Ovarian cyst: definition and meaning

An ovarian cyst is a fluid-filled sac that forms on or inside an ovary. Most are functional cysts, a normal part of the menstrual cycle that cause no symptoms and disappear on their own within a few cycles. Less often, cysts are caused by conditions like endometriosis, can grow large, or need treatment.
Types of ovarian cyst
| Type | What it is |
|---|---|
| Follicular cyst | A follicle that keeps growing instead of releasing its egg |
| Corpus luteum cyst | The corpus luteum fills with fluid after ovulation |
| Endometrioma | A cyst linked to endometriosis, sometimes called a chocolate cyst |
| Dermoid cyst | A usually benign growth containing different tissue types |
| Cystadenoma | A cyst growing from the ovary's surface, usually benign |
The many small follicles seen in PCOS are not true cysts, despite the name.
Symptoms
- Often none: many cysts are found by chance on a scan
- A dull ache or pressure on one side of the pelvis
- Bloating, feeling full quickly, needing to pee often
- Pain during sex or changes to your period
Treatment
Small functional cysts are usually watched with a repeat ultrasound. Larger, persistent or unusual cysts may be removed with keyhole surgery. After menopause, doctors check cysts more carefully. Some hormonal contraception that stops ovulation can reduce new functional cysts.
Get emergency care for sudden, severe pelvic pain, especially with fever, vomiting, dizziness or fainting. A cyst can burst or twist the ovary (torsion), which needs urgent treatment.
Frequently asked questions
Can an ovarian cyst affect my period?
Sometimes. Functional cysts can make a period late, heavier or lighter, or cause spotting, until they resolve.
Are ovarian cysts cancer?
Almost all are not, especially before menopause. Doctors use ultrasound and sometimes blood tests to check any that look unusual.
Can ovarian cysts cause bloating and low mood?
Large cysts can cause bloating and discomfort, and persistent pain can affect sleep and mood. Ongoing bloating is always worth mentioning to a doctor.
Sources
This page is for information only and isn鈥檛 medical advice. If something worries you, please talk to a doctor.
Ovaries: definition and meaning
What is PCOS (polycystic ovary syndrome)?
Endometriosis: definition and meaning
PCOS (now also called PMOS) and your cycle
Ovulation pain (mittelschmerz): what it feels like and what helps