Complex Ovarian Cyst – Are They Harmful Or Not?

The differences between cysts can be dramatic such as a complex ovarian cyst which are less common and more bothersome. This type has both the solid and liquid components.

There are three types of these kinds of cysts; these are-

(1) Dermoid cysts when there are tissues of the teeth, skin and hair in the ovary. They usually cause no symptoms and they are often small and undetected. When at some point they grow and become large it can cause a rupture and bleeding which is a medical emergency

(2) Endometrioma is another type of complex ovarian cyst. The uterine cells grow outside the uterus. This cyst usually attaches to the ovary and grows over time during menstrual cycles. Pain is the most subjective symptom of this kind of cyst. The woman experiences pain during and after menstruation, pain during intercourse and even pain upon voiding and bowel movements

(3) and another type that affects the ovarian tissue is the Cystadenomas.

A complex Ovarian cyst often causes pain and the signs and symptoms can obviously be observed as the size increases and these symptoms are usually the same as those of endometriosis and ectopic pregnancy. The pain usually radiates from the pelvis to the buttocks and thighs. To diagnose or to rule out these cysts, the physician will perform an ultrasound, a manual pelvic examination and transvaginal ultrasound.

Blood test such as CA 125 is done to test for cancer and endometrioma. CA 125 (Cancer antigen 125) is a tumor marker. These are found in a large amount of cancer cells in the body. In relation to an ovarian cyst, CA 125 has greater concentration than any other cells. The normal value for CA 125 is 35 U/ml. What does the results mean? With this type of cyst, if the result of CA 125 is elevated this means that there is tumor recurrence while on the other hand, if the result is decreased it means that the therapy which includes chemotherapy has been effective.

If the cyst is found to be the complex type, it must be further evaluated by the physician. To be able to know if the cyst is not cancerous, the physician will order a series of tests. They would take into consideration the patient’s age and symptoms before making their final diagnosis.