Follicular ovarian cyst

Health Tips

This disease occurs in almost every woman after the onset of puberty. But don’t get scared ahead of time. As the saying goes, he who is forewarned is forearmed.

Symptoms of the formation of a follicular cyst:

  • a feeling of fullness or heaviness in the groin, left or right;
  • pain during fast walking, running, in case of a sharp change in body position (somersault, turn, tilt), other physical exertion, sexual intercourse;
  • usually these sensations occur in the second half of the menstrual cycle (after 14 days);
  • in the second phase of the menstrual cycle basal body temperature below 36.8 ° C (in the period after 14 days from the onset of menstruation);
  • intermenstrual bleeding in the period from 14 to 18 days from the onset of menstruation. Sometimes it resembles menstruation, lasts for 3-12 days and lasts until the expected date of its onset.

Clinical picture of the disease

The results of ultrasound examination show the follicular cyst as a rounded single-chamber formation filled with homogeneous contents and having thin walls. Most often, this benign formation occurs in women of childbearing age.

With a diameter of up to five centimeters, follicular cysts, as a rule, do not have pronounced symptoms and practically do not manifest themselves. However, if such a small cyst is hormonally active, then it is quite possible to increase the overall level of estrogen and, as a result, disrupt the menstruation cycle, which is expressed in uterine bleeding in mature women or premature sexual development in girls of nine to eleven years old.

A follicular ovarian cyst occurs if it does not occur ovulation (exit from the follicle of the egg). In most cases, it grows up to five to six centimeters in diameter, sometimes its size can reach eight centimeters. In these cases, twisting of the cyst stem may occur, which can lead to impaired blood circulation in the ovary and subsequent necrosis, and in a particularly severe case, even to rupture of the cyst.

In this case, the woman has sharp severe pain on the side of the ovary where the cyst was. Statistics show that today every fourth woman has experienced such pain during ovulation at least once. In most cases, a woman does not experience any other symptoms, except for pain in the ovarian region. They almost always disappear after a certain time without treatment.

In difficult cases, mandatory monitoring of the diseased ovary by a doctor with the help of ultrasound is required, and, in the absence of signs of improvement, the appointment of treatment.

In most cases, the follicular cyst, which does not exceed eight centimeters in diameter, undergoes a reverse development in a month, which is completed by the end of the second month. However, during its formation and development, it is strongly recommended to conduct dynamic monitoring using ultrasound – to take the necessary measures in case of unusual development of the cyst.

For the “resorption” of the follicular cyst during the normal course of its development, doctors recommend taking oral contraceptives during two to three menstrual cycles.

In cases where the size of the follicular cyst exceeds eight centimeters, the cyst is exfoliated with suturing of its wall or a resection (removal of part) of the ovary is performed. As a result of torsion of the cyst leg, blood circulation in the ovary may be disturbed, and this leads to its removal. Such operations are performed using laparoscopy, without resorting to a cavity incision.

Complications with a follicular cyst

Torsion of the cyst peduncle
It can occur with a sharp change in body position (during training, sexual intercourse or during a fall, etc.) Partial and complete torsion (from 360° to 720°) of the cyst leg is possible for any of its sizes. In this case, the neurovascular bundle of the ovary is twisted or compressed.


  • sharp colicky pain in the groin or lower abdomen,
  • dizziness,
  • weakness,
  • nausea,
  • vomit,
  • cold sweat,
  • drop in blood pressure,
  • feeling of fear,
  • a slight increase in body temperature,
  • tachycardia – rapid heartbeat,
  • stop bowel movements
  • with a forced position on the side or at rest, the pain does not subside.

Rcyst rupture


  • piercing (dagger) pain in the groin,
  • nausea and vomiting,
  • weakness,
  • cold sweat,
  • dizziness,
  • fainting state,
  • but at the same time usually normal body temperature.

internal bleeding

Perhaps with a rupture of the follicular cyst near the vessel.

Symptoms may vary:

  • feelings of lethargy, weakness,
  • drowsiness,
  • lethargy,
  • shock,
  • pallor of mucous membranes and skin,
  • tachycardia,
  • hypotension.

Prevention of ovarian cysts

  1. Be calm and joyful;
  2. Maintain the hormonal background with homeopathic and / or phytotherapeutic agents;
  3. Accept vitamins, eat fruits and vegetables, drink freshly squeezed juices;
  4. Exercise regularly, jump rope a couple of times a day for 5-7 minutes;
  5. Refuse hot baths with a water temperature of 38 ° C;
  6. Do not sunbathe in the open sun and in the solarium.


Usually, follicular cysts do not require treatment. Only a small part of them last longer than 8-12 weeks. Regularly, every six months, visit a trusted gynecologist, follow preventive recommendations and be healthy!

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