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An ovarian cyst is usually a fluid filled sac that is found within an ovary. An ovarian follicle which is larger that is two centimeters in size is termed as an ovarian cyst. Most ovarian cysts are typically harmless or benign, but in some cases they may be malignant. The different types of ovarian cysts are:
*
Functional ovarian cysts which are also called simple cysts; these are the normal part of menstruation and are typically not deemed as harmful and may go away without any treatment. During the process of ovulation the egg is housed in a sac until it matures and is released
. In the event that the sac does not rupture or is becomes enlarged with fluid after the egg is released a functional cyst is formed. A functional cyst usually disappears on its own after a few weeks or months. In a few cases, the cyst may become too enlarged and twist, bleed or rupture causing pain.
*
Dermoid cysts are cysts which contain growth tissues better known as cystic teratomas. When this occurs the ovarian cyst may contain developmentally mature skin that is inclusive of hair follicles, sweat glands and in cases even clumps of hair; pouches of cartilage, teeth, thyroid tissue, fat, blood, bone, nails and eyes may also be found in this type of ovarian cyst. More often than not a dermoid cyst will appear to be benign rather than malignant.
*Endometiroma is also known as an endometrioid cyst, endometrial cyst or a chocolate cyst. This type of ovarian cyst is caused by a condition called endometriosis where a small patch of endometrial tissue, which is the mucous membrane that the uterine wall is composed of; bleeds is sloughed off, is transplanted and grows inside the ovaries. There is a buildup of blood and color changes as time goes by turning brown.
Once the cyst ruptures the contents of the cyst is spread into the pelvis and surface of the bladder, bowel, uterus and other related spaces in the area.
Treatment for this type of ovarian cyst may be medical with the use of non-steroidal anti inflammatory drugs. Most commonly endometrial cysts may also be treated via surgery. In younger patients conservative surgery may be opted for to protect their fertility.
Definitive surgery may also be used.
*Cystedenomas are abnormal ovarian cysts that develop from ovarian tissue and may be enlarged with a watery liquid or gel like, mucous material. They may grow up to the size of 12 inches or more and may cause a twisting of the ovary.
*
Polycystic ovarian disease or polycystic ovarian syndrome presents itself with thickened sclerotic capsules and an abnormally large amount of follicles. The ovary may secrete higher levels of testosterone and estrogen in this case. In this case the ovary appears to be larger in size with numerous growths around it. This type of ovarian cyst is pathological and associated with tumors.
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