Friday, September 26, 2008

What Are Complex Ovarian Cysts?

By Jay Taylor


The chances that a woman will end up having a ovarian cyst during their lifetime is actually quite common and is generally no cause for concern. Complex ovarian cysts are a different story as they occur less often and can sometimes cause serious health problems. They are called complex ovarian cysts due to their makeup, usually containing both solid and liquid portions, having more substance then simple ovarian cysts and come in three different types: endometrioma, cystadenomas and dermoid.

The ova, cells that form human eggs, can develop a form of complex ovarian cyst called a "dermoid cyst." Dermoid cysts can contain hair, teeth, and/or skin; this is because they have the potential to become any kind of tissue in a human since they are "non-differentiated cells." While they are usually non-cancerous, dermoid cysts can become very large and result in pain by causing the ovaries to become twisted.

Some women with endometriosis can develop a form of complex ovarian cyst known as endometrioma. The effect of such a cyst is a growth of uterine cells outside of the uterus which usually clings to an ovary and grows over the course of several menstrual cycles. Endometrioma can grow in size to that comparable with a grapefruit. They may be caused in part by genetics. Symptoms include pain before and after menstruating, pain during intercourse, fatigue, pain upon voiding, pain with bowel movements, and menstrual periods that are irregular.

Cystadenomas fall within the category of the complex ovarian cyst. They can cause intense pain if they become tangled in the ovary. There are two different types of Cystadenomas. A serous cystadenoma is generally somewhere between 2 to 6 inches in diameter and is filled with a thin liquid. A mucinous cystadenoma, on the other hand, is filled with a gluey, thick gelatinous liquid. The size of a mucinous cystadenoma can be anywhere from 6 to 12 inches in diameter.

Complex ovarian cysts may also manifest symptoms that mimic those of pregnancy: tender breasts, nausea and vomiting. If one experiences severe pain in the abdomen or pelvis, medical attention should be sought. Endometriosis or ectopic pregnancies can produce painful and noticeable symptoms similar to those of complex ovarian cysts. The symptoms are differentiated through pelvic pain, pain before or after menstrual periods, and pain during intercourse. They might also experience the absence of menstrual periods or unusual bleeding patterns.

A diagnosis of ovarian cysts is typically reached after a pelvic examination is conducted. Doctors will frequently confirm such a diagnosis with a pelvic ultrasound. Pregnancy or other factors should be ruled out beforehand. Once you have received a confirmed diagnosis of a complex ovarian cyst, you should contact your physician whenever you experience severe pain in either the abdomen or in the pelvis.

A woman's age and symptoms are sometimes considered in making a diagnosis of complex ovarian cysts. Although not all ovarian cysts are cancerous, complex ovarian cysts must be tested to rule out cancer and to determine an appropriate course of treatment.

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