Ovarian cysts are often discovered during a routine pelvic examination or an imaging test. Some cause symptoms, while others are found incidentally when a person is being evaluated for another reason.
Pelvic examination
A healthcare professional may detect swelling, tenderness, or an enlarged ovary during a pelvic examination. A pelvic exam alone usually cannot determine the exact type of cyst.
Ultrasound
Ultrasound is commonly used to evaluate an ovarian cyst. It can help show:
- the size of the cyst
- its location
- whether it appears fluid-filled, solid, or mixed
- whether it has changed over time
Additional testing
Depending on the situation, additional tests may sometimes be recommended. These can include pregnancy testing, blood tests, or repeat imaging.
The need for additional testing depends on factors such as age, symptoms, cyst size, ultrasound appearance, and whether the cyst changes over time.
Monitoring
Many functional ovarian cysts resolve without treatment. A healthcare professional may recommend repeating an ultrasound after a period of time to monitor the cyst.
When further evaluation may be needed
Further evaluation may be recommended when a cyst:
- is large
- continues to grow
- causes persistent symptoms
- appears unusual on imaging
- occurs after menopause
Sources
American College of Obstetricians and Gynecologists — Ovarian Cysts
MedlinePlus — Ovarian Cysts
Mayo Clinic — Ovarian Cysts: Diagnosis and Treatment
Medical disclaimer: This website provides general educational information and is not a substitute for professional medical advice, diagnosis, or treatment. Contact a qualified healthcare professional with questions about symptoms or treatment.
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