Whether they are benign or indicative of a more serious medical condition, ovarian cysts are not only painful but can cause fertility problems in women. From their Rodeo Drive practice in Beverly Hills, California, Drs. Peter Weiss, Rebecca Brown, Kathleen Valenton, Jennifer Chen, and Quy Nguyen at Rodeo Drive Women’s Health Center in Beverly Hills, California treat not only the physical impact of ovarian cysts but their potential emotional impact on a woman’s reproductive health.
Ovarian cysts are pouches filled with fluid or tissue that are located inside of the ovary. Common ovarian cysts are rarely malignant (cancerous) and can happen in women of any age.
Functional cysts are the most common type. They usually have no symptoms and go away on their own.As the name suggests, these can be a normal finding in most women
These cysts contain different tissue types from elsewhere in the body, usually skin or hair. In rare cases, teratomas can be cancerous.
These cysts are large, often benign tumors that grow on the outside of the ovary causing pain and affecting fertility.
These cysts require closer observation and may require surgical removal.
A variety of conditions cause ovarian cysts. Women with polycystic ovarian syndrome (PCOS) tend to develop cysts when ovulation is disrupted in the body. Endometriomas are cysts that happen in women with endometriosis, a condition where tissue that normally lines the uterus grows outside of the uterus. The goal of the evaluation of any patient with an adnexal mass or ovarian cyst is to determine the cause or source of that mass or cyst.
Most women who experience ovarian cysts will never experience symptoms, and the cysts will be resolved on their own within six to eight weeks after their development. Thus in many situations, follow-up appointments with your doctor and ultrasounds are necessary. In every case, the key to treatment of ovarian cysts relies on the successful diagnosis of the cyst type.
Some cysts will be discovered during your routine pelvic exam. Others will be examined if you experience pelvic pain during sex or menstruation.
Large cysts, such as cystadenomas, cause a condition called ovarian torsion where the ovary is twisted causing pain on one side of the abdomen that comes and goes or starts suddenly. An ovarian torsion is considered an urgent condition that usually requires rapid diagnosis and surgical treatment.
Any ovarian cyst can rupture. This is called a ruptured ovarian cyst or a hemorrhagic cyst. A very typical presentation of a ruptured ovarian cyst is sudden onset of abdominal pain that is usually mid-menstrual cycle and can immediately follow sexual intercourse. Sometimes immediate surgical intervention is required if there is a concern for heavy internal bleeding from a ruptured ovarian cyst. In the majority of cases, a ruptured ovarian cyst can just be managed with observation and follow-up with your doctor. Evaluation normally includes a pelvic ultrasound.
The management of an ovarian cyst depends on our evaluation of that cyst and your symptomatology. Ultrasound examinations and blood tests can give your OB/GYN an idea of the type of ovarian cyst, and a treatment plan can then be developed.
Your OB/GYN may also use hormonal therapy or other treatments to regulate hormone levels, treating both the cysts and other symptoms of hormonal imbalance. Many benign appearing cysts are managed with close surveillance alone which includes serial pelvic ultrasounds.
Some ovarian cysts require surgery to remove the cyst to alleviate symptoms and determine whether it is cancerous or not.
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"Dr Rebecca Brown is just great. Knowledgeable, friendly, listens and takes notes and answers questions."
"...As far as Rodeo Drive Health Center, I have been going there for well over 4 years and love the place as it is all women and you feel very comfortable."
"Dr. Valenton is awesome! If it weren't for her, I probably would have ended up with a c-section. Nothing wrong with a c-section, but she respected my desire..."
"I've been with Dr. Brown since 2008 and cannot say enough good things about her. She takes her time and listens and REMEMBERS many things about you! I LOVE that..."
"In short, Dr. Brown is fantastic; she's knowledgeable, professional, and extremely friendly. You can be assured that she will take good care of your needs."
"Dr. Brown is phenomenal! I ❤her with all my heart! She delivered my 2 daughters, has the greatest bedside manner, and always makes time for you!"
"I love Dr Valenton she's so easy to talk to always makes me feel very comfortable and she's very understanding."
"I instantly knew Dr. Valenton would be my new go to OBGYN when delivering my second baby (19 years after my first born) after our initial appointment."
"Professional with a wonderful bedside manner. Not only is she intelligent, she is extremely personable."
"The first time I met her, she made me feel at ease and made me feel like we've known each other for a while. It takes a special doctor to have great bedside manner."
"His caring nature, calm attitude, and professionalism immediately made me feel comfortable when I first met him."
"Dr. Nguyen went above and beyond during the consultation and the exam, but what really stood out was how well he explained everything thoroughly and had the patience..."
"...We called Dr. Nguyen's office and he was able to see us right away! He performed a thorough ultrasound and was able to reassure us that everything was fine."
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