Ovarian Cyst

Ovarian cysts are pockets in ovary filled with fluid most of the times, sometimes solid in nature, sometimes have blood in it – fresh blood or decomposed blood (chocolate cyst).

Age Group – puberty to menopause, more common around pregnancy and around menopause.

Types-

1. Simple cyst- this are fluid filled cyst. They are named as simple because most of the time they are self-resolving
2. Complex Cyst- Complex cyst shows fluid as well as solid echo when sonography is done. As the name suggests it is more complex to solve this hormonal disturbance.
3. Haemorrhagic cyst- This shows bleeding inside the cyst due to rupture of blood vessels
4. Chocolate cyst- This are endometriotic cyst where every month there is bleeding inside the cyst due to presence of endometrium (inner lining of uterus which sheds off every month in the form of bleeding) in the ovarian cyst. This blood decomposes and becomes chocolate coloured cyst.

Ovarian Cyst Symptoms

Most ovarian cysts are small and don’t cause any problems. When there are symptoms, you might have pressure, bloating, swelling, or pain in one side of your lower belly. This pain may be sharp or dull, and it can come and go.

Sometimes, a cyst needs emergency attention.

• Sudden severe abdominal pain
• Fever, giddiness, vomiting

Complications and emergency

1. Ovarian Torsion
2. Rupture of cyst
3. Pelvic Inflammatory Disease

It could create life threatening emergencies.

Causes-

Ovarian cyst reflects hormonal imbalance as the root cause. Many times, it is self-resolving and has no symptoms.

When is it a matter of concern? When does it require treatment?

1. If cyst is not resolving in 2-3 months on its own
2. If size is increasing
3. If size is too big to putting pressure on ovary or fallopian tube
4. If it is complex cyst
5. If it is haemorrhagic cyst
6. If it is chocolate cyst
7. If there are symptoms or distress due to it.

Investigation reports required

1. Sonography of Pelvis
2. CA 125 (It is tumour marker to rule out possibility of Cancer of ovaries)

Treatment

1. Medical line of treatment
2. Surgical management

Indications for Surgery

1. CA125 is significantly high.
2. Cyst is too large
3. Torsion, Rupture or Septicaemia- emergency

For rest all types of cases not indicating a surgery, a medical line of treatment is appropriate. Homoeopathy treatment offered at our clinic deals with the hormonal imbalance which is the root cause of this cyst and thereby resolves the cyst. Patient experiences relief in her symptoms in short time with acute medicine. Medication at the constitution level can resolve the cyst completely. Complete resolution of cyst can be ascertained by doing follow up sonography reports.