Ovarian Cysts
When cysts cause pain, worry, or affect fertility
Ovarian cysts are fluid-filled sacs that develop on or within the ovaries.
They are very common and often harmless, but some cysts can cause pain, bloating, irregular periods, or fertility concerns.
Many cysts resolve on their own. Others need monitoring or treatment, depending on their type, size, and how they are affecting you.
How ovarian cysts can affect you
Depending on the cyst, you may experience:
Pelvic pain or discomfort
Bloating or pressure
Sudden pain if a cyst ruptures or twists
Some cysts are found incidentally on ultrasound, even when no symptoms are present.
How ovarian cysts are assessed
Pelvic ultrasound is the most important tool for assessing ovarian cysts. It allows detailed evaluation of:
Size
Shape
Internal structure
Blood flow
Features associated with cancer risk
My training in advanced gynaecological ultrasound includes the use of pattern recognition and risk modelling to assess ovarian masses — going far beyond simply measuring a cyst.
In many cases, this allows a cyst to be confidently identified as low risk and safe to monitor, avoiding unnecessary surgery and anxiety.
Routine scans are often unable to provide this level of detail, which can leave women stuck in uncertainty or referred for surgery that may not be needed.
How ovarian cysts are assessed
Pelvic ultrasound is the most important tool for assessing ovarian cysts. It allows detailed evaluation of:
Size
Shape
Internal structure
Blood flow
Features associated with cancer risk
My training in advanced gynaecological ultrasound includes the use of pattern recognition and risk modelling to assess ovarian masses — going far beyond simply measuring a cyst.
In many cases, this allows a cyst to be confidently identified as low risk and safe to monitor, avoiding unnecessary surgery and anxiety.
Routine scans are often unable to provide this level of detail, which can leave women stuck in uncertainty or referred for surgery that may not be needed.
How I can help
I combine fellowship-trained advanced ultrasound and laparoscopic surgery to assess ovarian cysts carefully and guide the right treatment — whether that means reassurance and monitoring, or surgery when needed.
The goal is always to provide clarity, avoid unnecessary procedures, and protect long-term ovarian and reproductive health.
When surgery is needed
If ultrasound suggests that a cyst is causing symptoms, not resolving, or carries features that need further investigation, surgery may be recommended.
When this is required, I perform minimally invasive (keyhole) surgery to remove cysts while preserving as much healthy ovarian tissue as possible — particularly important when fertility matters.
Related services
Book an appointment for ovarian cysts
If you have an ovarian cyst or symptoms such as pain or bloating, you can book a consultation online.