What are the common symptoms of ovarian cysts?

What are the common symptoms of ovarian cysts?

Ovarian cysts have no obvious clinical manifestations in the early stages and are often discovered only during gynecological examinations when patients seek medical treatment for other diseases. Later, as the tumor grows, patients begin to feel it. The symptoms and signs vary depending on the nature, size, development, and presence or absence of secondary degeneration or complications of the tumor.

Specific symptoms include:

1. Discomfort in the lower abdomen

It is the initial symptom before the patient feels a lower abdominal mass. Due to the weight of the tumor itself and the influence of intestinal peristalsis and changes in body position, the tumor moves in the pelvic cavity, involving its pedicle and pelvic infundibulum ligament, causing the patient to have a feeling of fullness and falling in the lower abdomen or iliac fossa.

2. Increased abdominal circumference and abdominal mass

It is the most common phenomenon in the main complaint. The patient finds that his clothes or belt seem tight and small, and then notices the enlargement of the abdomen, or feels it accidentally in the morning, so he presses his abdomen and finds a tumor in the abdomen, coupled with abdominal distension and discomfort.

3. Abdominal pain

If the tumor has no complications, there is very little pain. Patients with ovarian tumors feel abdominal pain, especially when it occurs suddenly. It is mostly caused by torsion of the tumor pedicle. Occasionally, it may be caused by tumor rupture, bleeding or infection. Malignant cysts often cause abdominal pain and leg pain. The pain often causes patients to seek emergency treatment.

4. Menstrual disorders

Generally, ovarian, or even bilateral ovarian cysts, do not cause menstrual disorders because they do not destroy all normal ovarian tissues. Some uterine bleeding is not endocrine, but is caused by ovarian tumors that change the pelvic blood vessel distribution, causing endometrial congestion; or it is caused by ovarian malignant tumors directly metastasizing to the endometrium. Menstrual disorders caused by endocrine tumors are often combined with other secretory influences.

5. Compression symptoms

Huge ovarian tumors can cause dyspnea and palpitations due to compression of the diaphragm. Ovarian tumors combined with a large amount of ascites can also cause these symptoms. However, the dyspnea of ​​some ovarian tumor patients is caused by unilateral or bilateral pleural effusion, and is often combined with ascites, forming the so-called Meigs syndrome.