Understanding Ovarian Cysts: Diagnosis, Management & Treatment

Ovarian cysts are a common condition that affects many women during their reproductive years. While most cysts are harmless and resolve on their own, some can cause discomfort, complications, or affect fertility. At SR Women & Children Specialists, we provide expert diagnosis, monitoring, and treatment of ovarian cysts to support your reproductive health and peace of mind.

What Are Ovarian Cysts?

An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. Most women will develop at least one cyst in their lifetime. These cysts are often discovered during routine pelvic exams or imaging tests.

There are several types of ovarian cysts, including:

• Functional cysts – the most common type, forming during the menstrual cycle.

• Dermoid cysts – contain tissue like hair, skin, or teeth.

• Cystadenomas – filled with watery or mucous fluid.

• Endometriomas – associated with endometriosis and filled with thick, dark blood.

While many cysts are benign (non-cancerous), some may require treatment depending on size, symptoms, or potential complications.

Common Symptoms of Ovarian Cysts

Many ovarian cysts go unnoticed because they cause no symptoms. However, larger or ruptured cysts may present with:

• Pelvic pain or pressure

• Bloating or abdominal fullness

• Irregular menstrual cycles

• Pain during intercourse

• Frequent urination or difficulty emptying the bladder

• Sudden, sharp abdominal pain (in cases of rupture or torsion)

If you experience severe pain or symptoms of a ruptured cyst, such as fever, nausea, or dizziness, seek immediate medical attention.

How Are Ovarian Cysts Diagnosed?

At SR Women & Children Specialists, our gynaecologists use several diagnostic tools to identify and evaluate ovarian cysts:

• Pelvic ultrasound 3D/4D – the most common and effective imaging method to view cyst size, shape, and composition.

• Blood tests – to check hormone levels or tumour markers (like CA-125) if there’s concern for cancer.

• MRI or CT scans – used for detailed imaging and surgical planning

• Laparoscopy – a minimally invasive procedure that allows direct visualisation and, if necessary, removal of the cyst.

Management and Treatment Options

Treatment depends on the type, size, symptoms, and whether you are pre- or postmenopausal. Our specialists personalise treatment based on each patient’s health goals and reproductive plans.

1. Watchful Waiting
If the cyst is small and asymptomatic, especially in premenopausal women, we may recommend regular monitoring with follow-up ultrasounds. Many functional cysts resolve within a few menstrual cycles.

2. Medications
Hormonal birth control pills may help regulate the menstrual cycle and prevent new cysts from forming, although they do not shrink existing cysts.

3. Surgical Treatment
If a cyst is large, persistent, causes symptoms, or has suspicious features, surgery may be needed. Options include:

• Cystectomy – removal of the cyst while preserving the ovary.

• Oophorectomy – removal of one or both ovaries if cysts are inseperable, only when absolutely necessary

• Laparoscopy – a keyhole surgery that is minimally invasive, offering faster recovery.

• Laparotomy – used in rare cases when the cyst is large or suspected to be malignant.

Our experienced gynaecologists will explain all available options and recommend the safest, most effective approach for you.

Why Choose SR Women & Children Specialists Centre?

At SR Women & Children Specialists, we prioritise your comfort, safety, and long-term health. Our all-women O&G team is skilled in managing a wide range of gynaecological conditions, from routine screenings to advanced surgical care.

What sets us apart:

• Expert female gynaecologists with years of experience

• State-of-the-art ultrasound and diagnostic equipment

• Personalised care in a calm, patient-friendly environment

• On-site minor and major surgical services

Book a Consultation

Don’t ignore persistent pelvic pain or irregular cycles. Early diagnosis and treatment can make a big difference. Schedule your appointment with our compassionate team today to get clarity and care for your ovarian health.

📍 Visit us at SR Women & Children Specialist Clinic Suite 206/207 SCC Level 2, Gleneagles Johor, Medini, Iskandar Puteri
📞 Call us at [+6011-19923585]
📅 Online bookings available www.srwomenchildrenspecialists.com.my