Treatment

Treatment depends on your age, the type and size of your cyst, and your symptoms. Your doctor might suggest:

  • Watchful waiting. In many cases you can wait and be re-examined to see if the cyst goes away within a few months. This is typically an option — regardless of your age — if you have no symptoms and an ultrasound shows you have a simple, small, fluid-filled cyst.

    Your doctor will likely recommend that you get follow-up pelvic ultrasounds at intervals to see if your cyst changes in size.

  • Medication. Your doctor might recommend hormonal contraceptives, such as birth control pills, to keep ovarian cysts from recurring. However, birth control pills won't shrink an existing cyst.
  • Surgery. Your doctor might suggest removing a cyst that is large, doesn't look like a functional cyst, is growing, continues through two or three menstrual cycles, or causes pain.

    Some cysts can be removed without removing the ovary (ovarian cystectomy). In some cases, your doctor might suggest removing the affected ovary and leaving the other intact (oophorectomy).

    If a cystic mass is cancerous, your doctor will likely refer you to a gynecologic cancer specialist. You might need to have your uterus, ovaries and fallopian tubes removed (total hysterectomy) and possibly chemotherapy or radiation. Your doctor is also likely to recommend surgery when an ovarian cyst develops after menopause.

Aug. 07, 2017
References
  1. Frequently asked questions. Gynecologic problems FAQ075. Ovarian cysts. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Ovarian-Cysts. Accessed May 2, 2017.
  2. Muto MG. Approach to the patient with an adnexal mass. https://www.uptodate.com/home. Accessed May 2, 2017.
  3. Ovarian cysts fact sheet. Office on Women's Health, U.S. Department of Health and Human Services. http://www.womenshealth.gov/publications/our-publications/fact-sheet/ovarian-cysts.html. Accessed May 2, 2017.
  4. Sharp HT. Evaluation and management of ruptured ovarian cyst. https://www.uptodate.com/home. Accessed May 2, 2017.
  5. Muto MG. Management of the adnexal mass. https://www.uptodate.com/home. Accessed May 2, 2017.