Mr Ayoubi explains the advantages of using Macrolane
An ovarian cyst is a fluid-filled sac which develops in an ovary. Most ovarian cysts are benign (non-cancerous) and cause no symptoms. Some cause problems such as pain and irregular bleeding. No treatment may be needed for certain types of ovarian cysts which tend to go away on their own. For other types, an operation may be advised to remove the cyst.
Cysts on the ovary are very common. The vast majority of ovarian cysts are benign (non-cancerous) but some are cancerous, or may become cancerous over time. Ovarian cysts can vary in size - from less than the size of a pea to the size of a large melon (occasionally even larger). There are various types which include the following:
How is an Ovarian cyst diagnosed?
As most ovarian cysts cause no symptoms, many cysts are diagnosed by chance - for example, during a routine examination, or if you have an ultrasound scan for another reason.
If you have symptoms suggestive of an ovarian cyst, your doctor may examine your abdomen and perform a vaginal (internal) examination. He or she may be able to feel an abnormal swelling which may be a cyst.
An ultrasound scan can confirm an ovarian cyst. An ultrasound scan is a safe and painless test which uses sound waves to create images of organs and structures inside your body. The probe of the scanner may be placed on your abdomen to scan the ovaries. A small probe is also often placed inside the vagina to scan the ovaries, to obtain more detailed images. The Gynaeocologist at London Medical and Aesthetic clinic may also take a sample of blood.
What is the treatment for Ovarian cysts?
At the London Medical and Aesthetic clinic we will advise on the best course of action. This depends on factors such as your age, whether you are past the menopause, the appearance and size of the cyst from the ultrasound scan and whether you have symptoms.
Many small ovarian cysts will resolve and disappear over a few months. You may be advised to have a repeat ultrasound scan after a month or so. If the cyst goes away then no further action is needed.
Removal of an ovarian cyst may be advised, especially if you have symptoms or if the cyst is large. Sometimes the specialist may want to remove it to determine exactly which type of cyst it is and to make sure there are no cancer cells in it. Most smaller cysts can be removed by a laparoscopic surgery (keyhole surgery). Some cysts require a more traditional style of operation.
The type of the operation depends on factors such as the type of cyst, your age, whether cancer is suspected or ruled out. In some cases, just the cyst is removed and the ovary tissue preserved. In some cases, the ovary is also removed, and sometimes other nearby structures such as the uterus and the other ovary. Your specialist will advise on the options for your individual situation.
What are the symptons of Ovarian Cysts?
Most ovarian cysts don’t cause any symptoms at all, so you may not even realise you have a cyst. However, depending on the type of cyst you have, it’s possible you may have:
- pain or discomfort in your lower abdomen (tummy)
- pain during sexual intercourse
- a need to pass urine more often, or sometimes find it harder to pass urine (urinary retention)
- difficulty having bowel movements, or have a feeling of fullness or bloating in your abdomen
- indigestion or heartburn, or feel very full after eating
- menstrual changes, such as longer or heavier periods than usual, or sometimes shorter periods than usual
These symptoms may be caused by problems other than ovarian cysts. If you have any of these symptoms, our gynaeocologist at the London Medcial and Aesthetic clinic will be able to advise you further.