Ovarian Cysts: Types, Symptoms, and When Surgery Is Needed
By Dr. Neha Singhania • 2026-06-05
Being told you have an ovarian cyst can be frightening, but the vast majority are simple, harmless and go away without any treatment. Understanding the type of cyst tells you whether you can simply watch it or whether it needs action.
What is an ovarian cyst?
An ovarian cyst is a fluid-filled sac on or in an ovary. Many form as a normal part of the monthly cycle and cause no symptoms at all — often discovered by chance on a scan.
Common types
Symptoms to notice
Many cysts are silent. When present, symptoms include:
When to worry
Most cysts are reassuring, but we look more closely when a cyst is:
How it is evaluated
Treatment
Surgery, when needed, is usually minimally invasive with a quick recovery, and every effort is made to preserve the ovary.
Found a cyst on your scan? Bring your report for a clear explanation of the type and whether it simply needs watching or removal.
Frequently Asked Questions
Do ovarian cysts go away on their own?
Yes — most functional ovarian cysts disappear on their own within 1 to 3 menstrual cycles without any treatment. A repeat scan is usually done to confirm this.
When does an ovarian cyst need surgery?
Surgery is considered when a cyst is large (usually over 5-8 cm), persistent, complex or solid on ultrasound, causing significant symptoms, suspicious, or appears after menopause.
Are ovarian cysts cancerous?
The great majority are benign, especially in younger women. Certain features on ultrasound, blood markers, and cysts after menopause prompt closer evaluation to rule out anything serious.
Can ovarian cysts affect pregnancy?
Most small cysts do not affect fertility or pregnancy. Endometriomas or large/persistent cysts may need treatment, and cysts are sometimes found and monitored during early pregnancy.
What are the warning signs of an ovarian cyst?
Sudden severe pelvic pain, fever, vomiting, dizziness or rapid breathing can mean a cyst has twisted or ruptured and needs urgent medical care.
Have questions? Talk to the doctor
Book an appointment with Dr. Neha Singhania for personalised advice.
