Q. When do heterogeneous ovarian cysts occur, before or after ovulation?

Answered by
Dr. Mavani Jimesh Himatbhai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 28, 2016 and last reviewed on: Oct 09, 2018

Hello doctor,

I went to the ER a week ago for abdominal pain. A pregnancy test was performed and it was negative. An ultrasound scan was performed and they found two heterogeneous ovarian cysts, one on the right is 1.5 cm and the other on the left is 1.4 cm. There were multiple simple cysts. My endometrial lining was 6 mm. They said everything else looked good. I have a history of ovarian cysts. Do heterogeneous cysts happen before or after ovulation? Do they impact menstruation? Also, what is the difference between heterogeneous and homogeneous ovarian cysts?



Welcome to

First of all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst).

In a sonography, if it looks clear without any shadow in the cyst, then it is homogeneous and when something is found floating in the cyst as echoes (shadow), then it is called heterogeneous.

Homogeneous have clear fluid. In heterogeneous cyst, the shadow may be due to blood, pus cells, epithelial cells, other debris, hormones, enzymes or turbid fluid.

In 1.5 cm and 1.4 cm sized small cysts, it is not so much important that whether it is heterogeneous or homogeneous because it is mostly going to disappear around your period.

Before ovulation, mostly follicles are with clear fluid. After ovulation, it may be homogeneous or heterogeneous with decreased size. Actually, it looks like disappearing follicle and not a cyst.

A cyst can disturb your cycle only if it is of a bigger size and remains even after menstruation. Mostly it begins from unruptured follicle during ovulation and the size can be from 4 cm to 11 cm or even bigger in some case. This type of cyst requires treatment.

For further information consult an obstetrician and gynaecologist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Fertility (or) Ovulation Period Calculator

Trying to conceive? Discover the most fertile days of your menstrual cycle using this calculator. Sexual intercourse during the fertility window in your menstrual cycle will increase the chances of getting pregnant quickly.   Read full

How to conclude Down's syndrome other than ultrasound scan?

Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies ... I need an expert opinion regarding advanced tests of ultrasound or amniocente...   Read full

How to regularize my menstrual cycle?

.. are a case of PCOS (polycystic ovarian syndrome), which brings obesity and insulin resistance along with it. Consult a doctor for medical advice to lose weight and improve insulin resistance to allow regular menses to occur. Also it is importa...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Missed Miscarriage - An Overview
Sometimes a miscarriage occurs without knowledge, as typical signs may be absent. This is called a missed miscarriage. L...  Read more»
H3N2v Influenza - Treatment and Prevention
Management and prevention of an Influenza A virus variant include various treatment options and measures. The below arti...  Read more»
Flu A - Symptoms, Causes, Diagnosis, Treatment and Prevention
The flu, or influenza, is a contagious viral infection that attacks the respiratory system. Flu A and B viruses are resp...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.