What Are Complex Ovarian Cysts?

by Jay Taylor

Many women experience ovarian cysts. They usually do not need to be treated because they are usually harmless. However, complex ovarian cysts are less common and more cause for concern. Complex ovarian cysts are different than simple ones in that they can consist of both solid and liquid matter. The three common types of complex ovarian cysts are dermoid cysts, endometiomas, and cystdenomas.

The cells that produce human eggs, otherwise know as ova can begin to form what is known as a dermoid cyst. The cells within the ova are the basic building blocks of every type of tissue that grows within the human body. This is why hair, skin and even teeth tissue can be found within dermoid cysts. While generally no cause for concern due to their low chance of becoming cancerous they can still be very painful as they grow, possibly twisting the ovaries.

Endometriosis can become a culprit in the growth of another type of complex ovarian cyst, Endometrioma. Uterian cells begin to grow on the outside of the uterus and attach to an ovary, producing a growth after a woman has gone through many menstrual cycles. Generally Endometrial cysts can continue to grow, sometimes becoming as large as grapefruit. Some information suggests that Endometriosis is actually partly due to genetics. Common symptoms include pain during urination and bowel movements, irregular menstrual cycles, fatigue, pain before and after menstrual cycles and during intercourse.

Cystadenomas fall within the category of the complex ovarian cyst. They can cause intense pain if they become tangled in the ovary. There are two different types of Cystadenomas. A serous cystadenoma is generally somewhere between 2 to 6 inches in diameter and is filled with a thin liquid. A mucinous cystadenoma, on the other hand, is filled with a gluey, thick gelatinous liquid. The size of a mucinous cystadenoma can be anywhere from 6 to 12 inches in diameter.

Complex ovarian cysts may also manifest symptoms that mimic those of pregnancy: tender breasts, nausea and vomiting. If one experiences severe pain in the abdomen or pelvis, medical attention should be sought. Endometriosis or ectopic pregnancies can produce painful and noticeable symptoms similar to those of complex ovarian cysts. The symptoms are differentiated through pelvic pain, pain before or after menstrual periods, and pain during intercourse. They might also experience the absence of menstrual periods or unusual bleeding patterns.

As a general rule, ovarian cysts can usually be diagnosed with a manual pelvic exam by your doctor. Once they have a basic idea of what they are looking for, doctors will ask for a pelvic ultrasound to be preformed to better understand the situation and double check their findings. Pregnancy tests are also common tests to be preformed due to many of the same symptoms of pregnancy and ovarian cysts being similar. Once a diagnosis of complex ovarian cysts has been made it is very important that any time you experience severe pain in the pelvic or abdominal area you contact your doctor right away.

A woman’s age and symptoms are sometimes considered in making a diagnosis of complex ovarian cysts. Although not all ovarian cysts are cancerous, complex ovarian cysts must be tested to rule out cancer and to determine an appropriate course of treatment.

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