Ovaries
Fluid-filled sacs that develop on the ovaries. Most are harmless and resolve on their own, but some need closer review.
Understanding
Ovarian cysts are extremely common, particularly in women of reproductive age. Most are simple, fluid-filled and resolve without any treatment. Many are discovered by chance during a scan done for another reason.
The plan is shaped by the cyst’s size, appearance on ultrasound and any symptoms. Mr Orabi will discuss whether a watch-and-wait approach is right, whether further imaging is needed, or whether a small keyhole operation makes sense.
Common symptoms
Pelvic pain or pressure
Bloating or fullness
Pain during intercourse
Often no symptoms at all; many cysts are found incidentally on a scan
Diagnosis
Approach
A structured workup, often within one appointment, to identify the cause and shape a clear treatment plan.
Pelvic examination
Transvaginal pelvic ultrasound
Blood tests including CA-125 where indicated
MRI scan in selected cases
Treatment
Treatment is built around your symptoms, preferences and any other conditions. Options often combine medication, hormonal treatments and where appropriate, surgery.
Observation with repeat scans for simple cysts
Hormonal treatment to prevent new cysts forming
Laparoscopic ovarian cystectomy where surgery is needed
Referral on the cancer pathway if scan features are concerning
Related procedures
Imaging
A detailed scan of the womb, ovaries and pelvic structures, performed and interpreted in clinic by Mr Orabi. Available abdominally, transvaginally, or both.
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Diagnostic & operative
Keyhole investigation of the pelvic and abdominal organs through a small camera. Used to diagnose and often treat conditions such as endometriosis, cysts and adhesions in the same operation.
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Your consultation
A first appointment is unhurried. We work through your history, your symptoms and your priorities, and where helpful arrange examination, imaging or further tests at the same visit. You leave with a clear plan and time to ask any question you bring.