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Cysts Formed in the Ovary After Pregnancy, Will the Ovary be Removed?

Is it mandatory to remove Ovary for the Ovarian Cyst after Pregnancy?

Every woman’s reproductive health journey is unique, with its own sets of challenges and decisions. A particularly distressing yet common ailment is ovarian cysts. Today, we’ll delve deep into understanding ovarian cysts, their implications, and the nuanced approach towards their management. We had received a query from a 30 year old patient who was diagnosed with ovarian cyst post cesarean operation. Let’s break down this case and understand the possible treatment alternatives of this condition with her example.

What Exactly is an Ovarian Cyst?

An ovarian cyst is, in essence, a sac filled with fluid. This sac can develop either on the ovary’s surface or within its inner layers. Think of it as a small balloon filled with water, attached to or inside the ovary.

Now, many women might encounter such cysts, particularly during their reproductive years – that window of life where menstruation and ovulation occur regularly. Here are some crucial points to consider:

Nature of the Cyst

The majority of ovarian cysts are benign, which means they aren’t cancerous. They might develop, exist for a while, and then diminish on their own.


Interestingly, many ovarian cysts go unnoticed. They often remain asymptomatic, quietly residing without causing any overt signs. However, as these cysts grow in size, they can start causing discomfort or pain, thereby drawing medical attention.

A Patient’s Perspective: The Challenge of a Growing Cyst After Childbirth

For the 30-year-old woman in question, her medical journey offers unique insights. Here’s a closer look at her experience:

Initial Concerns: Having undergone a cesarean section earlier, this patient’s recurrent abdominal pain warranted a thorough medical assessment. A cesarean section, being a surgical procedure, can have post-operative complications or residual issues. Thus, her discomfort couldn’t be ignored.

The Diagnostic Revelation: Medical evaluations, particularly the sonography, highlighted the presence of an ovarian cyst. Initially measured at 2.5 – 2.8 cm, this cyst was not alarmingly large. However, subsequent observations revealed a growth trend, with the cyst eventually expanding to 3.5 cm. Such an increase in size within a short span raises valid concerns and underscores the need for meticulous monitoring and management.

Evaluating the Size and Need for Surgical Intervention

The size of an ovarian cyst plays a pivotal role in dictating its management. In the context of the patient’s cyst:

Cyst Size: With dimensions ranging from 2.9 cm to 3.5 cm, the cyst falls into the category of a ‘small cyst.’ Typically, cysts under 5 cm are closely monitored rather than immediately intervened upon.

Pain Management: Persistent pain can be indicative of cyst complications, such as torsion or rupture. However, if the pain remains manageable with standard anti-inflammatory medications, the pressing need for surgical intervention is often deferred.

Medical Management: The Role of Mala-N

Mala-N is a progesterone-containing tablet. Progesterone is instrumental in regulating menstrual cycles and can influence cystic developments in ovaries. Mala-N may aid in reducing the size of certain cysts or preventing their growth. But not every cyst will respond to hormonal treatments. If there’s no decrease in size or if the cyst continues to grow despite treatment, alternative approaches could be a good option.

Surgical Approaches: Preservation Over Removal

The immediate suggestion of removing an ovary due to a growing cyst is drastic. The ovary, beyond being a site for potential cysts, plays a vital role in hormonal balance and reproductive capacities.

Laparoscopic Ovarian Cystectomy: A minimally invasive surgical procedure, laparoscopy involves small incisions and specialized instruments to remove the cyst while preserving the ovary. This approach ensures the cyst’s effective removal while safeguarding the patient’s fertility and hormonal function.

Final Thoughts: Tailored Approach Over One-Size-Fits-All

Every woman’s body reacts differently. The growth rate of a cyst, its associated symptoms, and overall impact on health require a personalized strategy. Rather than rushing into drastic measures like ovary removal, it’s imperative to exhaust conservative measures first. Continual monitoring, combined with medical management and the judicious use of surgery, can ensure the best outcomes for women grappling with ovarian cysts.

If you still have any further questions related to the ovarian cyst, we are here to help. Do not hesitate to connect with us. Our experts will help you tackle these issues.


It’s easy to spiral into a web of anxiety when faced with health Concerns. But remember, the medical realm has advanced leaps and bounds, and with the right guidance, most conditions are manageable, if not entirely treatable.

If you find yourself resonating with any symptoms or concerns mentioned, always Consult with a Medical Professional. Equip yourself with knowledge, ask questions, and remember you’re not alone on this journey.If you have any doubts, do not hesitate reaching out. Our experts are here to help.


    About Author

    Dr. Nilesh is a renowned Cancer surgeon/consultant practicing at SSO Hospital, Infinity Media Surge Hospital, and Navkaar Cancer Clinic Mumbai and he is also a visiting consultant at various hospitals in Mumbai, Thane, Dombivali, Kalyan, Navi Mumbai, etc. With over 10+ years of experience, he is highly trained and specialized in performing GI & Gynae cancer surgery procedures from the simplest to the most complicated surgeries.