Although ovarian cysts may disappear naturally without treatment, ovarian cyst removal is recommended when cysts are large, solid, irregularly shaped, suspected of being cancerous, twisted, ruptured, and or causing severe pain. Development of a cancerous ovarian cyst increases with the woman’s age, thus, it is more likely to be recommended for older patients to have cysts removed immediately.

Prior to the removal of the ovarian cyst, a doctor will usually perform a physical exam on the patient. They will also conduct a review of medications, a urine test, and a blood test. They may do a CT scan and X-ray of the abdomen to confirm their diagnosis before considering ovarian cyst removal.

Either open or laparoscopic surgery will be used by the doctor to excise the cyst, depending on which kind of cyst the patient has. Open surgery is more commonly done to remove larger cysts.

In laparoscopic surgery, the surgeon makes a small incision in which to insert a thin tube called a laparoscope. The tube is used to find the cyst and from there, the surgeon is able to remove the cyst.

To excise a particularly large cyst, the physician may need to perform a surgical procedure for ovarian cyst removal using general anesthesia. The patient may suffer some discomfort after the operation. Complications such as infection and bleeding may occur as well. The patient must recognize that further cysts may develop in the future. And, while it is rare, the patient may also become infertile and/or suffer clotting.

If ovarian cancer is not detected during the surgery, it is highly unlikely that the patient will suffer any complications. Full recovery is expected within weeks after the surgery. On the other hand, if ovarian cancer is detected, then the patient may have to have one or both ovaries removed either during the surgery or in another surgery. Treatment of ovarian cancer would need to follow.

After the removal of an ovarian cyst, it is important to contact your doctor if you experience fever or chills, excessive pain or bleeding, shortness of breath, headaches, muscle aches, nausea, abdominal swelling, vomiting, or any other signs of ill health. An ovarian cyst removal, like all other surgeries, must be closely monitored post-surgery but should have no complications.