Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Ovarian Health
Ovarian Cyst Treatment in Hyderabad: Ovary-Preserving Surgery at Lux Hospitals
Ovarian cysts are fluid-filled sacs on or within the ovary, and most are entirely normal. A functional cyst forms as part of ovulation every month and disappears on its own within a couple of cycles.
The work is in telling those apart from the minority that need treating, and in removing a cyst without sacrificing the ovary around it. Our gynaecologists at Lux Hospitals, HITEC CITY assess cysts properly and operate laparoscopically with ovarian reserve in mind.
- Ovary Preserved
- Laparoscopic Surgery
- Cancer Risk Assessed
What is an Ovarian Cyst?
An ovarian cyst is a fluid-filled sac on or within the ovary. The great majority are functional cysts, which form as a normal part of the menstrual cycle. A follicular cyst occurs when the follicle containing the egg fails to rupture and keeps growing; a corpus luteum cyst forms when the structure left behind after ovulation fills with fluid. Both typically resolve within one to three cycles without any treatment.
Beyond those are cysts that do not resolve. A dermoid cyst contains tissue such as hair, skin and occasionally teeth, arising from germ cells. An endometrioma is a collection of old blood from endometriosis, often called a chocolate cyst. A cystadenoma grows from the ovarian surface and can become very large. Polycystic ovaries are a different matter again: many small follicles rather than a single cyst.
The concern that drives most of the assessment is ovarian cancer. It is uncommon, particularly before menopause, but it presents as a cystic mass and there is no reliable screening test. Complex features on ultrasound, a raised CA-125 in a postmenopausal woman, or a cyst that persists and grows all shift the balance toward removal rather than observation.
Causes of Ovarian Cysts
Most cysts are a by-product of ovulation. The rest have specific and quite different origins.
-
Normal ovulation
Follicular and corpus luteum cysts form as part of the ordinary cycle. By far the commonest cause, and they resolve without treatment.
-
Endometriosis
Endometrial tissue on the ovary bleeds each cycle, forming an endometrioma filled with old blood: the chocolate cyst.
-
Germ cell origin
Dermoid cysts arise from cells capable of forming any tissue, which is why they can contain hair, skin, fat and teeth. Usually found in younger women.
-
Ovarian surface epithelium
Cystadenomas grow from the outer covering of the ovary and can reach a very large size while causing few symptoms.
-
Polycystic ovary syndrome
Many small follicles that have stalled rather than a single cyst. A different condition entirely, treated hormonally rather than surgically.
-
Pelvic infection
Severe pelvic inflammatory disease can produce a tubo-ovarian abscess, which appears as a complex cystic mass.
-
Pregnancy
A corpus luteum cyst normally persists in early pregnancy to support it, and usually resolves by the second trimester.
Functional cysts are a sign the ovaries are working normally, not a sign anything is wrong. This is worth saying plainly, because the word cyst causes considerable and usually unnecessary alarm.
Symptoms of Ovarian Cysts
Most cysts cause nothing and are found incidentally. Where symptoms occur they are usually vague and one-sided.
Common symptoms
- A dull ache or heaviness on one side of the pelvis
- Bloating or a feeling of abdominal fullness
- Pain during intercourse
- Irregular periods
- Needing to pass urine more often
- Difficulty emptying the bowels completely
Symptoms needing urgent care
- Sudden severe one-sided pelvic pain
- Pain with vomiting: may indicate ovarian torsion
- Fever with pelvic pain
- Dizziness, fainting or a racing pulse
- Rapidly increasing abdominal swelling
- Sudden pain during exercise or intercourse
Sudden severe one-sided pain with vomiting is ovarian torsion until proven otherwise: the ovary has twisted on its blood supply. It is a surgical emergency, and the ovary can be saved only if it is operated on within hours.
How Ovarian Cysts are Assessed
The assessment answers two questions: is this likely to resolve on its own, and is there any suspicion of malignancy?
-
Transvaginal ultrasound
The key test. Size, whether the cyst is simple or complex, solid areas, septations and blood flow all feed into the risk assessment.
-
Repeat scan after two to three cycles
A simple cyst in a premenopausal woman is rescanned rather than removed. Most have gone by then, which avoids an unnecessary operation.
-
CA-125 and tumour markers
Interpreted with care: CA-125 rises in endometriosis, fibroids, infection and even menstruation, so it is far more useful after menopause than before.
-
Risk of malignancy index
Combines the ultrasound features, CA-125 and menopausal status into a single score that guides whether specialist referral is needed.
-
MRI pelvis
Characterises complex cysts more precisely and distinguishes dermoids and endometriomas where ultrasound is unclear.
-
Pregnancy test
Done in every woman of reproductive age, since an ectopic pregnancy can present exactly as a painful adnexal mass.
CA-125 is frequently over-interpreted. In a premenopausal woman it is raised by endometriosis, fibroids, infection and menstruation itself, so a mildly high result on its own means very little.
Treatment Options
Most cysts need only observation. Surgery is for cysts that persist, cause symptoms, or carry any suspicion of malignancy.
Non-surgical
Observation and medical management
-
Watchful waiting
The correct approach for a simple cyst under five centimetres in a premenopausal woman. A repeat scan after two to three cycles usually shows it has gone.
-
Pain relief
Simple analgesia and heat for discomfort while a functional cyst resolves on its own.
-
Combined oral contraceptives
Prevent new functional cysts forming by suppressing ovulation. They do not shrink a cyst that already exists.
-
Treating the underlying cause
Hormonal suppression for endometriomas, or antibiotics for a tubo-ovarian abscess, addressing what is producing the cyst.
Surgical
Laparoscopic surgery
-
Laparoscopic ovarian cystectomy
The cyst is shelled out through keyhole ports and the ovary repaired and left in place. The standard operation, and the one that protects fertility.
-
Laparoscopic oophorectomy
Removal of the whole ovary, where the cyst has destroyed it, where malignancy is suspected, or after menopause when preservation offers little.
-
Detorsion for ovarian torsion
Emergency surgery to untwist the ovary and restore blood supply. Done urgently, since the ovary is recoverable only within a narrow window.
-
Staging surgery
Where malignancy is confirmed or strongly suspected, a more extensive operation with a gynaecological oncologist involved.
-
Open surgery
For very large cysts, or where malignancy is suspected and the cyst must be removed intact without spilling its contents.
Cystectomy versus oophorectomy is the decision that matters most for a younger woman. Removing the whole ovary is quicker and simpler, but it costs half her ovarian reserve permanently, so it should be a deliberate choice, not a default.
The Laparoscopic Cystectomy Procedure
The operation takes forty-five minutes to two hours, with a same-day or overnight discharge.
Keyhole ovary-preserving surgery under general anaesthesia
-
Pre-operative assessment
Imaging and tumour markers reviewed, pregnancy excluded, and the plan agreed: specifically whether the ovary is to be preserved.
-
Anaesthesia and access
General anaesthesia, with a camera port at the umbilicus and two or three small ports low on the abdomen.
-
Inspecting the pelvis
The whole pelvis and upper abdomen examined, and washings taken where there is any suspicion of malignancy.
-
Opening the ovarian cortex
A small incision in the ovarian surface, carried down to the plane between the cyst wall and normal ovarian tissue.
-
Stripping the cyst wall
The cyst separated from the ovary with gentle traction, ideally intact, particularly for dermoids, whose contents are highly irritant if spilled.
-
Preserving ovarian tissue
Bleeding controlled with minimal cautery, since heat applied to the ovary destroys follicles and reduces reserve.
-
Retrieval and closure
The cyst removed in a containment bag through a port, sent for histology, and the ports closed.
Excessive cautery to stop bleeding on the ovary is the quiet way ovarian reserve gets lost. Careful haemostasis with minimal heat is what distinguishes a fertility-conscious cystectomy from a merely successful one.
Why Choose Lux Hospitals for Ovarian Cyst Treatment?
Ovarian cysts are both over-treated and, occasionally, under-investigated. Here is why patients trust us:
-
The ovary preserved
Cystectomy rather than removal of the whole ovary wherever it is safe, with careful technique to protect ovarian reserve.
-
Risk properly assessed
Ultrasound features, tumour markers and menopausal status combined into a formal risk score, so nothing suspicious is simply watched.
-
Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
-
Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Recovery from keyhole cystectomy is quick: most women are back to desk work within two weeks.
- Day 0–1
Home the same day or after one night. Shoulder-tip pain from the gas is common and settles within a day or two.
- Days 2–7
Port-site soreness reduces steadily. Walking encouraged. Light bleeding or discharge may occur.
- Weeks 1–2
Most women return to desk work. Wound review and histology result discussed.
- Weeks 2–6
Light exercise resumes and intercourse after clearance at four weeks. Cycles return to their usual pattern.
- Months 2–6
A follow-up scan where indicated, confirming the ovary has healed and no new cyst has formed.
Aftercare
-
Get the histology result
Every cyst removed is examined. Make sure you receive that result rather than assuming no news means good news.
-
Walk from the first day
Early mobilisation after keyhole surgery reduces the risk of clots and speeds recovery considerably.
-
Avoid heavy lifting for four weeks
Nothing over five kilograms. Port sites need time to heal fully before abdominal strain.
-
Know that cysts can recur
Removing a cyst does not stop new ones forming, particularly functional cysts and endometriomas. Recurrence is not a failed operation.
-
Ask about ovarian reserve if fertility matters
If you plan to conceive, discuss how much ovarian tissue was preserved and whether AMH testing would be useful.
-
Report severe pain or fever
Sudden severe pain, fever, or increasing rather than settling discomfort needs review rather than waiting for follow-up.
The commonest outcome of an ovarian cyst consultation is a repeat scan showing the cyst has gone. That is the expected result for functional cysts, and it is why immediate surgery is usually the wrong first move.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- A cyst found on a scan done for another reason.
- Persistent ache or heaviness on one side of the pelvis.
- Bloating or abdominal fullness that does not settle.
- Pain during intercourse.
- Any ovarian cyst found after menopause.
- Sudden severe one-sided pain with vomiting: go to hospital immediately.
Cost of Ovarian Cyst Treatment in Hyderabad
Many women need only a consultation and two scans. Surgery costs apply to the minority whose cysts persist.
| Procedure | Estimated Cost |
|---|---|
| Consultation Per visit | ₹800 – ₹1,500 |
| Transvaginal ultrasound Usually repeated after two to three cycles | ₹1,500 – ₹3,500 |
| CA-125 and tumour markers Where features are complex | ₹1,200 – ₹4,000 |
| MRI pelvis To characterise a complex cyst | ₹8,000 – ₹18,000 |
| Laparoscopic ovarian cystectomy Day care or one night | ₹1,10,000 – ₹1,95,000 |
| Laparoscopic oophorectomy Where the ovary cannot be preserved | ₹1,20,000 – ₹2,10,000 |
| Emergency surgery for torsion Urgent admission | ₹1,40,000 – ₹2,50,000 |
What changes the estimate
-
Whether surgery is needed at all
A simple functional cyst resolves on its own. Two scans and a consultation is the entire cost for a large share of women.
-
Type and size of cyst
A dermoid or endometrioma takes longer to remove carefully than a simple cyst, and very large cysts may need open surgery.
-
Urgency
Ovarian torsion requires emergency admission and out-of-hours theatre, which costs more than planned surgery.
-
Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
-
Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Ovarian Cyst Specialists at Lux Hospitals
The gynaecologists who treat ovarian cysts at our HITEC CITY hospital.
-
Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
-
Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Harshita Kakarla on women’s health and gynaecological care.
-
Myomectomy vs Hysterectomy: Which Is Right for You?
Dr. Harshita Kakarla
-
Fibroid Surgery Cost in Hyderabad
Dr. Harshita Kakarla
-
Can Ovarian Cysts Affect Fertility?
Dr. Harshita Kakarla
-
Signs and Symptoms of Adenomyosis: When to See a Doctor
Dr. Harshita Kakarla
-
Endometriosis Undiagnosed: Causes, Symptoms & Treatment
Dr. Harshita Kakarla
-
PCOS and Weight Management: Strategies for a Healthier You
Dr. Harshita Kakarla
Got Questions?
Frequently Asked Questions
Common questions about ovarian cysts, surgery, fertility and costs at Lux Hospitals.
What is the best treatment for ovarian cysts?
For most, no treatment at all. A simple cyst under five centimetres in a premenopausal woman is rescanned after two to three cycles and has usually disappeared. Surgery, laparoscopic cystectomy preserving the ovary, is for cysts that persist, grow, cause symptoms, or have features suggesting they are not functional.
What size of ovarian cyst is dangerous?
Size alone is a poor guide. A ten-centimetre simple cyst may be entirely benign while a four-centimetre cyst with solid areas and blood flow is far more concerning. That said, cysts above five centimetres are less likely to resolve on their own, and those above ten centimetres carry a higher risk of torsion.
Can ovarian cysts be treated without surgery?
Functional cysts resolve on their own within one to three cycles and need nothing. The combined pill prevents new functional cysts forming, though it does not shrink one already present. Dermoids, endometriomas and cystadenomas do not resolve spontaneously and generally need removing if they are causing problems.
How fast do ovarian cysts grow?
Functional cysts appear and resolve within weeks. Dermoids grow very slowly, typically one to two millimetres a year. Cystadenomas can grow steadily and become very large over years. Rapid growth over a few months is the pattern that prompts closer investigation.
Can ovarian cysts affect fertility?
Most do not. Functional cysts have no effect at all. Endometriomas can reduce ovarian reserve, both from the disease itself and from surgery to remove them. The bigger risk to fertility is often the operation rather than the cyst, which is why ovary-preserving technique matters so much.
What types of ovarian cyst need surgery?
Cysts that persist beyond three cycles, that grow, that are larger than about five centimetres, or that have complex features on ultrasound. Dermoids are usually removed because they can twist. Any cyst found after menopause is investigated more actively, since the risk of malignancy is higher.
Is an ovarian cyst a sign of cancer?
Very rarely, particularly before menopause. Most cysts are benign and most are functional. The features that raise concern are solid components, thick septations, blood flow within the solid areas, ascites, and a cyst found after menopause. These are assessed formally with a risk of malignancy score.
What is ovarian torsion and how urgent is it?
Torsion is the ovary twisting on its blood supply, usually caused by a cyst making it heavy enough to rotate. It causes sudden severe one-sided pain with vomiting and is a surgical emergency. The ovary can often be saved if operated on within hours, so this needs a hospital the same day rather than an appointment.
How can I prevent ovarian cysts from recurring?
Functional cysts can be prevented with the combined oral contraceptive, which suppresses ovulation. Endometriomas are prevented by suppressing the underlying endometriosis hormonally. Dermoids and cystadenomas cannot be prevented: nothing in diet or lifestyle influences whether they form.
How much does ovarian cyst surgery cost in Hyderabad?
Laparoscopic ovarian cystectomy at Lux Hospitals is ₹1,10,000–₹1,95,000 as day care or one night, and oophorectomy ₹1,20,000–₹2,10,000. Assessment with ultrasound and tumour markers is ₹3,500–₹9,000. Many women need only the assessment, since the cyst resolves on its own.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book an Ovarian Cyst Consultation in Hyderabad
Proper assessment of an ovarian cyst and ovary-preserving surgery where it is needed, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032