HomeAnswersObstetrics and Gynecologyovarian cystsI was advised surgery for ovarian cyst. What are the side effects?

I was advised surgery for ovarian cyst. What are the side effects?

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I was advised surgery for ovarian cyst. What are the side effects?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At April 25, 2018
Reviewed AtDecember 20, 2023

Patient's Query

Hello doctor,

I am 23 years old. I have ovarian cyst for the last two years. I have taken medicine (Norgest) but no improvement. I have to do all the tests (blood test, CA125, MRI, ultrasound, thyroid, urine, etc. According to my last report (three months ago), my ovarian cyst size is 42.10 by 34.82 by 37.29 mm. Three to four follicles are seen in right ovary. The endometrium is approximately 15.34 by 13.60 mm. The spleen size is 107.09 mm. All my reports are normal. But, according to my MRI reports (one year ago), the cyst size was 1.3 by 1.1 inch. My period is normal. My doctor suggests surgery. Please suggest what I have to do. What are the side effects of surgery? I have attached all my reports. Please suggest some medicine for abdominal pain and the cyst to resolve.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

From your history, you have a right hemorrhagic ovarian cyst and right-sided para ovarian cyst of more than 2 inches, which increased to this size in one year, and surgery is advised. This paraovarian cyst (hydatid of Morgagni) is an epithelium-lined fluid-filled cyst in the adnexa adjacent to the fallopian tube. These cysts rarely cause symptoms, and you are having a symptom of pain for which you need treatment. These cysts could rarely become cancerous, rupture with the fluid spreading in the lower abdomen, and cause inflammation of other organs. A hemorrhagic cyst is a bleeding, functional ovarian cyst. It can cause pain during sex, pain in the lower abdomen, bloating, and lower abdominal discomfort. If left untreated, it can rupture and lead to abscess formation with severe sepsis.

A torsion cyst is another acute emergency. To prevent this, it is better to remove it before torsion. A cyst without symptoms resolves itself, but a cyst causing symptoms needs intervention before severe consequences and emergencies like torsion, sepsis, etc. (mostly in case of rupture and abscess formation). You have splenomegaly as well. It means the body's systems are also getting affected by the cyst, and the body wants to drain it out. I hope you got my point. That is why it is advised to remove the cyst by surgery. Sometimes, it ruptures during surgery, but at that time, the internal organ can easily be cleaned and washed with saline or sterile solutions. It will help relieve abdominal pressure, pain, risk of rupture, abscess, and infection. A cyst is normally sent to the laboratory after removal for histopathology and ruling out cancer. There are few chances of complications in every surgery, like internal bleeding, postoperative pain, or infection. But those complications are minute as compared to the advantages of removal of the cyst.

I hope you understand my point.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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