Laparoscopic Surgery for Ovarian Cyst: 6 Signs You Should Not Ignore
You went in for a routine scan. The doctor paused, looked at the screen, and said — there's a cyst on your ovary. And just like that, your mind went into overdrive. Is it serious? Will I need surgery? What does this mean for my health, my fertility, my life?
Take a breath. You're not alone in this. Ovarian cysts are far more common than most women realise, and the majority of them resolve without any treatment at all. But there are times when your body is telling you something important — and it's worth knowing when to listen.
This blog will walk you through everything — simply and clearly — so you can make an informed decision about your own health.
Understanding Ovarian Cysts — What Every Woman Should Know
An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. It sounds alarming, but it's actually a very natural occurrence. Most women develop at least one cyst during their lifetime, often without even knowing it.
The ovaries are small but active organs. Every month, they go through a hormonal cycle — growing follicles, releasing eggs, and adjusting. Sometimes, this process forms a cyst. Most are harmless. Some cause discomfort. And a small number need medical attention.
Why Do Ovarian Cysts Form?
Ovarian cysts form for several reasons, and the cause often depends on your age, hormonal health, and overall gynaecological history. Here are the most common triggers:
Hormonal imbalance — the most frequent cause, especially in women with PCOD
The natural menstrual cycle — follicles that don't release an egg can become cysts
Endometriosis — when uterine tissue grows outside the uterus, it can form cysts called endometriomas
Pregnancy — small cysts can form in early pregnancy to support the developing baby
Pelvic infections — repeated or untreated infections can cause cyst formation
Functional, Dermoid, Endometrioma — Which Cyst Do You Have?
Not all cysts are the same. The type of cyst matters because it directly affects how your doctor manages it.
Functional Cysts: The most common type. They form as part of the normal menstrual cycle and almost always go away on their own within one to three months.
Dermoid Cysts (Teratomas): Unusual cysts that can contain hair, skin, or even teeth. They don't resolve on their own and typically need surgical removal.
Endometriomas (Chocolate Cysts): Caused by endometriosis, these cysts are filled with old blood and can affect fertility significantly if left untreated. Laparoscopic chocolate cyst removal surgery in Pune is often recommended for women trying to conceive.
Cystadenomas: Benign cysts that grow on the outer surface of the ovary and can become quite large.
Polycystic Ovaries (PCOD): Multiple small cysts that form due to hormonal imbalance — not the same as isolated ovarian cysts and managed differently.
Signs and Symptoms That Should Not Be Ignored
Many cysts are completely silent. But when symptoms do appear, your body is asking for attention. Watch out for:
Dull or sharp pain in the lower abdomen, usually on one side
Bloating or a feeling of heaviness in the pelvic area
Painful or irregular periods
Frequent urge to urinate, even when the bladder isn't full
Difficulty emptying the bowel
Seek emergency care immediately if you experience sudden, severe pelvic pain with fever, vomiting, or dizziness. This could indicate a ruptured cyst or ovarian torsion — both of which need urgent medical attention.
How a Laparoscopic Specialist Evaluates Ovarian Cysts
Diagnosis isn't just about confirming the cyst — it's about understanding what type it is, how large, and what it might be doing to the surrounding tissue. At Love Your Belly Clinic in Baner, Dr. Kunaal K. Shinde uses a structured evaluation process:
Transvaginal or abdominal ultrasound — the primary tool to assess cyst size, location, and characteristics
CA-125 blood test — to check for any markers that may suggest malignancy, especially in postmenopausal women
Complete medical and menstrual history — because context matters
MRI or CT scan — in complex or suspected malignant cases
With over 15 years of clinical experience and more than 12,000 surgeries, Dr. Shinde's approach is always to get the full picture before recommending any treatment.
When Do You Need Laparoscopic Surgery?
There are specific situations where waiting is no longer the right call. Laparoscopic surgery becomes necessary when:
The cyst is larger than 5 to 6 cm and hasn't resolved after two to three menstrual cycles
Ultrasound shows complex features — solid components, thick walls, or internal echoes that raise concern
There's a risk of ovarian torsion — where the ovary twists on itself, cutting off blood supply
The cyst has ruptured and is causing internal bleeding
You have an endometrioma affecting fertility
A dermoid cyst is confirmed — these never go away on their own
You're postmenopausal with a persistent cyst — the risk of malignancy is higher and needs prompt management
What Happens During Laparoscopic Ovarian Cyst Surgery?
This is where many women feel the most anxiety — and it's completely understandable. But laparoscopic surgery is far less invasive than what most people imagine.
Here's what actually happens:
You're given general anaesthesia — you won't feel a thing
Three to four tiny cuts (about 0.5 to 1 cm) are made in the abdomen
A laparoscope — a thin camera — is inserted to give the surgeon a clear, magnified view
The cyst is carefully separated from the healthy ovarian tissue and removed
The incisions are closed with dissolvable stitches
Most patients go home the same day or the next morning
No large cuts. No prolonged hospital stays. The goal is always to remove the cyst while protecting as much healthy ovarian tissue as possible.
Will This Laparoscopic Surgery Affect Your Fertility or Hormones?
This is the question most women ask first — and it's the right one to ask.
For most benign cysts, laparoscopic removal has minimal impact on fertility. The surgery is specifically designed to preserve healthy ovarian tissue. In many cases, removing a cyst that was interfering with the ovary actually improves your chances of conceiving.
Endometriomas are a slightly different story. Their removal carries a small risk of reducing ovarian reserve, particularly if the cysts are large or on both ovaries. This is a nuanced decision that needs to be discussed carefully — factoring in your age, symptoms, fertility goals, and the size of the cyst.
Hormonal balance is generally not affected by cyst removal unless the cyst itself was producing hormones — which happens in rare cases. Your doctor will check this during pre-surgery evaluation.
Recovery After Laparoscopic Surgery — What to Expect
Recovery after laparoscopy is genuinely quick for most women. Here's a realistic timeline:
Day 1 to 2: Mild soreness around the incision sites, possible shoulder discomfort from the gas used during surgery. Rest is key.
Days 3 to 5: Most women feel significantly better. Light movement is encouraged.
Week 1 to 2: You can resume light daily activities, including working from home or desk jobs.
Week 3 to 4: Normal routine resumes for most women. Avoid heavy lifting or strenuous exercise until your surgeon clears you.
Follow-up scans are usually done within four to six weeks to confirm complete recovery and check that no residual tissue remains.
When to See a Gynecological Laparoscopic Surgeon in Baner
If you've been diagnosed with an ovarian cyst — or you've been experiencing unexplained pelvic pain, bloating, or irregular periods — don't keep postponing that appointment.
Dr. Kunaal K. Shinde, a leading gynaec laparoscopic surgeon in Baner with over 15 years of experience and 12,000+ surgeries performed, offers advanced laparoscopic ovarian cyst treatment at Love Your Belly Clinic, Baner, and as a visiting consultant at Jupiter Hospital, Cloudnine Hospital, Manipal Hospital, and Todkar Hospital.
His approach is simple — understand your body, treat the root cause, and protect your future health. Whether your cyst needs observation, medication, or minimally invasive laparoscopic surgery, you'll get a clear, honest recommendation backed by clinical expertise.
Don't wait for the pain to get worse. Book a consultation today at Love Your Belly Clinic, Baner, Pune — call 87 9722 9722.
Frequently Asked Questions
1. Do all ovarian cysts require surgery?
No, most ovarian cysts resolve on their own within one to two menstrual cycles. Doctors usually recommend watchful waiting with follow-up ultrasounds before suggesting any intervention. Surgery is considered only when the cyst is large, complex, or causing persistent symptoms that do not improve over time.
2. How long does recovery take after laparoscopic ovarian cyst surgery?
Most women return to light daily activities within one to two weeks after laparoscopic surgery. Full recovery typically takes three to four weeks. Since laparoscopy involves only small incisions, pain is minimal and hospital stay is usually just one day, making it significantly faster than open surgery.
3. What are the steps involved in laparoscopic ovarian cyst removal?
The surgeon makes three to four small cuts in the abdomen, inserts a camera and instruments, carefully separates the cyst from healthy ovarian tissue, and removes it. The entire procedure is done under general anaesthesia and usually takes 30 to 60 minutes depending on cyst size and complexity.
4. Are there any long-term side effects after ovarian cyst removal?
Most women experience no long-term side effects. In rare cases, especially with endometriomas, there may be a slight reduction in ovarian reserve. Hormonal balance is generally unaffected unless the cyst itself was hormone-producing. Regular follow-up scans after surgery help monitor recovery and prevent recurrence effectively.
5. What is the cost of laparoscopic ovarian cyst surgery in Pune?
The cost typically ranges between ₹40,000 and ₹1,20,000 depending on cyst complexity, whether one or both ovaries are affected, hospital chosen, and whether additional procedures like endometriosis treatment are performed simultaneously. Consulting your surgeon directly gives the most accurate estimate for your specific condition.
6. How does a gynaecologist confirm whether surgery is needed for an ovarian cyst? Diagnosis involves a pelvic ultrasound, clinical examination, and in some cases a CA-125 blood test. Dr. Kunaal K. Shinde evaluates the cyst's size, type, and location to decide whether observation, medication, or laparoscopic surgery is the right approach for your individual health condition.
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