There are 3 possible types of ovarian cysts. Functional cysts can appear and disappear by itself, Endometrioid cysts can appear again and again even after removal. The most dangerous cysts are true ovarian cysts. If you have them - make the removal as soon as possible - not to allow them to become malignant and to evolve into cancer.

Pons Medical Research is one of the leading Egg Donation Agencies in Ukraine with a very rich and advanced Egg Donation Process and expertise in Donor Egg IVF.

Today we will talk about ovarian cysts, because they are very important. Let's divide them into functional and true. First part of my article will be about functional ones.

Functional Cysts
So what are functional cysts? To understand it better let’s learn about the various stages of life of the follicle. First, it grows, to about 18-20mm and bursts (that is, ovulates when the egg leaves it).

In some cases, if for some reason the follicle does not burst, but continues to grow, growing even sometimes up to 4cm (and rarely even up to 6cm) it will create a real follicular cyst. What to do with it? Nothing, wait, it will disappear by itself at the beginning of menstruation, less often in 1-2 cycles. Sometimes oral contraceptives can help.

Sometimes in the place of the follicle a yellow body is formed. This is neither good nor bad, like the blue color of the eyes compared to the brown, just a similar feature. If it becomes 3 cm or more, then it can be safely called a yellow body cyst. What to do with it? The answer is not original - nothing, wait. By the beginning of the cycle it will pass.

In some cases, the cyst of the yellow body reaches 9 cm. This time the cyst hurts a lot. With it, it is necessary to limit the sexual life, because it can burst (this is called ovarian apoplexy).The main thing is that you should not touch functional cysts, and they will not touch you.

True Ovarian Cysts

So we got to the true ovarian cysts. Unfortunately the true cysts of the ovaries, once arising, will not go away anywhere (and no tablets, injections, leeches and even magic herbs from China can heal them). Why so much attention is paid to the ovarian cysts when seeing their pale shadow on ultrasound? Because the true cysts of the ovaries, otherwise called cystomas, are tumors, and they can be quite malignant, quickly leading to metastases and an early meeting with the departed relatives. In order to understand by ultrasound what kind of cyst it is, many years of experience, a good apparatus and thousands of examined cysts are needed with subsequent confirmation of the conclusions made on the operation.

Therefore, the gynecologist advises to extirpate all the cysts, which were discovered by the doctor in the ultrasound. Very good ultrasound can identify dermoid cysts (teratomas). They are, rarely malignant, but they grow, and as they grow, they squeeze the ovary, leading to its atrophy (they were also called dermoid because they have fat and hair inside, and sometimes even teeth!). So the sooner you get rid of them, the more likely you are to keep (and save) your ovary.

Endometrioid Cysts

A separate place in our conversation is reserved to Endometrioid cysts. The most frequent, the nastiest, because they often reoccur. It is very common that after deletion the endometrioid cyst appears again and again... usually the end of this story is not very happy: an early menopause, due to the absence of ovaries.

Therefore, if you are planning a pregnancy, and you have a cyst, and the doctor has reason to suspect that it is endometrioid, do laparoscopy, remove the cyst and quickly become pregnant. If you become pregnant within a year, but it has grown again, everything depends on the size. If the endometrioid cyst has re-grown (I repeat, again, because until we removed it once, we cannot be sure that it is endometrioid) and its size is up to 3 cm safely go to IVF and get pregnant with a cyst. If the cyst has grown more than 3 cm, go to IVF and freeze embryos. Then remove the cyst and transfer the embryos to the uterus.

Why in this sequence? If you first remove a cyst that is 4 cm or more you may lose your ovary. No one can ever foresee how the ovary will react to the intervention. Therefore, approach your ovary more consciously and carefully. If you have a tendency to suffer from recurrent endometrioid cysts, do not postpone your pregnancy or, at least, freeze oocytes or embryos for the future.

Pons Medical Research specializes in making IVF, Donor Egg IVF and Egg Donation Process for women having Ovarian Cysts complications, as we have one of the largest network of Egg Donor Agencies. Pons Medical Research wishes you a good pregnancy and a healthy child!

Written by;
Dr. Nataly Yakovleva
Pons Medical Research

Author's Bio: 

Ashok Saraswat is an India based Author of several articles. His interests are diversified based upon the internet findings and research. He is an Arts Graduate with specialization in Current Online Trends.