Ovarian cysts are the tiny fluid-filled sacs, present within the surface of an ovary surrounded by cells. It is a common gynecological problem, however, may cause concern for those who fret ovarian cancer.When the cysts leak some of the fluid or shows symptoms like abdominal pain, nausea and bloating, then it requires immediate medical attention. 

Symptoms-

1) The very first sign of ovarian cysts are usually pain that occurs on either side where the cyst is present.

2) Usually, this pain occurs on one side, mainly in lower abdomen or pelvic region. Mostly, the pain is sharp and focused.

3) The onset of the pain is quite sudden, however, it may be stimulated due to heavy exercise or intercourse.

4) In some cases, the pain can be felt in the upper abdomen or shoulders as the fluid stings the nerves present in the diaphragm and may be perceived as shoulder pain. 

Role of Doctor-

The treatment options are determined by considering the severity of the symptoms and the risk factors such as if the cyst is:

1) Smaller than 4cm, benign and does not pose any symptom then the doctor assists you and rescan in a period of 12 weeks.

2) Greater than 6 cm then doctor prefer to remove the cyst laparoscopically.

3) Between 4-6 cm, a repetitive ultrasounds are recommended from 4 to 6 weeks to keep a check on the size of cyst.

Laparoscopic surgery for ovarian cysts-

Generally, doctor recommends to remove the cysts with the help of either laparoscopic (keyhole) surgery (1-2 stitches) or rarely open technique, involving 8-10 stitches, specifically when there is a doubt of cancer.

Laparoscopic surgery for ovarian cysts require hospitalization for a day or two. Mostly, patient is admitted in morning and discharged in the evening after minor laparoscopic surgery. There are hardly one or two very small (5mm-10mm) scars. Ovarian Cysts should be operated by specialised Gynae endoscopic surgeons so that only cysts are removed without causing any damage to healthy ovarian tissue. Multiple ovarian cystectomies or surgeries by unexperienced surgeons can lead to marked decline in ovarian reserve, i.e. reproductive capability of ovaries. This is usually detected by low AMH leading to difficulty in future pregnancies.