Bilateral Ovarian Cysts Treatment for Nigerian Patients Explained

GetWellGo explains bilateral ovarian cysts treatment for Nigerian patients in India. Learn about diagnosis, surgery options, and affordable care.

Bilateral Ovarian Cysts Treatment for Nigerian Patients Explained

  • Category

    Gynecology

  • Published By

    GetWellGo Team

  • Updated on

    04-Jun-2025

Bilateral Ovarian Cysts Treatment

Several things help decide how to treat Bilateral Ovarian Cysts such as:

  • Type of cyst was found (functional, dermoid, endometrioma, etc.)
  • The extent or amount of cysts Preferences
  • Things you might experience (discomfort, uneven periods, etc.)
  • Age and whether a woman is currently going through menopause
  • Fertility goals
  • Risk that a tumor will develop.

How to treat bilateral ovarian cysts?

Treatment options for bilateral ovarian cysts (cysts on both ovaries) vary with their type, size, symptoms, and etiology. Here's a concise, organized presentation of how to treat them:

Ovarian cysts on both ovaries treatment:

Watchful Waiting

When the cysts are:

  • Small (<5 cm)
  • Simple (fluid-filled)
  • Asymptomatic

Treatment:

  • No urgent action required
  • Pelvic ultrasound in 6–12 weeks
  • Follow symptoms (pain, bloating, etc.)

Bilateral Ovarian cysts Medical Treatment

Hormonal Therapy

Birth control pills (COCs):

  • Prevent ovulation → Decrease new cyst formation
  • (Administered: won't shrink existing ones)

GnRH Agonists

  • For endometriomas (endometriosis-related cysts)
  • Temporarily halt ovulation → Decrease cyst size

PCOS-Associated Cysts

  • Metformin (if there is insulin resistance)
  • Weight reduction (5–10% can correct ovulation)
  • Anti-androgens (if imbalance is severe)

Bilateral Ovarian cysts Surgical Treatment

If cysts are:

  • Worsening or enlarging
  • More than 5–10 cm in size
  • Causing pain or pressure
  • Suspected to be cancerous
  • Impacting fertility

Surgery options:

  • Laparoscopy: Minimally invasive, for small/benign cysts
  • Cystectomy: Deletes only the cysts, spares ovaries
  • Oophorectomy: Removes an ovary (only when needed)
  • Laparotomy: Open surgery, for large or suspicious masses

Lifestyle & Natural Support (if non-surgical)

  • Anti-inflammatory diet (whole grains, vegetables, lean protein)
  • Avoid foods high in sugar and dairy (especially in PCOS)
  • Daily exercise
  • Stress reduction (yoga, mindfulness)

Herbal support (only after medical approval):

  • Vitex (chasteberry)
  • Maca root
  • Turmeric

Best Treatment for Bilateral Ovarian Cysts

The optimal treatment of bilateral ovarian cysts is determined by the etiology, type of cyst, presentation, and fertility desires. Here is an overview of the most appropriate treatments according to typical clinical presentations:

First: Recognize the Type of Cysts

  • Functional cysts (usual, typically resolve on their own)
  • Endometriomas (associated with endometriosis)
  • Dermoid cysts (benign, perhaps need to be removed)
  • PCOS-related cysts (small multiple cysts)
  • Complex or suspicious cysts (require intensive evaluation)

Best Treatments by Cyst Type

Functional Cysts (Simple, Fluid-Filled)

Best Treatment:

  • Watchful waiting (observe with ultrasound)
  • Birth control pills to avoid new cysts
  • Prognosis: Frequently resolve within 1–3 menstrual cycles

Endometriomas (Chocolate Cysts)

Best Treatment:

  • Laparoscopic surgery to remove cysts if symptomatic or causing infertility issues
  • GnRH agonists (e.g., leuprolide) to reduce estrogen
  • Supportive: Anti-inflammatory diet, avoid estrogen-like foods

Dermoid Cysts (Mature Cystic Teratomas)

Best Treatment:

  • Surgical removal (laparoscopic cystectomy)
  • Note: Generally do not go away without treatment

PCOS-Related Cysts

Best Treatment:

  • Lifestyle modifications: weight loss, exercise, low-GI diet
  • Metformin: enhances insulin sensitivity
  • Birth control pills: control cycles and inhibit formation of new cysts
  • Supplements: Inositol, omega-3, vitamin D (with medical guidance)

Suspicious or Large Cysts (>5–10 cm)

Ideal Treatment:

  • Surgical excision, most often by laparoscopy
  • Oophorectomy (ovary removal) only in suspected malignancy or cyst too large

Bilateral Ovarian Cysts Symptoms and Treatment

Most women have no symptoms, particularly if the cysts are small. If symptoms do arise, they can include:

Common Symptoms:

  • Pelvic pain (ongoing or with periods/sex)
  • Bloating or fullness in the abdomen
  • Irregular periods
  • Painful bowel movements or urination
  • Back or thigh pain
  • Nausea or breast tenderness
  • Inability to conceive (particularly in PCOS or endometriosis)

Emergency Symptoms (Get help right away):

  • Severe, sudden pelvic pain
  • Fever and nausea
  • Rapid breathing or lightheadedness (possible ovarian torsion or cyst rupture)

Surgery for Bilateral Ovarian Cysts

If you have bilateral ovarian cysts (both ovaries), surgery might be necessary based on the type, size, symptoms, and risk of cancer.

When Is Surgery Advised?

Surgery is recommended if:

  • Large cysts (>5–10 cm)
  • Persistent or increasing after 2–3 cycles
  • Painful or with pressure symptoms
  • Complex/solid or suspicious on imaging
  • Affecting fertility or with irregular bleeding
  • Risk of cancer (particularly postmenopausal)

Types of Ovarian Cyst Surgeries

  • Cystectomy: Removes only the cyst(s), leaves ovaries intact
  • Oophorectomy: Excises one or both ovaries (unilateral/bilateral)
  • Salpingo-oophorectomy: Excises ovary + fallopian tube (on one or both sides)
  • Laparoscopy: Minimal invasion; small incisions, rapid recovery
  • Laparotomy: Open procedure (for very large/suspicious cysts or suspected cancer)

Surgical Approach Dependent on Cyst Type

Functional or Simple Cysts

  • Typically laparoscopic cystectomy
  • Often only performed if large or persistent

Endometriomas (Chocolate Cysts)

  • Preferred laparoscopic removal
  • Cautionary excision to preserve normal ovarian tissue

Dermoid Cysts (Mature Teratomas)

  • Need surgical removal to prevent rupture or torsion
  • Cystectomy preferred in young women

Complex or Suspicious Cysts

  • If there is suspicion of malignancy → laparotomy + biopsy
  • CA-125 blood test can be performed pre-op

Bilateral Ovarian Cysts Causes and Treatment

Bilateral ovarian cysts refer to cysts occurring on both ovaries. Treatment depends on the cause, so knowing the origin of the cysts is crucial for the right treatment.

Causes of Bilateral Ovarian Cysts:

Hormonal Imbalance (Functional Cysts)

  • Most common in women of childbearing age
  • Result of normal ovulation activities (follicular or corpus luteum cysts)

Polycystic Ovary Syndrome (PCOS)

  • Multiple small cysts on both ovaries
  • Resulting from insulin resistance and hormonal imbalance (high androgens)

Endometriosis (Endometriomas)

  • Tissue resembling uterine lining develops on ovaries, creating "chocolate cysts"

Benign Tumors (e.g., Dermoid Cysts)

  • Congenital (arise from germ cells)
  • May be present on both ovaries

Infections (Tubo-ovarian Abscesses)

  • Complication of pelvic inflammatory disease (PID)
  • May be present on both ovaries

Cancer (Uncommon)

  • In postmenopausal women, bilateral complex cysts can be a cause for concern

Top Hospitals for Bilateral Ovarian Treatment

Best Doctors for Bilateral Ovarian Treatment

Why Choose GetWellGo for Bilateral Ovarian Cyst Treatment?

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for bilateral ovarian cyst treatment.
  • Expert gynaecologist/gynae oncologist with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food


 

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