Cysts are usually sac-like structures containing fluids that develop on the inside or outside of the ovaries. Generally, the development of cysts are asymptomatic, and they go away naturally, approximately after two months, without the person even knowing that she has ovarian cysts. 

However, the sacs can thicken with time if they don’t heal automatically, causing extreme pain during periods. This extreme pain during or in between periods is an indicator of an underlying serious health problem, which needs urgent medical attention. When the sac and the fluid become too thick to heal with medication, the doctor may recommend ovarian cyst removal through a surgical procedure. 

Four reasons why ovarian cysts need surgery

Doctors may suggest ovarian cysts removal through surgery for any of the reasons listed below:

  1. You experience extreme pain in your lower abdominal region.
  2. The cyst is very large — the diameter of functional and normal cysts are lower than two and a half inches. A cyst bigger than that is deemed abnormally large. Such a cyst is thick and solid and doesn’t contain any fluids.
  3. The cyst is linked to cancer of the ovaries.
  4. The emergence of ovarian cysts is also deemed unusual in the following cases, warranting for removal:
  • Young girls that haven’t reached puberty yet
  • Women who are postmenopausal and ideally should not develop any functional cysts in their ovaries

The wait and watch approach

A private gynaecologist will first examine your situation. Then, depending on the condition of your ovarian cyst, the gynaecologist may opt for a wait and watch approach to treatment. In this process, the private gynaecologist will conduct regular tests, such as an ultrasound scan, to analyse the appearance, shape and size of your ovarian cysts. If the cysts become smaller gradually, then the doctor may not recommend surgery. However, if they stay the same or become larger in size, then the private gynaecologist will recommend ovarian cyst surgery.

What are the types of surgery recommended for ovarian cyst removal?

  • Laparoscopic surgery

The kind of surgery most commonly utilised for ovarian cyst removal is called Minimally Invasive Laparoscopic Surgery.

In this surgical method, the doctor creates a small incision near your navel. They insert a thin, small tube through the incision. A tiny camera is placed on the head of the tube that enters through the incision. The doctor uses this camera to take pictures of the ovary and the cyst. The head of the tube also contains miniature surgical tools which will help the doctor to remove the ovarian cysts surgically. 

Doctors usually suggest Minimally Invasive Laparoscopic Surgery to remove ovarian cyst because the recovery time post-surgery is faster in comparison to other types of surgery. Furthermore, this surgical option is less risky that doesn’t leave any visible scarring of the cuts that were done. Doctors also prefer this surgery because it enables them to preserve your ovaries while removing the cyst. 

  • Laparotomy surgery

The doctor may recommend laparotomy surgery if they suspect the cyst to be cancerous. Laparotomy surgery is slightly more invasive in comparison to laparoscopic surgery. In laparotomy surgery, a wide incision is made in the lower abdomen. This large incision provides a clear glimpse of the ovary as well as the cyst, thus, making it easier for the doctor to remove the cancerous cysts safely.

If you are experiencing any discomfort in your pelvic region or experiencing severe pelvic pain during periods, then you should consult a reputed gynaecologist immediately. Do not delay meeting a doctor, as doing so will only prolong your pain and suffering. On the other hand, early diagnosis of an ovarian cyst can lead to early treatment and faster recovery. At first, the doctor will usually recommend a treatment program that eliminates any discomfort or pain and reduces the size of the ovaries, ultimately healing them entirely. If the cyst still persists after medication, only then will the doctor opt for ovarian cyst surgery depending on the characteristics of the ovarian cyst. 

If you are noticing these symptoms and are searching for an expert private gynaecologist in London, you must visit the Well Women Clinic today.