Complicated Ovarian Cyst: What To Do When You Have A Complex Ovarian Cyst

There are many different types of ovarian cysts. Some are harmless and go away on their own, others are more serious and require the attention of a physician. A complicated ovarian cyst is a cyst that should be addressed as soon as possible as it has the potential of becoming problematic. A complicated ovarian cyst is known among specialists as a complex ovarian cyst.

A complex or complicated ovarian cyst is a sac that is filled with both fluids and solids and is more likely to be cancerous than a simple functional cyst. Still, 85% of all complex cysts are benign so if you have been diagnosed with one, take it seriously, but don't panic.

There are different types of complex cysts and the type will have an influence on the degree and type of pain you experience and the treatment recommended. A Dermoid Ovarian Cyst is one type of complicated cyst and it is formed from the cells that actually form the egg and therefore the cyst can contain sweat glands, nails, teeth and hair. They can become extremely painful.

Endometriomas are another type of complicated ovarian cyst that is often associated with Endometriosis. Cells from the uterine lining attach to the ovary and form a cyst. Cystadeonmas are the third type of complex cysts and they are the largest of all cysts. It is the size and weight of these cysts that cause the biggest problem, not the danger of malignancy.

It has not been completely determined what causes a complicated ovarian cyst to develop. Some women have a predisposition to developing cysts. Other times neglecting an existing cyst can lead to more serious problems. There also seems to be a correlation between obesity, a lowered immune system, insulin intolerance and other medical problems to the development of cysts. Lifestyle can have an impact as well.

If you are experiencing extreme pain and discomfort in your lower abdomen on one side have it checked out by a medical practitioner. There are a variety of conditions with similar symptoms so it is necessary to have it properly diagnosed. Other symptoms of functional cysts and complicated ovarian cysts include bloating and pressure in the abdomen, nausea, vomiting, breast tenderness, lower back pain and pain that radiates down one leg. Periods may be heavy and irregular.

If you have been formerly diagnosed with a complex or complicated ovarian cyst follow the advice of your physician. But, taking a holistic approach to your treatment can be beneficial as well. Boosting your immune system with a vitamin and mineral supplement and using herbal remedies to eliminate toxins in your body may help your body function more efficiently and will benefit the healing process.
Evaluate your diet and weight. A correlation has been discovered between excess body weight and ovarian cysts. Keeping hormone levels in balance seems to have a positive influence on the resolution of ovarian cysts of all types. Diet and stress both have a big impact on hormone levels.

To treat a complicated ovarian cyst using holistic methods in addition to medical treatments may include eliminating caffeine, sugar, processed foods and other unhealthy foods and replacement them with fresh fruit and vegetables, whole grains, nuts, legumes, and lean protein. Reduce stress by making life style changes, adding exercise and meditation and you will be doing what you can do to help heal your body.


19 comments to Complicated Ovarian Cyst: What To Do When You Have A Complex Ovarian Cyst

  • LS's wife  says:

    Help needed w/ transvaginal u/s results. TTC?
    PLEASE ONLY POST SERIOUS ANSWERS. ANSWERS FROM MEDICAL PROFESSIONALS IS GREATLY APPRECIATED!! THANKS!!!
    I was able to talk the nurse into faxing the results of my u/s to me and it had scared me. I almost had to leave work because I was so emotional but I was able to tough it out. Here’s what the report reads:
    Radiology Report – Transvaginal Ultrasound
    Findings: The uterus is unremarkable in appearance and it measures approx. 7.2cm in sagittal legnth. The endometrial stripe measures 9mm. A subendometrial cyst approx. 3mm in size is visualized. Nabothian cyst incidentally noted in the region of the cervix.
    The right ovary has a complex appearance and is enlarged measuring approx. 5.2×3.2×2.6cm. It contains complex cystic lesion approx. 3.7×2.1×2.3 cm and contains small follicle. No free fluid is present in the cul-de-sac
    Impression: Right adnexa is enlarged and has a complex appearance. This may be related to a hemorrhagic cyst but repeated transvagainal ultrasound is recommended

    • lawsona  says:

      From reading the result you have a 3mm cyst in the endometrial layer, this inner layer of the uterus. You have a cyst near the cervix and it appears that you have a cyst on your right ovary. Adnexa is the ovary. Fibroids might be the cause of the cyst in the uterus. As for the ovaries it could be fibroid tissue or an ovarian cyst. I am an RN who happens to teach Reproductive disorders.

  • LS's wife  says:

    Tansvaginal u/s results: Subendometrial cyst, nabothian cyst, complex cystic lesion, enlarged ovary – HELP!!!!
    PLEASE ONLY POST SERIOUS ANSWERS. ANSWERS FROM MEDICAL PROFESSIONALS IS GREATLY APPRECIATED!! THANKS!!!
    I was able to talk the nurse into faxing the results of my u/s to me and it had scared me. I almost had to leave work because I was so emotional but I was able to tough it out. Here’s what the report reads:
    Radiology Report – Transvaginal Ultrasound
    Findings: The uterus is unremarkable in appearance and it measures approx. 7.2cm in sagittal legnth. The endometrial stripe measures 9mm. A subendometrial cyst approx. 3mm in size is visualized. Nabothian cyst incidentally noted in the region of the cervix.
    The right ovary has a complex appearance and is enlarged measuring approx. 5.2×3.2×2.6cm. It contains complex cystic lesion approx. 3.7×2.1×2.3 cm and contains small follicle. No free fluid is present in the cul-de-sac
    Impression: Right adnexa is enlarged and has a complex appearance. This may be related to a hemorrhagic cyst but repeated transvagainal ultrasound is recommended

    • *~mama mari~*  says:

      You have alot going on. First a off it would look to me as though you have a cyst inside on the wall of your uterus. A cyst on your cervix is common (I’ve had one) and will usually go away on it’s own. The measurements of your ovary suggest a cyst as well. When it says “small follicle”, that is the beginning of an egg. This means you are ready to ovulate. I have also gotten a cyst on my ovary. It is common to get one when you ovulate. These can pop on their own but sometimes require surgery to drain the cyst if it gets to big. The right adnexa is refering to your ovary and tube on the right side. They are also concerned about a possible cyst or ruptured cyst in this area. The reason they are asking for a repeat u/s is most likely to verify that the cysts are shrinking on their own and to make sure no others develop. Hope I helped.

  • suGAr  says:

    nabothian cyst!!!!!!!!!!!!!!!!!!!!!!!!!!!!!?
    uterus is unenlarged,anteverted with normal myometrial echopattern.its measures about 4.1x 4.0×3.ocm.the endometrial is thickend ans echogenic measuring 11.9cm.Nabothian cysts are seen

    right vary-notvisulaized
    left ovary-2.0×1.6cm
    the left is within normal size with few follicles seen.a cyst is seen in the right adnexa measuring 2.9×2.3cm
    no ascites notes

    can someone tell me what is this all about plsssssssssssssssss
    tnxx

  • Anonymous  says:

    nabothian cysts and Enlarge Uterus?
    I had a period for a month so I went to the doctor. My doctor put me on the pill and ordered and ultra sound. My ultra sound came back with enlarged Uterus and My endometrial stripe was really thick and I had multiple Nabothian cysts. So I had to have another ultra sound to see how my Stripe was doing, well the 2nd ultra sound the Stripe was Normal size, which is good. but my uterus is still enlarged and I have those nabothian cysts, they want me to come back in three months to have another ultra sound. My friend had Nabothian cysts and she said her doctor removed them, when do they remove them any why? its like what can I do about the enlarged uterus?

  • rischianne  says:

    anteverted uterus with thin endometrium?
    Me and my husband are working miles apart. we get to see each other during holiday(s) or if i am not busy at work. i got pregnant last November 2007 for 6 weeks only. my job requires me to be in the field 90% of my time. when me and my colleagues went to this ethnic community, i didn’t know i was pregnant. my menstrual period varies from time to time, ranges from 29-38 days. after that long walk to the ethnic community, i felt pain in my stomach that i couldn’t move for a while. i thought, i was just supposed to have my period because i have dysmenorrhea that’s why i didn’t pay attention to it. after a week, my husband convinced me to test if i was pregnant. wow, i got two stripes but the color was quite pale. so, i went to this obgyne but she said that it was too early to tell. she asked me to come back after 2weeks.she even prescribed me to buy pain relievers. so, i decided to go to this private obgyne. she confirmed that i was pregnant. after a week, i had a miscarriage on November 2007, which the obgyne said normal for 1st pregnancy. i got married last dec 2006.

    i had an ultrasound with the diagnosis normal-sized anteverted uterus with thin endometrium, and normal both ovaries. the adnexae: right ovary is (2.57×1.99×1.42 cm) posterolateral while the left ovary is lateral (2.28×1.89×1.50 cm). with no abnormalities noted, no nabothian cyst, no fluid in the cul de sac. what do these mean?

    further, my husband doesn’t want to undergo semen analysis because he said that he got me pregnant, although, it was unsuccessful. he also said that the problem maybe, is me because of my dysmenorrhea since i was 12. is this really a problem for me not getting pregnant again?

    we both have no infertility problems in our families. but up to now, we still don’t have a child. i’m only 27 and my husband is 30.

    pls. i need answers.

    thank you and god bless…

    • kuppkake  says:

      all those test results you described are normal…you just had a miscarriage, which is quite common, just like they told you

      this shouldn’t affect future preganancies, your ultrasound showed everything normal

  • Lucy S  says:

    ultrasound said i have a thick uterus?
    i had a ultrsound done and i went to my doctor today but couldent not explain to me what the resuts mean i had a ultrsound to see if i was pregnant or had a misscrage this is exacly what my ultrsound says in the letter the uterus is retroverted and deviated to the left . it appears a little bulky mesuring 8.0×5.1×4.2cm but the myometrium appears normal. Endometrium is thick but of normal apperences and messures 13.8mm in maximal thickness. There is a nabothian cyst 9mm in diameter in the cervical region. There is a small amount of free fluid noted in the right side of the pelvis

    i had a period on the 10th then again on march 15th i havent had one this month yet..it feels like my period is there but i keep checking nothing is there i have been peeing alot the past couple of days though and no i havent been drinking alot
    yeh update even though i just wrote this i actually got my period well i think itss a period very light bleeding though last month i was bleeding light only for 2 days

  • jenstarcutie  says:

    what my pelvic internal ultrasound results mean?
    Just wondering if anyone can give me a better idea of what my Pelvic Ultrasound results read to be, its gonna be a while before i can get to see my GP, however i have the results here in front of me, it reads – The Uterus is of normal size and is anteverted in position. A2mm Cystic space is seen within the posterior myometrium, This is of doubtful significance. A 6mm nabothian cyst is shown in the cervix.
    The endomentrium measures 2mms and is even throughout,right ovary volume is 5.4ccs and 20 follicles are shown measuring under 9mms, Left ovary is 4.2mms in volume and shows 15 follicles measuring under 8mms.
    CONCLUSION :Possible PCO. The tiny cystic space in the myometrium is of doubtful significance.
    Im hoping i dont have fertility probs and my hubby and i would like to TTC thankyou for help that anybody can provide :)

  • Yvonne Bobs  says:

    Should I sue a dr. for leaving a chunk of uterus inside of me? (Part 2)?
    (Part 2) . I chose not to continue my 2nd round of the lupron depot shot and contacted my gastro Dr. again who recommended to a color/rectal surgeon specialist. After examination & consultation with the new surgeon he determined that an exploratory laparotomy surgery was advisable & recommended me to another ob-gyn to perform the surgery with him. The surgery concluded that a large amount of the uterus that was supposedly removed in 2006 was yet intact in my womb which had developed & intertwined with scar tissue, my cervix & my intestines. The surgery revealed acute & chronic cervicitis, multiple nabothian cysts & endocervical tubal metoplasia, dense intra-abdominal adhesions, dense adhesions of the posterior vaginal wall & uterus to the anterior rectum & colon which was the cause of my problems. As a result of the (2) prior laparoscopic surgeries, an incisional hernia repair was also performed. Both surgeons describe the (5) hour surgery as tedious, difficult, evasive & extensive. (2) weeks post-op I was still suffering with constant pressure & difficulty breathing. When having my staples removed the surgeon noticed an infection & discovered that at some point in time after surgery I developed an hematoma which left me with a gaping open wound that had to be packed daily at my home by a certified nurse for (3) weeks. My ob-gyn prescribed Estradiol for me but it caused shortness of breath in me. I was prescribed sleeping pills to be able to sleep. I am scarred to try anything else & my insurance doesn’t cover bio-identical hormones which I can’t afford now that I my income has been reduced. Due to severe pain in my rectum & cervix, a recent post-op visit revealed that I have now developed (Pelvic Levator Muscle Spasms) in which I was given a prescription of muscle relaxants to manage. If all of these events are not considered true pain & suffering then I don’t know what is. Now 2 & ½ months after my last surgery, I am left with no female organs, mood swings, hot flashes, pain, nausea, constipation, sleepless nights & severely depressed. I have to ask myself am I ever going to be well again, will I ever be able to go back to work with this fear of wondering will I get so sick that I’ll get fired again or lead a normal life. Due to the severity of all these surgeries from a chunk of uterus being left in me for (4) years, will I develop scar tissue so severely that I will have to go back under the knife again? Will I ever feel normal again?????? Someone needs to be held accountable for this!!!

  • Eijei  says:

    anteverted uterus with thin endometrium?
    since i was 11 yrs old i have this irregular menstruation period. sometimes it takes 6-7 months before my period comes but it only last for a week. but now, i feel a little unwell because im experiencing now a prolonged menstruation now 20 days and counting. earlier i went to a ob-gyne sonosologist she performed transrectal (since i still have period) and transabdominal and diagnose normal-sized anteverted uterus with thin endometrium, and normal both ovaries. the adnexae: right ovary lateral abnormalities to uterus(3.05×2.15×2.62cm) dominant follicle left ovary lateral abnormalities to uterus (3.39×2.24×2.44cm) dominant follicle no nabothian cyst, no fluid in the cul de sac. what do these mean?

    remarks:
    normal sized anteverted uterus
    thin edometrium
    seemingly normal ovaries

    can you please help me understand my situation now. do i have health problems regarding this?

    • april  says:

      It means you don’t have cancer

  • Speed M.  says:

    Is it possible to have in between periods while taking contraceptive pills (11 pills) for the first time?
    I am 35 years old. My menstrual period became irregular since August, 2009. I missed last August, which I expected to come on the 22nd, but it came only on September 12. Spotting only from September 12 to 14 then became heavy on Sept. 15 to 19. It lasted until Sept. 22. I was worried, so I got an transvaginal ultrasound. The result were: 0.7 endometrium; normal size anteverted uterus w/ myoma uteri (size about 1 cm only, so small my ob said); nabothian cysts; no adnexal mass; clear cul de sac; no ovary pathology detected). My ob-gyne’s finding was hormonal imbalance. She gave me vitamin e 400 iu. I got my period again on October 12, but very light (like spotting only) till Oct. 20. On Oct. 21 to 22 with little blood clots, it was a little heavier, then spotting again from the 23rd to 27th. On the 28th to November 2, was heavier with many blood clots coming out. My blood pressure goes down to 90/60. I was so worried so I went to see my doctor again. She said it was really hormonal imbalance. So she gave me contraceptive pills (I never took it before) which will i take for 3 months to balance the hormones, and iberet-folic 500, aside from vitamin e. I have been taking the pills for 12 days now. While taking the pills, I had light-brown discharge (on and off). On the 11th pill, I bleed (with little blood clots). Now, it’s gone again. I was so worried, really don’t know what to do. Please help me.

    • Maravilla  says:

      It takes your body up to 3 months to get used to new birth control pills (even when switching). It is highly common to see spotting in-between periods. If after 3 months you are still having issues you might want to see if another pill would be better for you. (Each woman interacts differently with every pill!)

      Also, see if you can get tested for pre-menopause. Sounds like that may be the cause of all of this.

  • shimmer  says:

    Still at a loss as to what’s wrong with me. Please Help!!!!?
    Urine culture read: “Results suggest gross contamination/inappropriate handling. Repeat 10000 CFU per ml Streptococcus agalactiae (Group B). CDC recommends pregnant women w/group B Streptococcus bacteriuria receive intrapartum chemoprophylaxis.” PCP never discussed pregnancy. B/W shows low blood count. PCP says urine & bloodwork are fine. Wk later each time I’d urine/wipe, brownish/yellowish/light pinkish mucous. Then bled heavy w/severe cramps (doubled over), very dark brownish/red blood w/heavy clots, vomit/lightheaded. PCP says ultrasound normal. Shows retroverted (tipped) uterus, nabothian cysts in cervix, endometrial stripe, fluid in right adnexa & cul-de-sac. Unclear what any of this means. Tech performed test on an empty bladder. Had 2 test, one was to be NPOx6h and then I was to fill-up with liquids wait 1hr, then have pelvic U/S. Tech said I didn’t need to fill-up, even had me empty my bladder during the pelvic U/S. I always thought the bladder was to be full for pelvic U/S.
    Please note: I haven’t seen GYN. A brief history: At the onset of this, I gained 10 lbs in 3 days, then another 10 within 2 weeks, but my weight is still within normal limits and I am not overweight. The initial weight gain started to drop, but my stomach is still swollen. I’ve never had a small stomach, even when I was in a size 1. My stomach has been “saggy-like’ with a pouch since I had my first child. Even when I have gained weight and was overweight, it still had that “saggy-like” look to it. Now it has a “round/full like” look to it. I look about 5-6 months pregnant. Even if I were pregnant, it would only be 6 weeks or less. I’m still experiencing lower abdominal cramping with some back cramping, spotting, nausea, vomiting lightheadedness and sensitivity to smell. At first I thought it was my gallbladder, but I have no gallstones, although I do experience gallbladder attacks. Could it be something I am missing?

    • amosunknown  says:

      It sounds like your urine test was negative due to contamination, for the thing they were testing for. However, they did find that you are positive for strep, meaning you need an antibiotic at birth, or else for the baby after birth.

      Low blood count probably means platlets, which means you’re anemic and need more iron.

      The tests after the bleeding indicate that you have blood trapped in the uterus around the sac, and you are bleeding due to that, and not loss of pregnancy.

      You need a full bladder for an external US, not an internal pelvic, they are looking around the bladder from inside, not through.

      You need to call your PCP’s office and get the straight word from them, or else go to the office and ask a nurse to explain things to you.

  • shimmer  says:

    Still at a loss as to what’s wrong with me. Please Help!!!!?
    Urine culture read: “Results suggest gross contamination/inappropriate handling. Repeat 10000 CFU per ml Streptococcus agalactiae (Group B). CDC recommends pregnant women w/group B Streptococcus bacteriuria receive intrapartum chemoprophylaxis.” PCP never discussed pregnancy. B/W shows low blood count. PCP says urine & bloodwork are fine. Wk later each time I’d urine/wipe, brownish/yellowish/light pinkish mucous. Then bled heavy w/severe cramps (doubled over), very dark brownish/red blood w/heavy clots, vomit/lightheaded. PCP says ultrasound normal. Shows retroverted (tipped) uterus, nabothian cysts in cervix, endometrial stripe, fluid in right adnexa & cul-de-sac. Unclear what any of this means. Tech performed test on an empty bladder. Had 2 test, one was to be NPOx6h and then I was to fill-up with liquids wait 1hr, then have pelvic U/S. Tech said I didn’t need to fill-up, even had me empty my bladder during the pelvic U/S. I always thought the bladder was to be full for pelvic U/S.
    Please note: I haven’t seen GYN. A brief history: At the onset of this, I gained 10 lbs in 3 days, then another 10 within 2 weeks, but my weight is still within normal limits and I am not overweight. The initial weight gain started to drop, but my stomach is still swollen. I’ve never had a small stomach, even when I was in a size 1. My stomach has been “saggy-like’ with a pouch since I had my first child. Even when I have gained weight and was overweight, it still had that “saggy-like” look to it. Now it has a “round/full like” look to it. I look about 5-6 months pregnant. Even if I were pregnant, it would only be 6 weeks or less. I’m still experiencing lower abdominal cramping with some back cramping, spotting, nausea, vomiting lightheadedness and sensitivity to smell. At first I thought it was my gallbladder, but I have no gallstones, although I do experience gallbladder attacks. Could it be something I am missing?

    • auntie_dodo  says:

      I think it’s time to see a Gyn, and let them do some different testing and such. The fluid in the cul-de-sac and adnexal area sounds like you might have had some cysts rupture. Whether or not it was a “normal” functional cyst, or an endometrioma (blood filled) cyst or not is something that would have to be determined by someone else. (Gyn, Dr, u/s tech) Good luck finding out what is going on!!

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