When people see an ultrasound report suggesting an ovarian cyst, many can’t help but worry: are they growing a tumor? Others don’t pay enough attention to it and don’t come to the hospital until it grows very large. What is an ovarian cyst? Physiologic cysts that disappear Ovarian cysts are not a single disease; they are diagnosed by ultrasound (the result of ultrasound observation). Most ovarian cysts are physiologic. The ovaries change during the menstrual cycle and develop some larger cystic structures (follicles, follicles or corpus luteum, etc.). If a woman happens to go for an ultrasound at this time, she may see a 2-6cm cyst without any physical discomfort. Such a physiologic cyst usually does not require special treatment and will disappear naturally after two or three menstrual cycles, unless an acute event such as torsion or bleeding occurs, which requires immediate treatment. Therefore, your doctor will usually recommend that you have another ultrasound examination after your menstrual cycle has cleared, to keep a close eye on any changes in the cyst. Perhaps, you will be pleasantly surprised to find the cyst gone during the second review! Worst Ovarian Cysts Pathological Ovarian Cysts Ovarian cysts can also be pathological, such as chocolate cysts, teratomas or even ovarian malignant tumors, etc. Different diseases have different characteristics, so this article won’t expand on them in detail. However, it is important to remember that all these diseases need to be treated in a timely manner. Here we need to focus on ovarian malignant tumors, this is a kind of disease that mostly occurs in women over 50 years old, the mortality rate of female malignant tumors in the first place, due to the early symptoms are not obvious, about 70% of women diagnosed with the tumor has been in the late stage. U.S. authorities have issued five high-risk groups of ovarian cancer: 1) women over 50 years old; 2) women who are infertile or infertile and have a history of endometriosis; 3) people who have been taking estrogen alone for more than 10 years; 4) people with mutations in breast cancer susceptibility genes; and 5) people with a family history of ovarian tumors or malignant neoplasms. These high-risk groups need to pay attention to gynecological examination to detect ovarian cancer. In fact, ordinary women should also undergo routine medical checkups every year. As for doctors, further treatment of pathologic ovarian cysts needs to take into account the size of the cysts, the patient’s age, symptoms, as well as other laboratory tests, the level of hospital medical care, etc., to make a final decision on the treatment. Ovarian cysts and infertility Folklore has it that women with ovarian cysts are sexually impure, and that fiancées withdraw from marriage on the grounds that the other woman has ovarian cysts and cannot get pregnant, and so on, but these are all the grievances of ovarian cysts. Because ovarian cysts include many types, it is wrong to generalize that ovarian cysts will lead to decreased fertility, but some types of cysts do affect ovarian ovulation, disrupt the pelvic anatomy, and affect the immune status of the body, thus causing infertility. Combined infertility with endometriosis is relatively common, and the exact mechanism is unknown. Despite the fact that endometriosis impairs fertility, it is not absolutely impossible to get pregnant. At the initial consultation, the doctor will advise the patient to try to conceive naturally, and if this is not possible, he or she can seek the help of a general gynecologist and a fertility doctor. Surgical Treatment and Fertility Pathologic ovarian cysts often require surgical treatment. For women who want to continue to have children, the doctor’s decision to operate is usually based on preserving fertility, with a preference for surgery to remove the cyst on the affected side of the ovary, preserving as much of the normal ovarian tissue as possible. However, the specifics will depend on the size and location of the patient’s cyst.