
A fluid-filled sac in or on the ovary. Most are harmless functional cysts that resolve on their own.
Functional cysts (follicular, corpus luteum), endometriomas, dermoids (teratomas), cystadenomas, others.
Often none. Possible pelvic pain/pressure, bloating, pain with sex, or sudden severe pain if rupture or torsion occurs (emergency).
Ultrasound to assess size and features; blood tests if indicated.
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Watchful waiting with repeat ultrasound for simple cysts under certain size thresholds.
Surgery if large, persistent, complex, symptomatic, or suspicious; fertility-sparing techniques when possible.
Sudden severe pelvic pain, nausea/vomiting, fever—may indicate torsion or rupture.
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Follow-up intervals: simple cysts often recheck in 6–12 weeks; complex features, persistence, or growth guide timing of repeat scans.
Fertility planning: endometriomas can affect egg reserve; decisions balance pain relief, surgical risks, and fertility goals.
After rupture: rest, fluids, and pain control; seek care for fever, fainting, or persistent severe pain.
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