What you need to know about Ovarian Cyst
What you need to know about Ovarian Cyst
By Okunlola Christiana Omolola
Ovarian cysts exceeding 5-10 cm are typically regarded as concerning because of the higher likelihood of complications such as ovarian torsion or rupture, with cysts larger than 10 cm usually suggested for surgical removal. Nevertheless, size is not the sole consideration; the cyst’s type, its characteristics on imaging (including solid components), and accompanying symptoms all play a role in a physician’s advice.
Size considerations
- 5 cm (about 2 inches):
Cysts this size are often benign, but anything larger than 5 cm requires closer monitoring.
-
5-10 cm:
Cysts in this range are more likely to lead to complications like ovarian torsion (twisting) or rupture. Many doctors recommend surgical removal for persistent cysts in this size range.
-
>10 cm (about 4 inches):
Cysts larger than 10 cm are very likely to require surgical intervention because of the higher risk of complications and the possibility of being a complex tumor.
-
Type of cyst:
Complex cysts (those with solid areas or multiple chambers) are often more concerning than simple, fluid-filled cysts.
-
Symptoms:
Sudden, severe pelvic pain, nausea, vomiting, or abnormal bleeding can be signs of a complication and require immediate medical attention, regardless of size.
-
Appearance on imaging:
Whether a cyst has solid components rather than being purely fluid-filled is a significant factor in determining risk.
-
Persistence:
A cyst that doesn’t shrink or go away on its own after a few menstrual cycles may need evaluation, even if it’s not yet 5 cm.
You should consult a physician for any persistent symptoms such as bloating, a sensation of fullness, or discomfort in the pelvic area. Get emergency medical attention if you suffer from sudden, intense pain, as this could indicate ovarian torsion or a ruptured cyst.
