They may go unnoticed or they may be associated with sudden, often intense, pain. The body naturally absorbs and removes these fluids. Even blood is generally removed without a problem, although usually more slowly than other fluids. Any cyst that does not behave like a functional cyst should be evaluated further so that serious problems like cancer can be ruled out. Criteria possibly indicating the need for further evaluation include family history, symptomatology, size, duration, complexity, and mobility.
Pelvic examination provides the initial estimates of size, tenderness, and mobility.
Repeat exam after intervals of time provide information regarding duration. Once the physician determines that a cyst is probably not functional, exact information must be obtained. Although sometimes a needle guided aspiration will provide the needed information, it does not allow for treatment at the same time. In most cases diagnostic laparoscopy is recommended. Aspiration - A simple cyst may be treated by simply draining the fluid out.