Myth- Cysts in Ovaries are cancerous & cause various health problems
Fact – Not necessarily. They are nothing but fluid filled sacs which arise from ovaries. Majority of the times they don’t pose any health problems .They may be detected accidentally during a routine ultrasound of the pelvis. Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months. Very small percentage are cancerous.
Myth- Ovarian cysts always cause abdominal pain, menstrual irregularities or painful cycles
Fact – Many occasions they are asymptomatic .If they are large they may cause abdominal distension, abdominal discomfort & fullness after eating, pain during intercourse. Only when they undergo complications like torsion, bleeding into the cyst or infection in the cysts may cause severe acute lower abdominal pain, nausea, vomiting, giddiness etc.
Only Polycystic ovaries with hormonal imbalance may cause menstrual irregularities & not all the ovarian cysts. Endometriotic cysts are the most important cause of painful cycles .The pain can be there before, during & after menstrual cycles.
Myth - Cysts are seen only in older age groups.
Fact – They are seen in all age groups from a day old new-born child till 80s. In older age group whenever its detected it’s very important to rule out cancer. It’s important to do imaging studies like MRI & blood tests such as tumour marker profile which give us some information whether they are cancerous are not .
Myth - All Ovarian cysts cause Infertility
Fact - Not true. Only severe Endometriotic cysts, Poly cystic ovaries with hormonal imbalance & very large cysts by preventing egg release may cause infertility. But they are all treatable causes & result in pregnancy after treatment.
Myth – All cysts require surgery
Fact – Not at all. Small functional cysts less than 5 cm disappear on their own without any treatment .Only persistent cysts, large cysts with pressure symptoms, large endometriotic cysts causing infertility, huge borderline tumours, and suspicious cysts need to be treated.
Myth – Large cysts need to be removed by bigger cuts
Fact – Not required at all .Cysts as big as 20 -25 cm can be removed by keyhole surgery by small cuts. Key hole or Laparoscopic or Minimally Invasive Surgery is a boon to the patient where even football sized cysts can be removed by pen sized cuts .As there is very less pain & minimal handling of the internal organs during the operation patient can go back home & get back to the routine as early as 24 hours .Gone are the days where they do conventional open surgeries for ovarian cysts. Only suspicious masses or cancerous tumours need to be removed by open surgery.
Myth- Large cysts are incompletely removed by Laparoscopic surgery
Fact – As there is 3-4 times magnification in Laparoscopic surgery, there is very good precision & perfection in Laparoscopic surgeries in detecting the pathology compared to the open surgery. The entire cyst is placed inside a bag & removed safely without any spillage .In addition it has so many advantages like small cuts, less pain, shorter hospital stay, significantly faster recovery time, can get back to the work at the earliest, no need of rest after the surgery etc.