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Yet another reason to always think twice before asking someone how far along they are!
@rockierodsoso33 Dramatic much
♬ International Super Spy - Dylan 🧍🏻
And, occasionally, a cyst can break open and cause bleeding that results in abdominal pain. Other kinds of cysts, like dermoid cysts, cystadenomas, or endometriomas, are more rare and don't usually resolve on their own. A very small percentage of ovarian cysts can be cancerous, though this is more common in people who have gone through menopause.
And while most cysts are benign and will resolve without intervention, according to Dr. Horvath, it's very important to pay attention to any symptoms that are severe or don't go away with time. "Many of these symptoms are what we call 'non-specific,' which means they can be similar to symptoms we can get with other conditions, like bowel issues or bladder infections. Symptoms of ovarian cysts can be things like bloating, discomfort, pain with sex, or an expanding abdomen. Someone who experiences severe pain, especially if it happens suddenly, needs to seek emergency care. Sometimes cysts can cause a condition called ovarian torsion, which is when the ovary gets twisted around on its attachments in the pelvis. If this is not diagnosed and treated quickly (typically with surgery), then the ovary can lose its blood supply and may have to be removed."
And once you receive a diagnosis, treatment for cysts depends on things like size, appearance on ultrasound or MRI, desire for future fertility, age, family history, severity of symptoms, and patient preference. Dr. Horvath continued, "Often we will repeat an ultrasound after a brief period of time (like two to three months) to see if a cyst is growing, shrinking, or stable. Surgery is sometimes needed, but there are risks to surgery, and we reserve it for when conservative treatment doesn't work, when there are worrisome symptoms, or if the cyst has a high likelihood of being cancerous. People who experience recurrent cysts related to ovulation can sometimes benefit from medications that temporarily stop ovulation (like birth control pills or injections)."
"Lastly, if you have a family history of breast, ovarian, uterine, or colon cancer, ask about cancer screening. While there isn't a reliable screening test for ovarian cancer for the general population, there are people with genetic risk for certain cancers who can benefit from testing," says Dr. Horvath.