst?

If you have ovaries, there’s a possibility of developing ovarian cysts. Ovarian cysts are essentially fluid-filled or semi-solid pockets that may develop on or inside a woman’s ovaries. But what are ovaries? Ovaries are a pair of small, almond-shaped organs in the female reproductive system. These organs are located on either side of the uterus, and their primary function is to produce eggs. These eggs play a central role in the process of reproduction.

Ovarian cysts are quite common if you haven’t gone through menopause or are pregnant, and usually, they don’t pose any harm. But do ovarian cysts go away on their own? Yes, they often go away on their own. However, when these cysts persist, they can become problematic, potentially growing larger and causing complications like bleeding, rupture, twisting, or other issues. Such complications may lead to severe pelvic pain, nausea, vomiting, and reduced blood flow to the ovary. While most ovarian cysts are harmless, some factors like endometriosis, pregnancy, or certain medications can contribute to their development. Cancerous cysts are extremely rare.

If a cyst becomes very large or causes complications, you may experience symptoms such as pelvic pain, pain during sex, difficulty emptying the bowels, or a frequent need to urinate. Regular pelvic exams can help detect and address ovarian cysts early, reducing the chances of complications.

B] Different Types Of Ovarian Cysts

There are multiple types of cysts, which include:

1. Functional Cysts

Functional Cysts are the most common type of ovarian cysts and are not disease-related. They form as a result of the normal menstrual cycle and ovulation. There are two main types of functional cysts which is follicle cysts and corpus luteum cysts.

• Follicle Cysts: An egg is released from the ovary each month, during the menstrual cycle. This egg undergoes development in a small sac which is called a follicle.  If the follicle fails to break open and release the egg, it can lead to the development of a cyst.
• Corpus Luteum Cysts: After the egg is released, the follicle turns into the corpus luteum, preparing for the next cycle. If the sac doesn’t shrink but reseals, causing fluid buildup, corpus luteum cysts can take place. While most of these cysts resolve within a few weeks, they can grow to nearly four inches and sometimes cause pain by bleeding or twisting the ovary. 

2. Endometriomas 

In endometriosis, tissue similar to the uterine lining grows outside the uterus. These cysts are filled with old blood, causing a dark appearance. When this tissue reaches the ovaries, it can form a cyst, which is a fluid-filled or semi-solid pocket. 

3. Dermoid Cyst

Also called a teratoma, these cysts start when tissues from your hair, skin, or teeth collect inside your ovary. They develop from cells that make eggs and are rarely cancerous.

Who Is Affected By Ovarian Cysts?

Ovarian cysts are surprisingly common, affecting individuals across various demographics. The most susceptible group are women of reproductive age, ranging from puberty to menopause. During this period, fluctuating hormones naturally create small, temporary cysts as part of the ovulation cycle. These “functional cysts” usually resolve on their own and often go unnoticed.

However, certain factors can increase the risk of developing and potentially needing treatment for ovarian cysts. These include:

• Age: Though prevalent during reproductive years, postmenopausal women are not immune, and their cysts warrant closer monitoring due to a slightly higher risk of being cancerous.
• Pregnancy: Cysts can form and persist during pregnancy, typically harmless but requiring observation.
• Prior history: Having had a cyst before puts you at a slightly higher risk for future occurrences.
• Medical conditions: Underlying conditions like endometriosis and hormonal imbalances can contribute to cyst formation.
• Medications: Fertility drugs that stimulate ovulation can induce temporary cyst development.

What Are The Signs Of Ovarian Cysts?

Ovarian cysts, though common, often act like silent passengers within the body. While many resolve on their own without causing any trouble, some might subtly whisper signs indicating you have an ovarian cyst.

Recognizing these signs early allows for proper diagnosis and management, which might involve monitoring, medication, or minimally invasive surgery in some cases. The key is to be proactive and seek medical attention such as Ovarian Cysts Check Up to address the issue at an earlier stage.

Some common symptoms of ovarian cysts include:

• Pelvic Pain: This is the most common symptom, ranging from a dull ache to sharp twinges depending on the cyst’s size and location. Pain might intensify during intercourse, bowel movements, or certain activities.
• Irregular Periods: If you are wondering “Can ovarian cysts cause spotting” the answer is yes, cysts can disrupt your menstrual cycle, causing heavier or lighter bleeding, spotting between periods, or even delayed or missed periods.
• Bloating and Abdominal Discomfort: A persistent feeling of fullness or pressure in the lower abdomen, often accompanied by gas, is a sign of ovarian cyst bloating.
• Changes in Urination: Frequent urination or difficulty emptying your bladder can occur if a cyst presses on your bladder.
• Painful Intercourse: Discomfort or pain during sex might indicate a cyst pressing on nearby structures.
• Other Symptoms: Less common signs include nausea, vomiting, and difficulty getting pregnant, though these can also be associated with other conditions.

What Problems Can An Ovarian Cyst Cause? 

1. Painful Disruption

Pelvic pain is the most common concern, ranging from a dull ache to sharp twinges depending on the cyst’s size and location. The pain might intensify during activities like intercourse, bowel movements, or exercise, significantly impacting your daily life and well-being.

2. Menstrual Mayhem

Ovarian cysts can cause bleeding, spotting between periods, or even delayed or missed periods. These irregularities can be frustrating and create uncertainty, impacting both your physical and emotional well-being.

3. Bladder Blues

If a cyst presses on your bladder, you might experience frequent urination or difficulty emptying it. This can be disruptive and uncomfortable, leading to urinary tract infections if not addressed.

4. Fertility Concerns

While most cysts don’t affect fertility, some large or complex ones can block fallopian tubes or hinder ovulation. If you’re struggling to conceive and have ovarian cysts, discussing it with your doctor is crucial.

5. Complications

In rare cases, complications like cyst rupture, torsion (twisting of the ovary), or infection can occur. Rupture causes sudden, severe pain and internal bleeding, requiring immediate medical attention. Torsion, characterized by intense pain and nausea, cuts off the blood supply to the ovary, necessitating urgent intervention to prevent tissue damage. Infections, though less common, can also pose serious health risks.

What Are the Treatment Options For Ovarian Cysts?

1. Watchful Waiting

Functional ovarian cysts typically resolve on their own. Your doctor may recommend monitoring the cyst with follow-up ultrasounds to see if it goes away. If the cyst is small and fluid-filled and you have no symptoms, waiting is often an option, regardless of age. Further ultrasounds may be scheduled to track any changes in the cyst’s size or appearance.

2. Medications

Your doctor may prescribe medication to dissolve ovarian cysts. Hormone-based medications, like birth control pills, can prevent ovulation and reduce the chances of new cysts forming. While these pills can prevent future cysts, they won’t reduce existing ones.

3. Ovarian Cyst Surgery

If a cyst is causing symptoms and getting bigger, you may need to go through ovarian cyst removal surgery. The type of surgery depends on the size of the cyst and how it appears on the ultrasound. The different procedures to remove ovarian cysts include:

• Laparoscopy: A doctor conducts a laparoscopy by creating several tiny incisions in your abdomen, and a small camera is inserted. This camera is used to observe your reproductive organs and pelvic cavity, which helps to remove cysts.
• Laparotomy: During a laparotomy, a doctor creates a large incision to remove the cyst. If there is a sign of cancer, they can perform a biopsy.

The ovarian cyst removal surgery recovery time differs from person to person, based on the size, seriousness etc.

Conclusion

Ovarian cysts are common and usually harmless, with most functional cysts going away on their own within a few months. The treatment will depend on symptoms, your age, and the size of the shift. It’s common for cysts to develop as part of your menstrual cycle, often resolving on their own within a month or two. 

If your private gynaecologist is identifying a cyst, which can be harmful to you, it’s important to follow their guidance on the next steps. To prevent this, it is recommended to regularly schedule pelvic exams to detect any cysts early and offer timely treatment if needed.

Neha Goel

Neha Goel, a Psychology alumna and MBA graduate from CASS Business School, London, brings together her expertise as a Reiki Practitioner and Practice Manager. She integrates psychology and business strategies to foster holistic well-being and personal development.