Ovarian Cyst Treatment in Wakad, Pune

An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. They are incredibly common, especially during a woman's childbearing years. The most common types are 'functional cysts' (follicular or corpus luteum cysts), which form as a normal part of the menstrual cycle when an egg is released. These functional cysts are almost always benign (non-cancerous) and typically resolve on their own within a few months. Other types of cysts include dermoid cysts, endometriomas (associated with endometriosis, often called 'chocolate cysts'), and cystadenomas. While most cysts are harmless, they require proper medical evaluation to ensure they are benign and to manage any symptoms they may cause.

Many ovarian cysts cause no symptoms and are discovered incidentally during a routine pelvic exam or ultrasound. However, if a cyst becomes large, bleeds, or ruptures, it can cause significant discomfort. Common symptoms include a dull ache or sharp, sudden pain in the lower abdomen (usually on one side), a feeling of fullness or heaviness in the pelvis, bloating, and pain during intercourse. You should seek immediate medical attention if you experience sudden, severe abdominal pain accompanied by fever or vomiting, as this may indicate a ruptured cyst or ovarian torsion (twisting of the ovary), which is a medical emergency.

Accurate diagnosis is key to avoiding unnecessary anxiety and surgery. Dr. Kalekar relies primarily on high-resolution transvaginal ultrasound to evaluate the size, shape, location, and composition (fluid-filled, solid, or mixed) of the cyst. Simple, clear fluid-filled cysts in menstruating women are usually functional and simply monitored with a follow-up ultrasound in a few weeks (watchful waiting). We may also perform blood tests, such as CA-125, particularly if the cyst appears complex or if the patient is post-menopausal, to help differentiate between benign and potentially malignant masses.

Treatment is highly individualized based on your age, symptoms, the ultrasound appearance of the cyst, and your fertility goals. For recurrent functional cysts, hormonal contraceptives (birth control pills) may be prescribed to prevent new cysts from forming. If surgery is required—due to large size, persistent pain, suspicion of endometriosis (endometriomas), or concern for malignancy—Dr. Kalekar utilizes advanced Laparoscopic Surgery. This minimally invasive approach ensures rapid recovery, minimal scarring, and less post-operative pain.

For women of reproductive age requiring surgery, fertility preservation is our highest priority. Dr. Kalekar performs Laparoscopic Ovarian Cystectomy, a precise surgical technique where the cyst wall is carefully peeled away from the ovary, leaving the healthy ovarian tissue intact. This requires advanced laparoscopic skills, particularly for complex cysts like endometriomas, where preserving the delicate ovarian reserve (egg supply) is critical. We ensure that every surgical decision is made collaboratively with you, keeping your future reproductive goals at the forefront of the treatment plan.

Common queries about ovarian cysts.

• Are all cysts dangerous? No, the vast majority are functional, benign, and resolve on their own.
• What are the symptoms? Often asymptomatic, but can cause one-sided pelvic pain, bloating, or fullness.
• Is surgery always needed? Surgery is only for cysts that are large, complex, painful, persistent, or suspicious.
• How are they removed? Typically via laparoscopic surgery (cystectomy) through tiny incisions.
• Is it the same as PCOS? No. PCOS involves many tiny follicles due to hormonal imbalance; a cyst is a distinct larger sac.