Ovarian Cyst Recurrence: Concerns and Insights - Obstetrics and Gynecology

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Ovarian cyst recurrence


Hello Doctor: In March of this year, an ultrasound revealed a 10 cm cyst on my left ovary and a 4 cm cyst on my right ovary.
At the end of April, I underwent laparoscopic surgery to remove part of the left ovary.
However, during my follow-up appointment in August, the cyst on the left ovary had grown back to 8 cm.
The doctor has recommended surgery to completely remove the left ovary.
I am very concerned about the rapid growth of the cyst and worried that it might recur shortly after surgery.
Do you have similar cases with patients? I would appreciate any advice, as both my family and I are very worried.
Thank you, Doctor!

Claire, 20~29 year old female. Ask Date: 2015/09/04

Dr. Lin Wenbin reply Obstetrics and Gynecology


Reoperation is indeed necessary, but it is not always required to completely remove the ovaries.
Such cases are not uncommon; if the laparoscopic examination does not suggest a malignant tumor, a partial biopsy may be sufficient.

Reply Date: 2015/09/04

More Info


Understanding ovarian cysts, particularly in the context of recurrence, can be a source of significant concern for many patients. Ovarian cysts are fluid-filled sacs that can develop on the ovaries, and while many are benign and resolve on their own, some can cause complications or require surgical intervention. Your situation, involving the recurrence of a large ovarian cyst after surgical removal, raises several important points to consider.

Firstly, it’s essential to understand that ovarian cysts can recur, especially if the underlying causes are not addressed. In your case, the rapid growth of the cysts post-surgery is understandably alarming. Cysts can develop due to hormonal imbalances, endometriosis, or other underlying conditions. If the cysts are functional (related to the menstrual cycle), they may resolve on their own, but if they are pathological (like dermoid cysts or endometriomas), they may require more aggressive treatment.

The fact that your left ovarian cyst grew from 10 cm to 8 cm in a relatively short period suggests that it may not be a simple functional cyst. The recommendation for surgical removal of the left ovary indicates that your healthcare provider is taking a proactive approach to prevent further complications, such as pain, rupture, or potential malignancy. It’s important to discuss with your doctor the nature of the cysts—whether they are benign or have any concerning features that could indicate a higher risk of recurrence or malignancy.

Regarding your concerns about recurrence after surgery, it is indeed possible for new cysts to form on the remaining ovary or even on the same side if any ovarian tissue remains. However, the rate of recurrence can vary widely among individuals. Some patients may experience frequent recurrences, while others may not have any issues after surgical intervention. Your doctor may monitor your condition with regular ultrasounds to keep track of any new cysts that may develop.

In terms of management, there are several strategies that may help reduce the risk of recurrence. Hormonal therapies, such as birth control pills, can help regulate your menstrual cycle and may reduce the formation of new cysts. Additionally, lifestyle factors such as maintaining a healthy weight, managing stress, and ensuring a balanced diet can also play a role in hormonal balance and overall reproductive health.

It’s also crucial to maintain open communication with your healthcare provider. If you have concerns about the speed of cyst growth or the possibility of recurrence, don’t hesitate to express these worries. Your doctor can provide reassurance, share similar case experiences, and discuss the potential next steps, including further imaging or alternative treatments.

Lastly, emotional support is vital during this time. It’s normal to feel anxious about health issues, especially those involving reproductive organs. Consider seeking support from friends, family, or even support groups for individuals dealing with similar health concerns.
In summary, while the recurrence of ovarian cysts can be concerning, understanding the nature of these cysts, maintaining regular follow-ups, and discussing management options with your healthcare provider can help you navigate this situation more effectively. Your health and well-being are paramount, and proactive management is key to addressing your concerns.

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