Ovarian cysts are very common. They’re usually a sign of ovulation and have no symptoms. In some cases, they can point to an underlying condition and may need to be removed.

The ovaries are part of the female reproductive system. There are two ovaries, located in the lower abdomen on both sides of the uterus. The ovaries produce eggs and the hormones estrogen and progesterone.

Ovarian cysts are fluid-filled sacs that can form on one or both ovaries. They are common, with at least 20% of women developing at least one pelvic cyst in their lifetime.

Most ovarian cysts are benign (noncancerous) and do not need to be removed.

This article examines the different types of ovarian cysts, what causes them, when they need treatment, how they can be prevented, and more.

A note about sex and gender

You’ll notice the language used to share stats and other data points is pretty binary, fluctuating between the use of “male” and “female” or “men” and “women.” While we typically avoid language like this, specificity is key when reporting on research participants and clinical findings.

We rely on publicly accessible research that isn’t behind a paywall. Unless otherwise noted, it’s unclear whether the studies and surveys referenced in this article included participants with expansive gender identities.

There are various ovarian cysts, such as dermoid cysts and endometriomas (also called chocolate cysts).

However, the most common type is fluid-filled cysts that form during the menstrual cycle. These are follicular cysts and corpus luteum cysts.

Follicular cysts

During the menstrual cycle, an egg grows in a follicle sac. This sac is located inside the ovaries.

In most cases, the follicle breaks open and releases an egg. If the follicle doesn’t break open, the fluid inside the follicle can form a cyst on the ovary.

Corpus luteum cysts

The corpus luteum is a benign structure that appears in an ovary after an egg is released. Its job is to release hormones needed for pregnancy. However, it will break down after a few days unless a pregnancy starts.

In some cases, it may not dissolve. Instead, additional fluid develops inside it, resulting in a cyst.

Other types

Ovarian cysts that aren’t formed as part of a typical menstrual cycle include:

  • Dermoid cysts: These sac-like growths on the ovaries can contain hair, fat, and other tissue.
  • Endometriomas: Tissues that normally grow inside the uterus can develop outside the uterus and attach to the ovaries. These are also colloquially called chocolate cysts and may affect people with severe endometriosis.
  • Cystadenomas: These growths can develop on the outer surface of the ovaries.

Some people develop a condition called polycystic ovary syndrome (PCOS), in which the ovaries form many small cysts. PCOS can cause the ovaries to enlarge. If left untreated, polycystic ovaries can result in infertility.

Oftentimes, ovarian cysts don’t cause any symptoms. However, symptoms can appear if the cyst grows. Symptoms may include:

How do you know if an ovarian cyst has burst?

Severe symptoms can indicate an ovarian torsion or a ruptured cyst. These include:

Both complications are rare, but can have serious consequences if not treated early.

A doctor may detect an ovarian cyst during a routine pelvic exam. They may notice swelling on one of your ovaries and order an ultrasound to confirm the presence of a cyst.

An ultrasound is an imaging test that uses high-frequency sound waves to produce an image of your internal organs. Ultrasound tests help determine the size, location, shape, and composition (solid or fluid-filled) of a cyst.

Other imaging tools that may be used to diagnose ovarian cysts include:

  • CT scan: A CT scan uses a body imaging device to create cross-sectional images of internal organs.
  • MRI: An MRI uses magnetic fields to produce in-depth images of internal organs.

Because most cysts disappear after a few weeks or months, the doctor may not immediately recommend a treatment plan.

Instead, they may repeat the ultrasound test in a few weeks or months to check your condition. In certain cases, no further monitoring will be needed, especially if you previously had a follicular cyst or corpus luteum cyst.

If your condition does not improve or the cyst increases in size, the doctor may request additional tests to determine other causes of your symptoms.

These may include a pregnancy test or hormone level tests. The hormone level test helps check for hormone-related issues, such as having too much estrogen or progesterone.

Most ovarian cysts are benign and naturally go away on their own without treatment. These cysts cause little, if any, symptoms. Home remedies like heat therapy can help ease any symptoms you do have.

That said, if treatment is necessary, the kind of treatment will depend on the type of cyst. Some larger cysts, endometromas, or cancerous cysts usually need to be removed surgically.

Options for surgery include:

  • Laparoscopy: A doctor performs a laparoscopy by making several tiny incisions near your navel and inserting a small instrument into your abdomen to remove the cyst.
  • Laparotomy: In this procedure, a doctor can surgically remove the cyst through a large incision in your abdomen. This is known as laparotomy. They can then do a biopsy if they are concerned about cancer.

In rare instances, a doctor may detect a cancerous cystic ovarian mass during a routine examination.

Ovarian torsion is another rare complication of ovarian cysts. It occurs when a large cyst causes an ovary to twist or move from its original position. Blood supply to the ovary is cut off. If not treated, ovarian torsion can cause damage or death to the ovarian tissue.

Ruptured cysts rarely cause intense pain and internal bleeding. This complication increases your risk of an infection and can be life threatening if left untreated.

If you have recurring ovarian cysts, a doctor can prescribe oral contraceptives to stop ovulation and prevent the development of new cysts.

Oral contraceptives can also help reduce your risk of ovarian cancer. The risk of ovarian cancer is higher in postmenopausal females.

In addition, in a study on rats, researchers found that combining supplements of the antioxidant resveratrol and the diabetes medication metformin may help support healthy weight and hormone levels, as well as an optimized follicular cell structure within the ovaries. This may help prevent cyst formation.

Routine gynecologic examinations can also help a doctor detect ovarian cysts early.

Alert a doctor to symptoms that may indicate a problem, such as:

Benign ovarian cysts rarely become cancerous. However, symptoms of ovarian cancer can mimic symptoms of an ovarian cyst. For this reason, it’s important to visit a doctor and receive a diagnosis.

The outlook for premenopausal people with ovarian cysts is good. Most cysts disappear within a few months. However, premenopausal people and people with hormone imbalances such as PCOS can also experience recurring ovarian cysts.

If left untreated, some cysts can decrease fertility. This depends on the type of cyst.

Ovulatory cysts indicate regular menstrual cycles, but endometriomas suggest endometriosis, which can harm fertility. Dermoid cysts can cause pain and make sexual intercourse more painful, affecting conception.

To improve fertility, a doctor can remove or shrink the cyst. However, laparoscopic removal of some types of cysts could also negatively impact your fertility.

A “wait and see” approach may be appropriate for ovarian cysts depending on cyst size and type.

A doctor may recommend surgery to remove and examine any cyst or growth that develops on the ovaries after menopause. This is because the chance of developing a cancerous cyst or ovarian cancer increases after menopause.

However, it’s worth noting that ovarian cysts don’t increase the chance of getting ovarian cancer.