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Paraovarian cyst
Last reviewed: 05.07.2025
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Unfortunately, paraovarian cysts are quite common. This type of cyst occurs on the ovaries. They usually develop in mature women of childbearing age. But sometimes such cysts are also found in teenage girls.
Paraovarian cysts occur in approximately ten percent of all cases of such diseases. One good thing is that this type of cyst never degenerates into malignant tumors. That is, the risk of developing ovarian cancer is zero.
Compared to other types of ovarian cysts, a paraovarian cyst can grow to a large size. Cysts are usually 8-10 centimeters in diameter. But there are cases when a paraovarian cyst grows and fills the entire abdominal cavity. In this case, the abdomen increases greatly in size.
[ Causes of paraovarian cyst
The causes of a paraovarian cyst can be different. In adolescence, the appearance of such a cyst can be caused by early puberty. In more mature age, the cause of the cyst can be various diseases or abortions.
Also, a paraovarian cyst can occur due to problems with the ovaries and improper maturation of the follicles. Problems with the endocrine system or the thyroid gland can also cause a paraovarian cyst.
Some medications or infectious diseases can also stimulate the development of a paraovarian cyst. This disease can be provoked by poor ecology or increased stress levels in a woman.
Symptoms of paraovarian cyst
Basically, all the symptoms of a paraovarian cyst are inextricably linked to its size. Small cysts, as a rule, may not manifest themselves for a long time. The main symptom is pain. It appears only when the cyst greatly increases in size.
Usually, paraovarian cysts do not grow larger than 8 or 10 centimeters. But even a cyst of 5 centimeters can cause pain. Such a cyst can press on the intestines or bladder. The pressure can lead to pain when urinating. It can also cause constipation or stomach upset.
One of the symptoms of a paraovarian cyst is pain in the lower abdomen or back, in the sacral area. Sometimes, such a cyst can manifest itself through menstrual cycle irregularities.
Parovarian cyst of the ovary
A paraovarian cyst of the ovary differs from other types of cysts in its composition, size and type of membrane. As a rule, such cysts contain transparent fluid inside.
In addition, the membrane of the paraovarian cyst is thin, which distinguishes it from true cysts. Such a cyst is always single-chambered. A paraovarian cyst of the ovary can be pedunculated or pedunculated. Usually, while the cyst is small, it grows directly on the ovary without a peduncle. But as it grows, the cyst can form a peduncle.
Another distinctive feature of such a cyst is that it does not degenerate into a cancerous tumor. However, complications may arise. For example, twisting of the cyst stalk, which may be accompanied by severe pain.
Parovarian cyst on the right
Very often, a paraovarian cyst grows on the right ovary. Women of childbearing age are mainly susceptible to this disease. But such cysts can also appear in teenage girls.
A right-sided parovarian cyst can grow between the uterus and the ovary. Small cysts are pedunculated, but large ones can form a peduncle. This peduncle can consist of the fallopian tube or the ovarian ligament. Such a peduncle is fraught with complications, because it can twist and hurt a lot. In this case, urgent medical intervention or surgery may be needed.
If the cyst grows large, it will greatly increase the patient's abdomen in size. The patient may also be bothered by pain in the right side, lower abdomen or lower back.
If the cyst grows without complications, the pain will not be strong and nagging. If a sharp and strong paroxysmal pain occurs, it may indicate twisting of the paraovarian cyst stalk.
Parovarian cyst on the left
Parovarian cysts most often develop on the right ovary, but can also form on the left or on both ovaries at the same time. Such cysts can grow to quite large sizes, but they rarely burst or rupture.
If the cyst is small, a woman may not feel any discomfort caused by such a cyst. But a paraovarian cyst can cause a number of complications. For example, it can become suppurated. Suppuration causes severe pain and requires urgent surgical intervention.
Also, the cyst can form a stalk, and the stalk can twist. In this case, sharp pain in the lower abdomen can also occur and radiate to the back, to the lumbar region and sacrum. Treatment of a paraovarian cyst on the left is identical to the treatment of the same cyst on the right.
Parovarian serous cyst
A paraovarian serous cyst is a mobile cyst. Very often, such a cyst forms a stalk. Due to its mobility, the cyst may not cause pain to the patient. Therefore, it is not always possible to diagnose such a cyst based on symptoms.
Most often, a paraovarian serous ovarian cyst is detected by a gynecologist during a routine gynecological examination. It can be felt during examination. Such a cyst is filled with serous fluid. The cyst membrane is relatively thin and the cyst is elastic and mobile to the touch.
But if the cyst increases greatly in size, it may manifest itself through a dull and aching pain in the lower abdomen or in the lower back. If the cyst is very large, it can press on various abdominal organs. For example, on the bladder or intestines. Then additional symptoms appear, such as constipation, frequent bowel movements or pain when urinating.
Much less often, a paraovarian cyst leads to noticeable disturbances or disruptions in a woman's monthly cycle. These disturbances can be expressed by a sharp increase or decrease in the volume of blood released during menstruation.
Parovarian cyst and pregnancy
If a woman has ever had or has a paraovarian cyst during pregnancy, there is no need to worry. After all, such a cyst is not transmitted to the child at the genetic level and does not affect the development of the fetus in the womb at all.
If the paraovarian cyst is not very large, then this formation on the ovary does not affect the woman's ability to have children in any way. Moreover, the woman may not feel the presence of such a cyst at all. After all, small cysts may not cause pain or other symptoms.
A paraovarian cyst during pregnancy is dangerous because its stalk can twist. Such a twist can cause severe pain and require urgent surgery. Usually, small cysts grow without a stalk, so such a complication cannot occur.
But large cysts, as a rule, form a stalk and can cause complications during pregnancy. After all, during pregnancy, all abdominal organs are shifted and compressed, which can lead to twisting of the cyst stalk.
Therefore, it is better to remove a large paraovarian cyst before pregnancy. After the operation, it is better to undergo treatment, recover and plan pregnancy no earlier than in a few months.
Where does it hurt?
What's bothering you?
Diagnosis of paraovarian cyst
It is not always possible to diagnose a parovarian cyst based on symptoms. It all depends on the size of the cyst itself. Small cysts rarely cause pain, menstrual irregularities, constipation, or painful urination.
All these symptoms may appear if the cyst has reached a fairly large size. As a rule, the pain caused by a paraovarian cyst is not sharp, but aching and pulling. It appears in the lower abdomen or in the lumbar region.
But if the cyst has caused complications, for example, the cyst stalk has twisted or the cyst has become purulent, then the pain will be sharp and paroxysmal.
Often, such cysts are detected during a gynecological examination. That is why it is so important to visit a gynecologist on time. Also, paraovarian cysts can be diagnosed using ultrasound.
What do need to examine?
How to examine?
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Treatment of paraovarian cyst
Treatment of a paraovarian cyst is not always necessary. If the cyst is small, it does not cause discomfort to the patient. Such a cyst is not treated. There are cases when small cysts resolve on their own.
In this case, it is necessary to conduct regular examination of the patient at least once every six months. This will allow monitoring the condition and growth of the cyst, and apply the necessary treatment in time.
As a rule, the only way to treat a paraovarian cyst is by removing it. Nowadays, it is possible to remove the cyst without having to undergo open surgery. It can be removed using laparoscopy. This is a surgical procedure that involves making all three tiny incisions on the abdomen.
Tubes, cameras, and manipulators are inserted through these incisions. The doctor remotely controls the instruments inside the abdominal cavity and cuts out the cyst. Fortunately, the cyst almost never grows back.
A paraovarian cyst is a formation that grows in place of embryonic "remnants" in a woman's body. Therefore, once you remove a paraovarian cyst, you can get rid of it once and for all.
Removal of paraovarian cyst
Previously, the removal of a paraovarian cyst was performed by abdominal surgery. Now this method is not used, because such a cyst can be removed using laparoscopy.
During laparoscopy, as during surgery, the patient is given general anesthesia. However, the damage to the skin and tissue is minimal. For this operation, small incisions no more than 5 mm are made. Instruments are inserted through them to remove the cyst. This type of surgical intervention is gentle and the patient can be discharged from the hospital in a couple of days.
In addition, the health consequences, scars and pain are much less after laparoscopy. Removal of the paraovarian cyst is necessary in case of complications. For example, if the cyst stalk has twisted, or if the cyst has suppurated. Small cysts are rarely removed, because they do not pose a danger to the woman's health and do not cause pain.
Surgery for paraovarian cyst
There are two ways to remove a paraovarian cyst. These are laparotomy and laparoscopy. Laparotomy is a simple operation in which an incision is made in the abdominal wall to reach the ovary and the cyst. Usually, this incision is made above the pubis.
During laparotomy, the incision is quite large, stitches are put on it and a scar remains. During such an operation, a fairly large loss of blood is likely, because during the incision, a vessel can burst and bleeding can begin. Then the vessel is cauterized or sutured.
The operation on the paraovarian cyst is performed under general anesthesia. The recovery time after such an operation is much longer than after laparoscopy. One of the reasons why cysts are still removed by laparotomy is the lack of necessary equipment in hospitals.
After the operation, severe pain may occur, so it is necessary to use fairly strong painkillers. One of the side effects of laparotomy is possible bleeding. Therefore, the patient must remain in the hospital for quite a long time under the supervision of doctors.
Laparoscopy of paraovarian cyst
Laparoscopy is a modern surgical method of treating paraovarian cysts. This surgical intervention method has many advantages over laparotomy (abdominal surgery).
During laparoscopy, there is no need to make large incisions in the abdominal wall. The instruments are inserted through three small incisions on the abdomen (about 5 mm each). The set of instruments may include knives, coagulators, a video camera. Therefore, the surgeon can carefully examine the cyst, uterus and ovary. Enlarge their image and perform the operation remotely.
Laparoscopy is usually performed on women with large paraovarian cysts or complicated cysts. This procedure is performed under general anesthesia.
Treatment of paraovarian cysts with folk remedies
There are many folk remedies for treating ovarian cysts. It is important to remember that small cysts can resolve themselves. And treatment has nothing to do with it. But large cysts need to be removed, especially if complications and sharp pains arise.
Traditional medicine usually uses herbs for treatment. And the treatment of paraovarian cysts is no exception. Here is one such recipe. You can make a tincture from a collection of medicinal herbs.
The basis for the tincture is cognac or alcohol. Honey and a glass of aloe juice are added to it. You need a lot of honey (500 grams). All herbs are taken 50 grams each. Here is a list of herbs: yarrow, St. John's wort and common wormwood.
As you can see, all these herbs are bitter in taste, and honey will help to make the tincture more pleasant. The herbs should be steamed in 3 liters of hot water and infused for several hours in a steam bath. To keep the tincture warm, it should be poured into a thermos or wrapped up and left for 24 hours.
The decoction is filtered and mixed with honey, cognac and aloe juice. The tincture should be stored in the refrigerator. Take 1 tablespoon three times a day half an hour before meals.
Here is a folk medicine recipe - an ointment for ovarian cysts. The ointment contains homemade unrefined vegetable oil, egg yolk and beeswax. You need to take a glass of oil, and about 30 grams of wax.
Heat the oil in a saucepan on the stove, add wax and melt in hot oil. Then add boiled yolk. Foam will form in this mixture. So it is time to remove from heat. Let it cool and then heat it up two more times. Store the ointment in the refrigerator.
To treat a paraovarian cyst, apply it to a tampon and insert it into the vagina. The deeper, the better. Leave it for a few hours.
More information of the treatment
Prevention of paraovarian cyst
There are several ways to prevent paraovarian cysts. One of them is regular visits to the gynecologist. Often, a paraovarian cyst can only be detected during an examination or ultrasound.
Small cysts may not cause pain or other symptoms. Early diagnosis of a paraovarian cyst can help in further treatment. Such diagnosis can help in timely response if complications arise.
Sometimes, the cause of the occurrence of a paraovarian cyst is infectious diseases of the genitourinary system. Therefore, it is necessary to observe personal hygiene, use protection during sex with new partners and avoid frequent changes of sexual partners.
Prognosis of paraovarian cyst
The prognosis for a paraovarian cyst is quite favorable, since such cysts rarely degenerate into cancer. In addition, small cysts do not cause concern.
Such cysts do not negatively affect the reproductive function of a woman's body unless they grow to enormous sizes. In addition, a paraovarian cyst is not inherited from mother to daughter through genes.
Such a cyst does not pose a threat to pregnancy or fetal development. Of course, if the cyst is large, it can rupture during pregnancy. But, with a paraovarian cyst, ruptures are quite rare.
In addition, the cyst may cause complications during pregnancy in the form of a twisted cyst stalk. Then urgent surgical intervention will be required, which is very undesirable during pregnancy.
Therefore, the prognosis of paraovarian cysts is better to diagnose in time and remove before pregnancy. Timely treatment will help the body to recover and in a few months the onset of pregnancy will be real.