The ultrasound term anechoic (no echos) may be used to describe fluid, either cyst fluid or fresh blood. In either of these phases(follicular and luteal phase), larger than normal amounts of fluid collect, one can develop ovarian cysts that will cause pain or menstrual bleeding changes. A normal ovary is about 2 x 3 cm (almond sized). A follicular ovarian cyst, if the egg is not ejected and the amount of fluid continues to increase, can reach sizes of up to 10 cm. Fortunately most follicular cysts are smaller and will resolve within one to three months. If the size is large (eg greater than 8 cm) the heavy cyst can prompt the ovary to twist on itself like a heavy flower on a too fragile stalk. This twisting âovarian torsionâ causes intense pain as it cuts off the blood supply to the ovary. While follicular cysts are the most common type of ovarian cysts, torsion is uncommon. In another condition, polycystic ovaries âpolycystic ovarian syndrome/PCOSâ, the ovary will contain multiple small follicular cysts. Unlike the cysts described above, PCOS cysts will usually stay small. Yet, like other follicular cysts the egg is not ejected. This lack of ovulations contributes to the fertility problems seen in PCOS. If excessive amounts of fluid collect, a corpus luteum cyst can also get large enough to cause pain or very rarely, ovarian torsion. Occasionally, this type of cyst will have a small blood vessel which continues to bleed into a corpus luteum cyst. This is called a âhemorrhagic ovarian cystâ. A cyst of this type can either leak small amounts of blood, or it can rupture, spilling blood into the abdomen. This hemorrhagic ovarian cyst can be linked to prolonged pain, and merits closer follow up. The treatment is by waiting and watching, in certain conditions oral contraceptive pills help, but unless there's immense pain and continuous symptomatic discomfort only will any intervention be required as they've shown to heal on their own. These following steps can help normalize periods and help in reducing the cysts:
- Avoid fatty, oily, fried and junk food
- Exercise regularly (30-45 mins per day)
- Destress yourself with practices such as yoga/meditation
- Maintain a healthy body and diet (Maintain a healthy weight as per your BMI)
- Have vegetable juices
- Include corn, beets, lettuce, drumsticks, and pumpkin seeds in your daily diet
- Avoid smoking and alcohol if you have the habit
Next Steps
Follow the steps as advised
Health Tips
If condition persists or worsens visit the gynecologist at the earliest