- Clinical science
- Definition: fluid-filled sacs within the ovary that result from a disruption in the development of follicles or corpus luteum
- Follicular cyst: cysts lined with follicular epithelium; the most common form of ovarian cysts
- related to endometriosis
- Corpus luteum cyst: Corpus luteum cysts develop physiologically during the menstrual cycle or during pregnancy (corpus luteum graviditatis). They produce progesterone, which may delay menses.
- Clinical features: most often asymptomatic unless complications occur
Diagnosis: Pelvic ultrasound
- Smooth lining on all sides
- Single or multiple
- Hypoechoic to anechoic
- Treatment: Usually no treatment is needed, as cysts are asymptomatic (in absence of complications).
- Physical activity (e.g., when exercising)
- The primary risk factor is ovarian enlargement (e.g., pregnancy, tumors, cysts).
- Sudden onset unilateral lower abdominal pain
- Diagnosis: Pelvic ultrasound with Doppler velocimetry shows enlarged, edematous ovaries with decreased blood flow.
- Treatment: Detorsion via laparoscopic surgery is recommended for viable ovaries.
- Etiology: Physical activity (e.g., when exercising)
- Clinical features
- Diagnosis: Pelvic ultrasound shows free fluid, most commonly in the ().
- Hemodynamically stable patients can be observed and given analgesics.
- Hemodynamically unstable patients require laparoscopy to control hemorrhaging.