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Ovarian Cysts: When to Watch, When to Treat

Most ovarian cysts are benign and resolve on their own. Some need attention.

✍️ Written and medically reviewed by Dr. Patsama Vichinsartvichai, MD, MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG, FACOG — Reproductive Medicine Specialist · Last reviewed:

Dr. Patsama Vichinsartvichai
MD, MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG, FACOG

Common types

Functional cysts (follicular and corpus luteum) usually resolve. Endometriomas, dermoids, and persistent cysts often need follow-up or treatment.

Red flags

Severe pain, rapidly enlarging mass, complex features on ultrasound, fever, or signs of torsion or rupture require urgent evaluation.

Treatment options

Observation, hormonal therapy, or surgical removal depending on type, size, and symptoms. Fertility goals are factored in.

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Dr. Patsama Vichinsartvichai

About the author

Dr. Patsama Vichinsartvichai, MD, MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG, FACOG is a board-certified reproductive endocrinology & infertility specialist, former head of the Vajira IVF unit at Navamindradhiraj University, and founder of LIFE by Dr. Pat in Bangkok. His published research focuses on the dysmorphic (T-shaped) uterus and uterine-factor infertility.

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