Healthy Living

Tuesday, December 15, 2009

Myth of the Month: Ovarian Cysts are Always Dangerous

Doctors--even yours truly--can be lazy. I don't mean in how many hours they work (which is a lot) or how hard they work to treat patients (which is really hard). I mean that even the best of us can occasionally not really listen to a patient's complaints, or sometimes talk to a patient without thinking about how she may interpret what we're saying. My most recent reminder of this tendency came today, when G. came to my office with a diagnosis from another doc that scared her. G. was seen in a clinic because she had a sudden onset of pelvic pain. The doctor told her that the pain was likely due to an ovarian cyst, and she should just take Advil. G. saw me, upset that she has a cyst and is now worried about cancer.

So many women get diagnosed with an ovarian cyst, and naturally think it's a serious medical problem. But ovaries make cysts for a living--each month your ovary "recruits" microscopic eggs to pick a candidate for ovulation. After the best-looking egg of the bunch is released, a cyst is left behind (kind of like a big pimple on your ovary). The cyst will eventually be absorbed, but may linger for a while, and even get bigger before it gets smaller.

Why do I think this doc was lazy? It's almost impossible to diagnose a cyst without an ultrasound (which G. didn't have), and in general, cysts don't hurt unless they've ruptured. If her doc had talked to her at length, he may have discovered that her pain was due to constipation (which I think it was) and treated her without terrifying her.

If a doctor says that you have an ovarian cyst, please remember:
  • Most cysts are considered "functional"--completely normal
  • Your doc may want you to have a follow-up visit, but you may not need one
  • Most cysts will resolve on their own--no medication or surgery required
Don't let our carelessness make you lose sleep. Have any of you been diagnosed with a cyst?


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From the Community…

Comments 1-2 of 2
  • Mona's Avatar
    Posted by Mona Tue May 20, 2008 1:12pm PDT

    I was diagnosed with large ovarian cysts 2 1/2 years ago. I am wondering if this can cause vaginal odor. I douche but it is still there. Any idea?

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  • hairgirl's Avatar
    Posted by hairgirl Sun Aug 17, 2008 8:43am PDT

    Hi Dr Kate,

    On 1-12-04 I had a my uturis removed i had a very large cyst that my doctor claimed was the cause to my 4 miscarrages the dr left my ovaries and said they were pretty and pink then about 2 weeks later i was in the most HORRID HORRID pain ever went to e.r. and was told that my ovary twisted if pain continued to come back well since then i have had this pain my dr said that i now have cysts on my ovarys and every 4-6 weeks my cyst and the tiny bit of tube the dr left fills up with fluid dr says, well this last time it happned my pain was so bad that i passed out my dr said OH WOW i just dont think we need to worry about this as long as you can handle the pain, {cyst rupritured] I am very worried that there may be something else going on in side of me please any answer is better than the one the dr gives me. I am now going to a new Dr. have an apt in sept Thank you.

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