Skip to content

Women's Health

Font Size

Functional Ovarian Cysts - Surgery

Surgery may be needed to confirm the diagnosis of an ovarian cyst or to evaluate ovarian growths when ovarian cancer is possible. Surgery does not prevent ovarian cysts from coming back unless the ovaries are removed (oophorectomy).

Surgery may be needed in the following situations:

Recommended Related to Women

Why Moms Can’t Sleep

By Amy Engeler  At 3 a.m., with all the houses dark up and down her winding suburban street in West Warwick, Rhode Island, Jo-Ann Frey, 37, lights a candle so she can see well enough to dust her furniture. Careful not to turn on any lights or make noise that might wake up her family, she drifts from room to room with her candle and cleaning supplies, waiting until she feels sleepy enough to climb back into bed. That feeling doesn't come -- and when she hears the alarm in the bedroom go off...

Read the Why Moms Can’t Sleep article > >

  • An ovary and cyst have twisted (torsion) or ruptured.
  • You have severe pain or bleeding.
  • A cyst is larger than 3 in. (7.6 cm) or is pressing on other abdominal organs.
  • A cyst has not gone away after a period of observation (watchful waiting).
  • Ovarian cancer is suspected based on your risk factors for ovarian cancer or an unusual appearance of the cyst on ultrasound.

Goals of surgical treatment for an ovarian cyst are to:

  • Confirm a diagnosis of an ovarian cyst.
  • Rule out the diagnosis of ovarian cancer.
  • Remove cysts that are causing pain.
  • Relieve the pressure that cysts larger than 3 in. (7.6 cm) may cause on the bladder and other pelvic organs.

Surgery choices

Surgery for an ovarian cyst or growth can be done through a small incision using laparoscopy or through a larger incision (laparotomy). The cut is made in your stomach area.

Laparoscopy may be used to confirm the diagnosis of an ovarian cyst in a woman of childbearing age. Persistent, large, or painful ovarian cysts that have no signs of cancer risk can be removed during laparoscopy, leaving the ovary intact.

Laparotomy is used when an ovarian cyst is very large, ovarian cancer is suspected, or other problems with the abdominal or pelvic organs are present. If cancer is found, the larger incision lets the surgeon closely examine the entire area and more safely remove all cancerous growth.

What to think about

For the most part, functional ovarian cysts stop forming when menopause occurs (in rare cases, a functional ovarian cyst will occur or persist within 5 years of menopause). Relieving symptoms with medicine until menopause is complete may be an option.

Some women prefer the risks of surgery to symptoms that reduce their quality of life. If your doctor recommends surgery, ask whether laparoscopic surgery or laparotomy would be the best choice for you.

Unless the ovaries are removed, surgery does not prevent the formation of new functional ovarian cysts.

    WebMD Medical Reference from Healthwise

    Last Updated: March 12, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
    1
    Next Article:

    Today on WebMD

    hands on abdomen
    Test your knowledge.
    womans hand on abdomen
    Are you ready for baby?
     
    birth control pills
    Learn about your options.
    insomnia
    Is it menopause or something else?
     
    Couple with troubles
    Article
    Bone density illustration
    VIDEO
     
    Young woman being vaccinated
    Slideshow
    woman holding hand to ear
    Slideshow
     

    Send yourself a link to download the app.

    Loading ...

    Please wait...

    This feature is temporarily unavailable. Please try again later.

    Thanks!

    Now check your email account on your mobile phone to download your new app.

    Blood pressure check
    Slideshow
    mother and daughter talking
    Evaluator
     
    intimate couple
    Article
    puppy eating
    Slideshow