An ovarian cyst is a small sac that forms inside or on the surface of the ovary and may contain fluid or semisolid material. Ovarian cysts are very common, particularly among women who have not yet reached menopause. Most ovarian cysts do not cause symptoms or pain and are not cancerous. As a result, they are often discovered incidentally during a pelvic examination or ultrasound (USG).
Although many ovarian cysts can be managed through monitoring, surgery may be recommended in certain cases, particularly when the cyst requires further treatment because of its size or characteristics or when it causes symptoms. One such procedure was recently performed by dr. Edward Tony Ngantung, Sp.OG, an obstetrician and gynecologist at Mandaya Royal Puri Hospital, who removed a 5 × 6 cm ovarian cyst using minimally invasive laparoscopic surgery. This technique is a minimally invasive surgical approach that uses small incisions to remove the cyst while minimizing tissue trauma.
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A 5 × 6 cm ovarian cyst was found in a 24-year-old patient
A 24-year-old female patient visited the outpatient clinic with complaints of pain on the right side of her abdomen. An ultrasound examination revealed a mass measuring approximately 5 × 6 cm on the right ovary, with a solid-looking appearance.
To determine the characteristics of the cyst and rule out the possibility of malignancy, the patient underwent tumor marker testing and advanced imaging with MRI. After the examination results indicated that the mass was benign, the doctor planned to remove the cyst through laparoscopic cystectomy.
Laparoscopic cyst removal while preserving healthy ovarian tissue
The laparoscopic cystectomy was successfully performed, with the entire cyst removed from the right ovary. During the procedure, the doctor aimed to remove the cyst while preserving the healthy ovarian tissue.
By preserving healthy ovarian tissue and retaining both ovaries, the patient’s reproductive function could be maintained. This is an important consideration when treating ovarian cysts in women of reproductive age, particularly those who may wish to have children in the future.
Read also: The Difference Between Fibroids and Ovarian Cysts You Should Know
Recognize the symptoms of ovarian cysts and when to see a doctor
Most ovarian cysts do not cause symptoms and may go away on their own. However, larger ovarian cysts may cause several symptoms, including:
- Pelvic or lower abdominal pain, which may come and go. The pain can feel dull or sharp, particularly on one side of the abdomen.
- A feeling of fullness, pressure, or heaviness in the abdomen, especially in the lower abdominal area.
- Bloating or an abdomen that feels larger than usual.
When should you see a doctor?
Seek immediate medical attention if you experience sudden and severe abdominal or pelvic pain, particularly if it is accompanied by fever or vomiting. These symptoms may indicate an ovarian cyst complication that requires urgent treatment.
Severe weakness, dizziness, rapid breathing, or cold and clammy skin should also be taken seriously, as these may be signs of shock and require immediate medical attention.
Potential complications of untreated ovarian cysts
Most ovarian cysts do not cause serious problems and may resolve on their own. However, certain types or larger cysts may increase the risk of complications and therefore require appropriate monitoring and treatment. Possible complications include:
- Ruptured ovarian cyst: An ovarian cyst may rupture, particularly when it is relatively large. This can cause severe pain and, in some cases, dizziness or weakness.
- Ovarian torsion: A large cyst can cause the ovary to twist, potentially cutting off its blood supply. This condition is typically characterized by sudden and severe abdominal or pelvic pain and may be accompanied by nausea and vomiting.
- Risk of malignancy: Ovarian cysts that develop after menopause are more likely to be cancerous than those that develop before menopause. Therefore, medical evaluation and monitoring are important to determine the characteristics of an ovarian cyst.
Seek immediate medical attention if you experience sudden and severe abdominal or pelvic pain, particularly if accompanied by nausea, vomiting, dizziness, or severe weakness. These symptoms may indicate a ruptured ovarian cyst or ovarian torsion, both of which require prompt medical treatment.
Consult dr. Edward for ovarian cyst treatment at Mandaya Puri
dr. Edward Tony Ngantung, Sp.OG is an obstetrician and gynecologist who provides comprehensive women’s healthcare services, ranging from pre-pregnancy planning and prenatal care to the diagnosis and treatment of various conditions affecting the female reproductive system, including ovarian cysts.
He completed his medical education at Sam Ratulangi University before pursuing specialist training in Obstetrics and Gynecology at San Juan de Dios Educational Foundation. He subsequently completed an Obstetrics and Gynecology adaptation program at Udayana University to support his medical practice in Indonesia.
In his clinical practice, dr. Edward provides a range of obstetric and gynecological services, including preconception care, prenatal diagnosis, fetal imaging, contraceptive consultations, management of pregnancy complications, and treatment of various benign gynecological conditions. He also has experience performing minimally invasive surgical procedures, including ovarian cyst treatment tailored to each patient’s medical condition and needs.
Patients seeking consultation and evaluation for ovarian cysts can meet with dr. Edward Tony Ngantung, Sp.OG at Mandaya Royal Puri Hospital according to the following schedule:
- Monday: 14:00–16:30 WIB
- Tuesday: 11:00–14:00 WIB
- Wednesday: 17:00–20:00 WIB
- Thursday: 17:00–20:00 WIB
- Friday: 10:00–14:00 WIB
- Saturday: 09:00–13:00 WIB.
To make your visit to Mandaya Royal Hospital Puri easier, use Chat via WhatsApp, Book an Appointment, or the Care Dokter app, which can be downloaded from Google Play and the App Store to help you manage visits, check queue numbers, and access other information.
*The information provided on this page is intended for educational purposes and general guidance only and does not represent the full range of medical services that may be performed by each doctor. To determine the appropriate treatment for your medical condition, consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
References:
- Cleveland Clinic. Ovarian Cysts: Causes, Symptoms, Diagnosis & Treatment. (https://my.clevelandclinic.org/health/diseases/9133-ovarian-cysts). Accessed September 1, 2026.
- Mayo Clinic. Ovarian Cysts – Symptoms and Causes. (https://www.mayoclinic.org/diseases-conditions/ovarian-cysts/symptoms-causes/syc-20353405). Accessed September 1, 2026.