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Ovarian cyst - Functional Cysts, Pathological cysts

blood pain ovary polycystic

Graafian Follicle Cyst

(Also known as a dentigerous cyst)

This is the most commonly occuring type of ovarian cyst and can form when ovulation is missed. When ovulation doesn’t occur, the follicle does not rupture which means an egg is not released. Because the egg is not released, it grows and becomes a cyst. This type of cyst can also form when a mature follicle collapses on itself. Usually formed during ovulation, a cyst can grow to over two inches in diameter. The cyst is thinly walled, lined by layers of granulosa cell and filled with clear fluid. When it ruptures, it can create sharp pain on the side of the ovary where it is located. The severe pain usually occurs during ovulation. Twenty-five percent of women with this particular type of cyst experience pain. Under normal circumstances, these cysts have no symptoms and go away on their own within months. Ultrasound is often used when a follicular cyst is suspected. Pelvic examination may also help in the diagnosis if the cyst is large enough to be observed.

Hemorrhagic Cyst
(Also known as a blood cyst, hematocele or hematocyst)

Another type of functional cyst is the hemorrhagic cyst which occurs when a blood vessel in the wall of the cyst ruptures, allowing blood to enter the cyst. Abdominal pain is often present, usually located on the right side of the abdomen. The bleeding covers the ovary which causes pain. As blood is collected inside the ovary, clots are formed and can be seen with the aid of a sonogram. Once in a while, hemorrhagic cysts rupture, causing blood to enter the abdomen. No blood is expelled from the vagina. While most hemorrhagic cysts will eventually go away, some need to be surgically removed.

Endometrioid cyst

(Also known as an endometrioma, endometrioid cyst, endometrial cyst, or chocolate cyst)

An endometrioid cyst results from the disease endometriosis. It forms when a small amount of endometrial tissue (making up the uterine wall) bleeds, rubs off, transplants itself, or grows over the ovaries. Blood builds up over months or even years and turns brown. After it ruptures, adhesions occur and may cause pelvic pain. It can cause chronic pelvic pain as associated with menstruation and affects women during their reproductive years.

Pathological cysts

Pathological cysts, like the ones found in polycystic ovary syndrome, are associated with tumors. A polycystic ovary is diagnosed as such based on its abnormally large size and prevalence of cysts. It is found in women with endocrine disorders, but also occurs in women without them. An ultrasound is used in the diagnosis of a pathological cyst. Polycystic-appearing ovary is not the same as polycystic ovarian syndrome. Polycystic ovarain syndrome involves cardiovascular and metabolic complications. It is also associated with abnormal bleeding, miscarriage, infertility, and high blood pressure. Pathological cysts can increase your risk for certain types of cancer.

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