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Writer's pictureMarleen ter Heide

Ovarian Cysts Myths Busted: Separating Fact from Fiction

Disclaimer: At Lume, we're passionate about providing research-backed information to help you make informed decisions about your health. However, we're not doctors, and this article is based on our research. Always consult with a qualified healthcare professional for personalized medical advice.


Graphic Art of a Woman's Ovary

Hey there, lume community! Marleen here, and today we're diving into a topic that's often misunderstood but affects many of us: ovarian cysts. If you've ever had an ovarian cyst (or know someone who has), you might have heard all sorts of conflicting information. It can be confusing and even scary, right? Well, don't worry - we're here to bust some common myths and give you the facts you need to understand this condition better.

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What Are Ovarian Cysts?

Before we start myth-busting, let's get clear on what we're talking about. Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. They're actually pretty common, and in many cases, they're harmless and resolve on their own. But like anything related to our reproductive health, they can cause concern and raise a lot of questions.


Common Myths About Ovarian Cysts

Now, let's tackle some of the most persistent myths about ovarian cysts. Prepare to have your mind blown!


Myth 1: All Ovarian Cysts Are Cancerous

This is perhaps the most anxiety-inducing myth out there. Let's set the record straight:

Fact: The vast majority of ovarian cysts are benign (non-cancerous). According to a study published in the American Family Physician journal, only about 13-21% of ovarian masses are malignant in premenopausal women, and this rises to 30-40% in postmenopausal women.

Most cysts are functional cysts, which are a normal part of your menstrual cycle. These typically disappear on their own within a few months. Even most non-functional cysts are benign.

That said, it's always important to have any persistent ovarian cysts checked by a healthcare provider, especially if you're postmenopausal or have a family history of ovarian cancer.


Myth 2: Ovarian Cysts Always Cause Symptoms

You might think that if you had an ovarian cyst, you'd definitely know about it. But that's not always the case.

Fact: Many ovarian cysts don't cause any symptoms at all. In fact, many women only discover they have a cyst during a routine pelvic exam or ultrasound.

When symptoms do occur, they can include:

  • Pelvic pain or pressure

  • Bloating

  • Changes in bowel movements or urination

  • Pain during sex

  • Irregular periods

Remember, these symptoms can be caused by many other conditions too, so it's always best to consult with a healthcare provider if you're experiencing any of these.


Myth 3: Ovarian Cysts Mean You're Infertile

This myth can be particularly distressing for women who are trying to conceive or planning to in the future.

Fact: Having ovarian cysts doesn't necessarily mean you're infertile. In fact, functional cysts are a normal part of ovulation!

However, some conditions that cause ovarian cysts, like polycystic ovary syndrome (PCOS), can affect fertility. But even then, many women with PCOS are able to conceive, either naturally or with medical assistance.

If you're concerned about your fertility, it's best to discuss this with your healthcare provider. They can provide personalized advice based on your specific situation.


Myth 4: All Ovarian Cysts Require Surgery

The idea of surgery can be scary, and thankfully, it's not always necessary for ovarian cysts.

Fact: Many ovarian cysts resolve on their own without any treatment. Your doctor might recommend a "watch and wait" approach, especially for small, functional cysts.

Surgery is typically only recommended if:

  • The cyst is very large

  • It's causing severe symptoms

  • There's a suspicion of cancer

  • The cyst doesn't go away on its own after several menstrual cycles


According to a study in the Journal of Obstetrics and Gynaecology Canada, about 70% of simple ovarian cysts resolve spontaneously within 3 months.


Myth 5: You Can't Get Pregnant If You Have Ovarian Cysts

This myth is related to the infertility myth, but it's a bit more specific.

Fact: Many women with ovarian cysts can and do get pregnant. As we mentioned earlier, some cysts are actually a normal part of your menstrual cycle and ovulation process.

However, if you have a condition like PCOS that affects ovulation, it might be more challenging to conceive. But even then, pregnancy is often possible with proper management and, in some cases, fertility treatments.

If you're trying to conceive and have ovarian cysts or a related condition, it's best to work closely with your healthcare provider to develop a plan that's right for you.


Types of Ovarian Cysts

Now that we've busted some myths, let's dive a little deeper into the different types of ovarian cysts. Understanding these can help you better grasp what's going on in your body.

  • Functional Cysts: These are the most common type and are related to your menstrual cycle. They include:

    • Follicular cysts: These form when the follicle doesn't rupture to release the egg.

    • Corpus luteum cysts: These form after the egg has been released.

  • Dermoid Cysts: These can contain tissue like hair, skin, or teeth because they form from embryonic cells.

  • Cystadenomas: These develop from cells on the surface of the ovary and can be filled with a watery or mucous material.

  • Endometriomas: These are associated with endometriosis and are filled with old blood and tissue.

  • Polycystic Ovaries: This is when many small cysts form on your ovaries, often associated with PCOS.


Symptoms of Ovarian Cysts

As we mentioned earlier, many ovarian cysts don't cause any symptoms. But when they do, here's what you might experience:

  • Pelvic pain or pressure

  • Bloating or swelling in the abdomen

  • Pain during sex

  • Changes in bowel movements or urination

  • Irregular periods

  • Nausea or vomiting

  • Breast tenderness

  • Fullness or heaviness in your abdomen


If you experience sudden, severe abdominal pain, especially if accompanied by fever or vomiting, seek medical attention immediately. This could be a sign of a ruptured cyst or ovarian torsion, which requires immediate treatment.


Diagnosing Ovarian Cysts

If your doctor suspects you might have an ovarian cyst, they'll likely use one or more of these methods to diagnose it:


  • Pelvic Exam: Your doctor can sometimes feel a cyst during a routine pelvic exam.

  • Ultrasound: This is the most common imaging test used to diagnose ovarian cysts. It can show the cyst's size, location, and whether it's fluid-filled, solid, or mixed.

  • CT Scan or MRI: These might be used if more detailed images are needed.

  • Blood Tests: These can check hormone levels and sometimes detect if a cyst might be cancerous.


Treatment Options for Ovarian Cysts

Treatment for ovarian cysts depends on several factors, including the type and size of the cyst, your symptoms, and your overall health. Here are some common approaches:


  • Watchful Waiting: For many functional cysts, your doctor might recommend monitoring the cyst over a few months to see if it goes away on its own.

  • Hormonal Birth Control: This can prevent new functional cysts from forming.

  • Pain Medication: Over-the-counter pain relievers can help manage discomfort.

  • Surgery: This might be recommended for large cysts, those that don't go away on their own, or if cancer is suspected. Options include:

    • Laparoscopy: A minimally invasive surgery to remove the cyst.

    • Laparotomy: A more extensive surgery that might be needed for larger cysts or if cancer is suspected.

Remember, the best treatment plan for you will depend on your individual situation. Always work closely with your healthcare provider to determine the most appropriate approach.


Key Takeaways

  • Most ovarian cysts are benign and many resolve on their own without treatment.

  • Not all ovarian cysts cause symptoms, but when they do, they can include pelvic pain, bloating, and irregular periods.

  • Having ovarian cysts doesn't necessarily mean you're infertile or can't get pregnant.

  • Surgery isn't always necessary for ovarian cysts; many can be managed with watchful waiting or medication.

  • While rare, some cysts can be cancerous, especially in postmenopausal women. Always have persistent cysts checked by a healthcare provider.


FAQ

Can ovarian cysts be prevented?

While you can't prevent all ovarian cysts, maintaining a healthy lifestyle and regular check-ups can help detect any issues early.

Do ovarian cysts affect pregnancy?

Can stress cause ovarian cysts?

Are ovarian cysts hereditary?

Can diet help manage ovarian cysts?


Remember, your body is unique, and your experience with ovarian cysts might be different from someone else's. If you have concerns about ovarian cysts or any aspect of your reproductive health, don't hesitate to reach out to your healthcare provider. They're there to help you navigate your health journey with confidence.


Stay informed, stay empowered, and keep prioritizing your health!


Marleen & Lisa

Founders, Lume


P.S. Want to learn more about women's health? Check out our articles on managing PCOS naturally with Seed Cycling and understanding your menstrual cycle. Your body will thank you for the extra love and attention!

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