Hemorrhagic Ovarian Cysts — Complex Ovarian Cysts
An ovarian cyst comprises a collection of fluid in a thin-walled pouch or sac. When the ovarian cyst releases blood from the fluid-filled pouch, it is termed as hemorrhagic ovarian cyst. Complex ovarian cyst are cysts comprising irregular components and can even be cancerous, which is why they are more dangerous than hemorrhagic cysts.
Ovarian cysts are fluid-filled sacs that are surrounded by thin walls, found on or inside the ovaries. The cyst may also contain gaseous or semi-solid substances. Ovarian cysts occur in women of any age and are most common in women during their childbearing years. However, about 95% ovarian cysts are benign and harmless.
Ovarian cysts occur normally during the female menstrual cycle. Every month the follicle containing the ova ruptures to release the egg. However, at times the follicle grows abnormally large and fails to rupture, thereby resulting in the formation of a cyst. Moreover, the corpus luteum can also fill with fluid and form a cyst.
Often these cysts occur, regress, remain undetected and disappear within one or two menstrual cycles, even before women are aware of them. Generally, these cysts do not require treatment. However, if the doctor feels that the indication of the presence of endometriosis exists, then surgery has to be undergone. There are different types of ovarian cysts of which we will have a look at hemorrhagic ovarian cysts and complex ovarian cysts.
Hemorrhagic Ovarian Cysts
Of the different types of ovarian cysts, the hemorrhagic ovarian cyst, also known as the blood cyst. hematocysts or hematoceles is a common one. The walls of ovarian cysts are lined with blood vessels, which when rupture fill the cyst with blood. Further, if the cyst ruptures, the blood gushes out of the cyst into the ovary. They contain and release blood, which is why they are called blood cysts. They usually do not burst, however, they do leak blood and result in searing pain throughout the pelvic region.
The woman with hemorrhagic cysts may experience irregular periods, lower pelvic pain and even pain during intercourse. If the cyst grows abnormally large or bursts, the pain will increase substantially. The doctor may ask for a sonography or MRI to be carried out, after which he or she will take further action. Usually doctors prescribe birth control pills to control hemorrhagic cysts. If the pain persists, the doctor may suggest cyst removal.
What is a Complex Ovarian Cyst?
These ovarian cysts are sac or pouch-like growths on the ovaries, filled with either a solid or liquid substance, or both. The cyst may have irregular components and ultrasound may even reveal hair strands. Sometimes, a complex ovarian septa may also be present, causing internal walls within the cyst itself. If the complex ovarian cyst is composed of solid substance, then it is likely to be called a tumor. It may be a fibroma, granulosa cell tumor or Brenner tumor. Complex cysts are rarely found and are more dangerous. as compared to hemorrhagic ovarian cysts. Their name ‘complex’, itself implies that they are more complicated than the other types. They can be cancerous and even fatal, if not treated.
Pinpointing the exact cause of complex ovarian cyst is not possible. It is still a mystery as to why some people experience the less dangerous cysts and others: the complex type. Some of the probable causes of hemorrhagicovarian cysts are:
- Ovarian cancer
- Hormonal imbalances
- Metastatic cancer
- Genetic Predisposition
- Early menarche
They are developed from ovarian tissue and may grow to a size of 12 inches, or more in diameter. Since this cyst becomes large, the patient’s ovary gets twisted and exhibits intense pain. Symptoms of large hemorrhagicovarian cysts will be prominent, however, the symptoms: abdominal and pelvic pain are often similar to those of endometriosis and ectopic pregnancy. The pelvic pain tends to extend all the way to the thighs and abdominal region. Complex ovarian cyst patients may experience intense pain during sexual intercourse. Intense pain may also appear shortly before or after the menstruation period. Some other common symptoms are vomiting, nausea, heaviness in the abdomen and breast tenderness. People experiencing sudden abdominal pain, must seek immediate medical help.
Typically, ovarian cysts take care of themselves and leave the body during the next two to three menstrual cycles. If the cysts commonly occur, then the doctor may prescribe birth control pills. This is because birth control pills reduce the hormones promoting growth of cysts, thereby inhibiting the formation of larger cysts. There isn’t any uniform method of treating these cysts. While some can be managed by drugs, others have to be surgically removed. The doctor may also perform a manual pelvic examination, to check for ovarian cyst. A pelvic ultrasound may be carried out, however, an MRI (magnetic resonance imaging) is more accurate in identifying hemorrhagic cysts and endometriomas. The ultrasound may not differentiate between complex cysts, solid tumors and mature cystic teratomas. A blood test will check for CA 125 antigen levels. which are produced by cancerous cysts. However, production of CA 125 antigen, is not confined to cancerous cysts and can be produced during pelvic inflammatory disease and endometriosis.
Hemorrhagic cysts are blood-filled pockets or sacs appearing within or on the ovary surface. Many women have the misconception, that the painful ovarian cysts can grow cancerous. Not all types of ovarian cysts are cancerous, nevertheless, the condition can aggravate if not treated. So make sure you get a checkup done on a regular basis.
Disclaimer: This Buzzle article is for informative purposes only, and should not be used as a replacement for expert medical advice .
Last Updated: August 4, 2016
when looking for medical information people should go to sites like those of the mayo clinic,the Merck manuals, or the official websites of professional medical associations. The information is fact checked and continuously updated, unlike this site. — TC [January 2, 2015]
Ow thanks u i thot i was gonna die due 2 cysts bt reading had opened my eyes — Shalicious [November 14, 2014]
Am 39 and just been diagnosed of right haemorrhagic ovarian cyst.measuring 31.4 x22mmfor the pass three months no monthly periods.it all happened after I had a miscarriage.my doctor gave me gave me measurer disorders drugs.will I get my period back — hilda sackeyuah [August 21, 2014]
I have had 2 Cysts removed previously, which were solid (dermoid) so they had to be removed. I now have 3 more hemorrhagic cysts on one ovary (quite large) I discovered them because of the immense pain cause by them bleeding into my pelvic region. The pain has now subsided and I am due to be checked on in 5 more weeks to see how they’re going. I really wanted them out of me but now I realise that due to my age (20) its smarter not to operate as its obvious this is going to happen to me a fair bit.
For everyone stressing about their daughters or their own cysts, go to a specialist gyno. It costs more but you will get solid and sound advice on how to understand exactly what is going on inside of you. Like the article says not all cysts need to be removed! Its better to not operate as it can affect the longevity of your reproductive organs! Stay positive and remember it could be worse. — Lacey [July 14, 2014]
I have a daughter 13yrs with solid ovaian tumor 3.5 by 2.5 cm on ultrsound and on CT scan doctor says it is likely to be haemorrhagic. could it be cancerous. what should I do — vandana [July 1, 2014]
I have a 5 cm hemrrohagic complex ovarian cyst on my left ovary. When I went to the doctor they said that I need to wait 6 more weeks to decide if I need surgery or not. This poses as problem to me considering that I have already been dealing with the nonstop pain and pressure of it for two weeks. Not only that but it has also been causing nausea, vomiting, and migraines. This makes it extremely difficult to go to work every day and I don’t know if I can continue doing this for another 6 weeks. Any suggestions? — Catrina [June 30, 2014]
i have just found.out.i have a hemmoragic cyst the size of a baseball on.my.left.ovary i am in constant discomfort im afraid to work out im terrified it will burst what do i do its 5.5 by 5.4 cm help — tracy [June 9, 2014]
Hi, I am 24 yrs old. I had a hemorragic cyst and had it removed on Jan 2 2014 it had the diameter of 2.5cm to 3cm and was still growing because that were other two cyst that was attached to it( about the size of the eraser in a pencil). The doctor said i had two options: a) i remove it surgically, b) to take medicine and eventually grow smaller.
My mother chose the first option which was to have it removed because of family history. My aunt had also these cyst in her and didnt know it till the pain was worst and had to undergo surgery, by then she had her ovaries removed because they were so damaged and cannot be kept.
The surgery i underwent was laparoscopic because the doctor said it was less painful.
Now i take birth control pills to regulate the pain during my monthlies and had to take it in five years unless i want to try for a baby. She also said that i should be done birthing by 35yrs old. — Karen [June 8, 2014]
Hi, I was recently diagnosed with hemorragic cyst on both ovaries and both are 5 cm, I’m takeing Tamoxifen for breast cancer diagnosed 1 year ago and I’m BCRA-2 positive, should I make blood test for ovarian cancer? Shoul I be worried? Please help me! — Andrea [January 28, 2014]
perfect, and thanks — lily [November 7, 2013]
sweet and simple article — urmila m [July 22, 2012]
I have one that is already 1.5cmX2.8cmX2.7cm. My doctors refuse to do anything but give me pain killers. when I am in their office, they refuse to discuss it. It is not shrinking, the pain is not being treated whatsoever even with 5-7 pain meds and my insurence is out in mid-july. If there are any suggestions on how to possibly get a request for a surgery to remove it, someone, please let me know. — Jill [April 3, 2012]
My 4 1/2 year old daughter has a complex hemorrhagic cyst inside the left ovary that measures 3.3 x 1.9 x 2.6 cm. Is this a serious condition for her age — Knappy [July 30, 2010]
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