What causes right ovarian cyst?

Right ovarian cysts may be caused by endocrine disorders, abnormal luteal function, endometriosis, pelvic inflammatory disease, ovarian tumors, etc. Ovarian cysts usually present with symptoms such as bloating in the lower abdomen, menstrual disorders, and pain during intercourse, and can be diagnosed through ultrasound examination.

1. Endocrine disorders

Staying up late or being under mental stress for a long time may lead to hypothalamic-pituitary-ovarian axis dysfunction, causing excessive follicle development to form physiological cysts. The diameter of such cysts is usually less than 5 cm, and the menstrual cycle may be shortened or the amount of menstrual flow may increase. It is recommended to adjust your work and rest and follow the doctor's instructions to use Chinese patent medicines such as Guizhi Fuling Capsules and Sanjie Analgesic Capsules, and regularly review ultrasound to observe changes in cysts.

2. Abnormal luteal function

After ovulation, the corpus luteum does not shrink in time, which can form a corpus luteum cyst, which is common in early pregnancy or after ovulation induction treatment. The cyst is usually 3-6 cm in diameter and may be accompanied by dull pain in one side of the lower abdomen. Most of them are absorbed by themselves after 2-3 menstrual cycles. If it persists, the risk of corpus luteum rupture needs to be ruled out. If necessary, dydrogesterone tablets can be used to regulate the function of the corpus luteum.

3. Endometriosis

Chocolate cysts formed from endometriosis to the ovary are common in women aged 25-45. Cysts contain old blood and show dense punctate echoes on ultrasound, which may be accompanied by progressive dysmenorrhea and infertility. After diagnosis, long-term management is required, and drugs such as gestrinone capsules and goserelin sustained-release implants can be used to control the development of lesions.

4. Pelvic inflammatory disease

Fallopian tube-ovarian abscess caused by gonococcal or chlamydial infection may present with fever and bilateral lower abdominal pain. Inflammatory cysts with thick walls and pelvic effusion require intravenous injection of ceftriaxone sodium combined with doxycycline. In severe cases, puncture and drainage are required. After the acute phase, fallopian tube and ovarian cysts may be left behind, affecting fertility function.

5. Ovarian tumors

Serous or mucinous cystadenoma is more common in the childbearing age, and the tumor marker CA125 is slightly elevated.； Teratomas can include hair, teeth and other components. Malignant tumors grow rapidly and are accompanied by ascites, and the staging needs to be evaluated by contrast-enhanced CT. After pathological diagnosis, laparoscopic cyst removal can be performed for benign tumors, while comprehensive staging surgery is required for malignant tumors.

It is recommended to review gynecological ultrasound every 6-12 months and avoid strenuous exercise to prevent cyst torsion. Keep your vulva clean every day and avoid sexual intercourse during menstruation. If you experience sudden severe abdominal pain, nausea and vomiting, you need to seek medical attention immediately, and be alert to acute abdomen symptoms such as cyst rupture or pedicle torsion. Pay attention to the diet to reduce the intake of phytoestrogens such as soy products, and moderate exercise can help regulate endocrine balance.