Symptoms and causes

Symptoms

Most cysts don't cause symptoms and go away on their own. However, a large ovarian cyst can cause:

  • Pelvic pain — a dull or sharp ache in the lower abdomen on the side of the cyst
  • Fullness or heaviness in your abdomen
  • Bloating

When to see a doctor

Seek immediate medical attention if you have:

  • Sudden, severe abdominal or pelvic pain
  • Pain with fever or vomiting

If you have these signs and symptoms or those of shock — cold, clammy skin; rapid breathing; and lightheadedness or weakness — see a doctor right away.

Causes

Most ovarian cysts develop as a result of your menstrual cycle (functional cysts). Other types of cysts are much less common.

Functional cysts

Your ovaries normally grow cyst-like structures called follicles each month. Follicles produce the hormones estrogen and progesterone and release an egg when you ovulate.

If a normal monthly follicle keeps growing, it's known as a functional cyst. There are two types of functional cysts:

  • Follicular cyst. Around the midpoint of your menstrual cycle, an egg bursts out of its follicle and travels down the fallopian tube. A follicular cyst begins when the follicle doesn't rupture or release its egg, but continues to grow.
  • Corpus luteum cyst. When a follicle releases its egg, it begins producing estrogen and progesterone for conception. This follicle is now called the corpus luteum. Sometimes, fluid accumulates inside the follicle, causing the corpus luteum to grow into a cyst.

Functional cysts are usually harmless, rarely cause pain, and often disappear on their own within two or three menstrual cycles.

Other cysts

Types of cysts not related to the normal function of your menstrual cycle include:

  • Dermoid cysts. Also called teratomas, these can contain tissue, such as hair, skin or teeth, because they form from embryonic cells. They're rarely cancerous.
  • Cystadenomas. These develop on the surface of an ovary and might be filled with a watery or a mucous material.
  • Endometriomas. These develop as a result of a condition in which uterine endometrial cells grow outside your uterus (endometriosis). Some of the tissue can attach to your ovary and form a growth.

Dermoid cysts and cystadenomas can become large, causing the ovary to move out of position. This increases the chance of painful twisting of your ovary, called ovarian torsion. Ovarian torsion may also result in decreasing or stopping blood flow to the ovary.

Transcript

Ovulation is the release of an egg from one of the ovaries. It often happens about midway through the menstrual cycle, although the exact timing may vary.

In preparation for ovulation, the lining of the uterus, or endometrium, thickens.

The pituitary gland in the brain stimulates one of the ovaries to release an egg.

The wall of the ovarian follicle ruptures at the surface of the ovary. The egg is released.

Finger-like structures called fimbriae sweep the egg into the neighboring fallopian tube.

The egg travels through the fallopian tube, propelled in part by contractions in the fallopian tube walls.

Here in the fallopian tube, the egg may be fertilized by a sperm.

If the egg is fertilized, the egg and sperm unite to form a one-celled entity called a zygote.

As the zygote travels down the fallopian tube toward the uterus, it begins dividing rapidly to form a cluster of cells resembling a tiny raspberry.

When the zygote reaches the uterus, it implants in the lining of the uterus and pregnancy begins.

If the egg isn't fertilized, it's simply reabsorbed by the body — perhaps before it even reaches the uterus. About two weeks later, the lining of the uterus sheds through the vagina. This is known as menstruation.

Risk factors

Your risk of developing an ovarian cyst is heightened by:

  • Hormonal problems. These include taking the fertility drug clomiphene (Clomid), which is used to cause you to ovulate.
  • Pregnancy. Sometimes, the cyst that forms when you ovulate stays on your ovary throughout your pregnancy.
  • Endometriosis. This condition causes uterine endometrial cells to grow outside your uterus. Some of the tissue can attach to your ovary and form a growth.
  • A severe pelvic infection. If the infection spreads to the ovaries, it can cause cysts.
  • A previous ovarian cyst. If you've had one, you're likely to develop more.

Complications

Some women develop less common types of cysts that a doctor finds during a pelvic exam. Cystic ovarian masses that develop after menopause might be cancerous (malignant). That's why it's important to have regular pelvic exams.

Infrequent complications associated with ovarian cysts include:

  • Ovarian torsion. Cysts that enlarge can cause the ovary to move, increasing the chance of painful twisting of your ovary (ovarian torsion). Symptoms can include an abrupt onset of severe pelvic pain, nausea and vomiting. Ovarian torsion can also decrease or stop blood flow to the ovaries.
  • Rupture. A cyst that ruptures can cause severe pain and internal bleeding. The larger the cyst, the greater the risk of rupture. Vigorous activity that affects the pelvis, such as vaginal intercourse, also increases the risk.
July 24, 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.