Ovarian Cysts: Symptoms, Causes & Treatment in Fort Worth and Granbury
- Posted on: Mar 16 2026
By: Grace Obstetrics & Gynecology in Fort Worth and Granbury, TX
Ovarian cysts are one of the common gynecologic conditions we evaluate at Grace OBGYN in Fort Worth and Granbury. While hearing the word “cyst” can feel alarming, most ovarian cysts are a normal part of the menstrual cycle and resolve on their own.
Understanding when a cyst is harmless versus when it needs medical attention, helps you make confident, informed decisions about your health.
What Is an Ovarian Cyst?
An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. The ovaries produce eggs and important hormones like estrogen and progesterone. Because they are hormonally active organs, cyst formation can sometimes occur as part of normal ovarian function.
Most ovarian cysts in premenopausal women are benign (non-cancerous) and temporary.
Types of Ovarian Cysts
Not all cysts are the same. The type helps determine whether monitoring or treatment is needed.
1. Functional Cysts (Most Common)
These form during ovulation and are typically harmless:
- Follicular cysts occur when the egg isn’t released and the follicle continues to grow.
- Corpus luteum cysts form after the egg is released but the follicle reseals and fills with fluid.
These often resolve within a few weeks to months without intervention.
2. Dermoid Cysts
Congenital cysts that may contain tissue such as hair or fat. They are usually benign but may require surgical removal if large.
3. Endometriomas
Associated with endometriosis, these cysts can cause pelvic pain and may impact fertility.
4. Cystadenomas
Fluid-filled cysts that develop from ovarian tissue and can grow large over time.
If you are experiencing persistent pelvic discomfort evaluation by an experienced OBGYN is important to determine the type of cyst present.
What Causes Ovarian Cysts?
Many cysts form as part of the normal ovulatory process. Others may be related to:
- Hormonal fluctuations
- Irregular menstrual cycles
- Endometriosis
- Pregnancy
- A prior history of cysts
- Pelvic infections
Hormonal shifts, including those during pregnancy, can temporarily influence cyst formation.
Ovarian Cyst Symptoms
Many women have no symptoms at all. Cysts are often discovered during a routine pelvic exam or ultrasound.
When symptoms occur, they may include:
- Pelvic pain (often one-sided)
- Bloating or abdominal fullness
- Pain during intercourse
- Irregular or painful periods
- Increased urinary frequency
When Is It an Emergency?
Seek immediate medical care if you experience:
- Sudden, severe pelvic pain
- Fever or vomiting
- Dizziness or fainting
- Rapid heartbeat
These may indicate a ruptured cyst or ovarian torsion and require urgent evaluation.
If you are experiencing severe pelvic pain, prompt medical assessment is essential.
How Ovarian Cysts Are Diagnosed
Evaluation typically includes:
Pelvic Exam
To assess for enlargement or tenderness.
Pelvic Ultrasound
The primary diagnostic tool. Ultrasound determines:
- Size of the cyst
- Whether it is simple (fluid-filled) or complex
- Structural characteristics
Blood Tests
In certain cases, hormone levels or tumor markers may be ordered based on age and ultrasound findings.
Ultrasound imaging is critical in determining whether monitoring or treatment is appropriate.
Ovarian Cyst Treatment
Treatment depends on your age, symptoms, cyst type, and reproductive goals.
Watchful Waiting
Small, simple cysts without symptoms often resolve naturally. Follow-up ultrasounds may be recommended.
Hormonal Management
Birth control pills may help reduce the formation of future cysts.
Surgical Removal
Surgery may be recommended if a cyst:
- Persists over time
- Grows larger
- Causes significant pain
- Appears complex or suspicious
Most procedures can be performed laparoscopically (minimally invasive), allowing for quicker recovery.
Do Ovarian Cysts Affect Fertility?
Most ovarian cysts do not impact fertility. However, cysts related to endometriosis or other underlying conditions may affect reproductive health.
If you are trying to conceive and have been diagnosed with ovarian cysts, a personalized care plan can help protect and support your fertility.
Can Ovarian Cysts Be Prevented?
There is no guaranteed way to prevent ovarian cysts. However, regular gynecologic care allows early detection and appropriate monitoring.
Routine exams and timely evaluation of new pelvic symptoms are the best preventive strategies.
Frequently Asked Questions
Are ovarian cysts cancerous?
Most ovarian cysts in premenopausal women are benign. Risk increases with age, which is why proper imaging and evaluation are important.
Can you feel an ovarian cyst?
Some women feel pelvic pressure or one-sided discomfort, but many cysts cause no noticeable symptoms.
How long do ovarian cysts last?
Functional cysts often resolve within one to three menstrual cycles.
When should I see an OBGYN for pelvic pain?
If pelvic pain is persistent, worsening, or accompanied by fever, vomiting, or dizziness, schedule an evaluation promptly.
Compassionate Ovarian Cyst Care in Fort Worth and Granbury
Ovarian cysts are common and in most cases, manageable. The key is proper evaluation and individualized care.
At Grace OBGYN, our experienced team provides comprehensive ovarian cyst diagnosis and treatment in Fort Worth and Granbury. Whether you need reassurance, monitoring, or surgical management, we are committed to delivering thoughtful, patient-centered care.
If you’re experiencing pelvic pain or have concerns about ovarian cysts, schedule an appointment with Grace OBGYN today.
Posted in: Well-Woman Visit, Women's Health