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This video shows Bilateral Ovarian Cysts, Two cases. The 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. Most ovarian cysts are small sacs, filled with fluid, on your ovaries. These are called “simple” ovarian cysts. If an unexpected cyst or enlarged ovary is found during a pelvic exam, you should have a vaginal ultrasound to assess for cancer. A hemorrhagic ovarian cyst (HOC) is an adnexal mass formed because of the occurrence of bleeding into a follicular or corpus luteum cyst. Hemorrhagic cysts are commonly seen in clinical practice because hemorrhage into a cyst is usually painful, triggering the patient to consult her physician. Having a hemorrhagic ovarian cyst is not necessarily a problem. Many times these cysts don't cause symptoms and are often found during a pelvic exam that's done for another reason. If a cyst is small or medium-size and isn't causing you any pain or other symptoms, then your doctor likely will recommend monitoring it. Large ovarian cysts ( more than 5 to 10 cm) are more likely to require surgical removal compared with smaller cysts. However, a large size does not predict whether a cyst is cancerous. If the cyst appears suspicious for cancer. Ultrasound is usually the first imaging modality for the assessment of ovarian lesions. Imaging features of simple ovarian cysts: anechoic; intraovarian or exophytic. The differential diagnosis of benign ovarian cysts includes: Simple cysts. Hemorrhagic corpus luteum cysts. Dermoids (mature cystic teratomas) Endometriomas. Pedunculated Fibroids. Hydrosalpinges. Paratubal and para ovarian cysts. Peritoneal inclusion cysts (also known as pseudocysts) Complex ovarian cysts are those that contain either blood or a solid substance. Simple cysts are relatively common and usually clear on their own. Complex cysts are more likely to need treatment. Most ovarian cysts are benign, meaning that they are noncancerous. If you have any of these symptoms, see your doctor. Both endometriosis and PCOS can cause fertility problems. Most ovarian cysts aren't cancerous, but complex ovarian cysts raise the risk of ovarian cancer. Most Often imaging tests like ultrasound or MRI can determine if an ovarian cyst or tumor is benign or malignant. They may also want to test your blood for CA-125, a tumor marker, or perform a biopsy if there is any question. To confirm or rule out ovarian cancer, your doctor may perform a biopsy. Treatment. Functional cysts normally shrink on their own over time, usually in about 1 to 3 months. If you have a functional cyst, your doctor may want to check you again in 1 to 3 months to make sure the cyst has gotten smaller or gone away completely. Most simple ovarian cysts aren't harmful. Complex ovarian cysts, such as dermoids and cystadenomas, can grow too large. This can push your ovary out of place. It can also cause a painful condition called ovarian torsion, which means your ovary has become twisted. Complex cysts are more likely to need treatment than simple cysts. According to the OWH, between 5–10 percent of women with ovarian cysts will have surgery. Of that number, between 13–21 percent are cancerous. Complex ovarian cysts may need further treatment. Five to 10 percent of women need surgery to remove an ovarian cyst. Your doctor can remove large or complex cysts that appear to be cancerous with traditional surgery. They can then test the cyst to see if it contains cancerous cells. Fortunately, most ovarian cysts do not require surgical removal and are not caused by cancer. Cysts can vary in size from less than one centimeter (one-half inch) to greater than 10 centimeters (4 inches). Simple cysts are unilocular and have a uniformly thin wall surrounding a single cavity that contains no internal echoes. These cysts are likely to be functional. In contrast, complex cysts are multilocular and may have a thickened wall; these cysts may be benign or neoplastic. Most ovarian cysts present little or no discomfort and are harmless. The majority disappears without treatment within a few months. However, ovarian cysts especially those that have ruptured, can cause serious symptoms. Most ovarian cysts are small and don't cause symptoms. If a cyst does cause symptoms, the Patient may have pressure, bloating, swelling, or pain in the lower abdomen on the side of the cyst. If a cyst causes twisting of an ovary, pain along with nausea and vomiting may be the outcome. Some cysts are hormone-secreting cysts, which can have an impact on health including weight. PCOS (polycystic ovary syndrome) can also cause metabolic issues, which can lead to weight gain. If you have hormone problems, your healthcare provider may advise taking birth control pills. These may help prevent ovarian cysts. Taking antibiotics for a pelvic infection may also prevent a cyst.