Symptoms of physiological ovarian cysts

Most physiological ovarian cysts have no obvious symptoms, and some may present with mild abdominal distension, menstrual cycle changes, or unilateral lower abdominal pain. Physiological ovarian cysts may be related to factors such as ovulation disorders and abnormal luteal function. They usually appear as small cysts that can resolve on their own.

1. Abdominal distension

Physiological ovarian cysts may cause abdominal distension due to slight compression of the abdominal cavity by the enlargement of the cyst, which is usually accompanied by mild discomfort but no severe pain. Luteal cysts or follicular cysts may worsen bloating during the menstrual cycle due to fluid retention caused by hormonal changes. At this time, it is recommended to apply heat to the lower abdomen, reduce high-salt diet, and observe changes in symptoms. If it persists for more than two weeks or worsens, a gynecological ultrasound examination is required.

2. Abnormal menstruation

Cysts formed by unruptured follicles may interfere with estrogen secretion, causing the menstrual cycle to advance or be delayed, and the amount of menstruation may increase or decrease slightly. This type of situation is mostly related to short-term endocrine disorders, and regular work and rest and vitamin B6 supplementation may help regulate it. If abnormal bleeding lasts for more than three cycles, endometrial lesions need to be ruled out.

3. Unilateral abdominal pain

Increased tension or slight torsion of the cyst can cause dull pain in the lower abdomen on one side. The pain is most obvious after exercise or sexual intercourse and is relieved after rest. The pain is mostly intermittent and non-radiating, which is different from the persistent pain of pathological cysts. You can use a hot water bottle to apply heat to relieve pain and avoid sudden changes in posture. Sudden severe abdominal pain requires vigilance for cyst rupture or pedicle torsion.

4. Discomfort in urination

Larger cysts may compress the bladder and cause frequent urination and urgency, but there are no symptoms of urinary tract infection such as painful urination, hematuria, etc. The amount of water you drink can remain normal, and it is not recommended to deliberately reduce it. The discomfort after urination may be temporarily relieved, and the symptoms will disappear on their own after the cyst shrinks. If accompanied by fever or painful urination, urinary tract infection must be ruled out.

5. Pelvic pressure

When the diameter of the cyst exceeds 5 cm, it may cause a feeling of pelvic distention, which is obvious when sitting or standing for a long time. This symptom is different from organic diseases such as uterine fibroids, and position adjustment can alleviate discomfort. You can perform daily Kegel exercises to strengthen your pelvic floor muscles and avoid lifting heavy objects. Ultrasound monitoring of cyst changes is sufficient and no special treatment is required.

When symptoms of suspected physiological ovarian cysts are found, it is recommended to record changes in the menstrual cycle and review gynecological ultrasound regularly. Maintaining moderate exercise such as yoga or walking can help promote pelvic blood circulation and avoid excessive dieting or overeating that affects hormone balance. Daily intake of phytoestrogen foods such as soy products and nuts can be increased, but no drug intervention is required. If the cyst does not subside within six months or symptoms such as abnormal vaginal bleeding and persistent abdominal pain occur, you should seek medical attention in time for evaluation.