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Ovarian cysts: which need watching and which need removing

Illustration of the uterus and ovaries
Medically reviewed by

Dr. Nivedita Rao, MS, DNBSenior Consultant Gynaecologist

Last reviewed · 6 min read

Most ovarian cysts are functional — a normal part of ovulation that resolves on its own. A minority need more than observation.

Dr. Nivedita Rao

Senior Consultant Gynaecologist

MBBS, MS, DNB (Obstetrics & Gynaecology)

15 YrsFOGSI Member
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Watch or treat?

  • Simple cysts under 5cm are usually rescanned rather than removed
  • Persistent cysts beyond two or three cycles need review
  • Complex features on ultrasound prompt further assessment
  • Large cysts carry a risk of twisting and are usually removed

Important

Sudden severe one-sided pelvic pain with vomiting can indicate ovarian torsion and is an emergency.

Speak to the gynaecology team

Daycare procedures, cashless insurance, and consultations seven days a week at Gachibowli.

When should I see a doctor about ovarian cysts?
Book a consultation if symptoms persist, get worse, wake you at night, or come with bleeding, fever or unexplained weight loss. Anything that does not settle within a few weeks is worth having looked at.
Will I need surgery?
Often not. Many conditions settle with medication, physiotherapy or a change in daily habits. Surgery is discussed when simpler measures have been tried, or when the problem is structural.

Still unsure what is causing your symptoms?

A short consultation with a Lux gynaecology specialist can tell you what you are dealing with — and what, if anything, needs treating.

Gachibowli, Hyderabad · Seven days a week · Cashless insurance accepted

Sources & references

Published · Last reviewed · Next review due March 2027

This article is published for general education. It is not a diagnosis and does not replace an in-person consultation. If you are worried about a symptom, please speak to a qualified doctor.

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