Show
Ovarian cysts are fairly common, but that doesn’t make having them any less nerve-wracking. If you’ve been diagnosed with an ovarian cyst, it’s natural to wonder if that means you have, or are at risk of developing, ovarian cancer. While it’s important to be vigilant when it comes to any abnormality, you should also know that having an ovarian cyst does not mean you have ovarian cancer. There are significant differences between ovarian cysts and ovarian tumors:
Though diagnosis of an ovarian cyst does not necessarily indicate ovarian cancer, it’s important to understand what they are, how they’re formed, and when – and how – to work with your doctor to look into them further. As always, you should ask questions and be sure they’re answered satisfactorily. If you don’t feel heard, or suspect that your concerns are not being taken seriously, seek a second opinion. What is the difference between an ovarian cyst and ovarian cancer?Because ovarian cysts don’t always produce symptoms, and often resolve on their own, many people have them and never know it. In many cases, cysts are first found through pelvic exams performed by a gynecologist or primary care physician. When ovarian cysts do produce symptoms, they can be similar to symptoms of ovarian cancer.Common symptoms of both ovarian cysts and ovarian cancer can include abdominal pain, bloating, pain with intercourse, menstrual irregularities and, more rarely, frequent urination. Unusual growth of facial and body hair is a symptom more common to ovarian cysts than ovarian cancer. Sudden sharp abdominal pain, fever and nausea can be a sign that an ovarian cyst has ruptured or twisted, and requires quick medical attention often followed by emergency surgery. Once a mass is identified and a cyst is suspected, doctors may perform additional tests to determine what type of cyst it is, or if the mass appears to be a tumor – and in either case, if treatment is necessary.
If a doctor suspects a benign cyst after performing these tests, the next course of action is often to keep an eye on the cyst through more ultrasounds over the next several months to make sure it resolves and does not continue to grow.
If a doctor suspects a tumor, the patient should then be referred to a gynecologic oncologist for further follow-up. The gynecologic oncologist may or may not recommend surgery to determine if the mass is cancerous. And if it is determined to be a cyst, and not a tumor, you will likely be referred back to your gynecologist. What is an ovarian cyst?An ovarian cyst is a fluid-filled sac or pocket that forms in the ovary or on its surface. Ovarian cysts are most common in women who have not gone through menopause because they’re often formed as part of the regular menstrual cycle. Each month during menstruation, the ovary grows a cyst-like structure, called a follicle. The follicle contains the hormones progesterone and estrogen, which help to release an egg and promote conception. When the follicle bursts and the egg is released down the fallopian tube, this is called ovulation. Functional cystsOvarian cysts that form as a result of the menstrual process are called functional cysts. These types of cysts are usually benign (not cancerous), do not produce noticeable symptoms, and usually go away on their own within 2-3 months. Read more about functional cysts. Pathological cystsPathological cysts are caused by abnormal cell growth. These types are less common and are often benign, but they can carry a higher likelihood of malignancy. Read more about pathological cysts. What makes some people more prone to ovarian cysts?Different factors can predispose some people to certain types of cysts. For instance, a hormonal imbalance, often caused by drugs that promote conception, can lead to functional cysts. Endometriosis, severe pelvic infections, complications in early pregnancy, and Polycystic Ovary Syndrome can all lead to formation of cysts. Learn more about risk factors for ovarian cysts. A final note on ovarian cysts:In short, presence of an ovarian cyst is not cause for alarm — ovarian cancer and ovarian cysts are not the same — but it is cause for vigilance. Know the facts, and make sure you’re clear on the process that should be used to investigate suspected cysts to rule out ovarian cancer. If you feel your questions are not being answered, be your own advocate and seek another medical opinion. Learn more about ovarian cystsYou can find additional information on treatment, surgery, questions to ask your doctor and more in the Ovarian Cysts section of our website. Share this pageMore StoriesPrev: When a Virus is a Good Thing | Meet a Scientist Next: Survey: Navigating Treatment in the Time of Covid-19 Can ovarian cyst be confused with pregnancy?Pregnancy test: A corpus luteum cyst can cause a false positive on a pregnancy test.
How do I know if I have an ovarian cyst or ectopic pregnancy?A paraovarian cyst located adjacent to the ovary can raise concern for ectopic pregnancy, but its appearance as a simple cyst with a thin, avascular wall readily distinguishes it from an ectopic pregnancy.
Can a gestational sac be mistaken for an ovarian cyst?By Day 21 the vesicle can become quite irregular and may be confused with intraluminal fluid or cysts.
What can pregnancy symptoms be mistaken for?Certain medical conditions can mimic the symptoms of pregnancy, including ectopic pregnancy, morbid obesity, and cancer. These conditions may need to be ruled out with tests.
|