Legacy Women's Health

Ovarian Cysts

Ovarian cysts are common and usually harmless

Ovarian cysts are more common than most women realize. These fluid-filled sacs develop on or inside one or both ovaries. They usually don’t create any problems or even symptoms, such as pelvic pain. Complications do occur, but they are rare. Patients should see our San Antonio OBGYNs for annual wellness exams or whenever they have concerns about symptoms.

A variety of conditions cause different types of cysts

Most cysts are functional cysts, meaning they are not a result of any disease or problem, but a common result of ovulation. A variety of other things cause the less-common cysts, including cystadenomas, dermoid cysts, endometriomas and ovarian cancer cysts.

These conditions can cause ovarian cysts.

  • Endometriosis
  • PCOS, or polycystic ovary syndrome
  • PID, or pelvic inflammatory disease
  • Abnormal cell reproduction

Certain women have an increased risk of developing cysts.

  • Before menopause
  • During pregnancy
  • While taking fertility medications
  • Having PCOS, PID endometriosis or other hormonal conditions
  • Having a history of cysts

In addition to pelvic pain, what other symptoms are common?

Many women won’t have any symptoms if they have ovarian cysts, especially smaller cysts. Larger cysts can cause one or more of the following issues.

  • Pelvic pain
  • Bloating
  • Dull achiness in the lower back, pelvis, or one side of the lower abdomen
  • Pain during menstruation
  • Changes in urination or bowel movements
  • More frequent urination
  • Pain during sex
  • Unexpected weight gain or weight loss

Patients who have a fever, nausea or vomiting, or those who feel dizzy or weak or have unexpected vaginal bleeding, should contact our San Antonio OBGYNs or seek emergency medical care.

What type of complications can occur?

There are usually three reasons why an ovarian cyst would cause complications. The first is a cancerous cyst. The second problem occurs if a cyst ruptures and causes severe symptoms, such as weakness, dizziness or serious pain.

The third complication is called ovarian torsion. This happens when a large cyst causes the ovary to twist, cutting off the blood flow to the ovary. This can cause the ovary to die and is a serious medical emergency. If a patient experiences nausea, vomiting and extreme pain, she should seek help immediately.

What is the most common treatment for ovarian cysts?

Since most cysts are functional and harmless, the most common treatment is watchful waiting. If symptoms get worse or continue, our OBGYNs may recommend an ultrasound to see if the cyst is growing, followed by treatment with medication, such as hormones. In rare cases, patients may need surgery to remove the cyst.

Our San Antonio OBGYNs expertly diagnose and treat cysts

Women who are concerned about developing or having cysts in or on their ovaries are in good hands with our team. We have years of experience in dealing with this and other gynecologic issues. Contact us for an appointment.