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How big do follicular cysts on both ovaries have to be when doctors normally decide to surgically remove the cysts?

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Kathryn Wright , Keen reader and graduate who loves reading a medical encyclopaedia , answered

Ovarian Follicular cysts are normally benign and harmless, however, if you have cysts over 5 centimetres that continue to grow, it is likely that they will be removed before they can put any pressure on your insides. Some can get up to 10cm without the patient feeling too much discomfort so it depends on each case of course.

What are follicular cysts?

These are cysts that come and go in cycles on a woman's ovaries. In

fact, women always get one at the point of ovulation, but these normally go down when the egg is released into the fallopian tube. Every so often, the egg won't release properly and the cyst doesn't deflate as normal-hence swelling in size and risking the need for surgery or even a rupture if they get too big.

There are many other cysts that women can get, not all are to do with your monthly cycle. If you feel any discomfort in your lower abdomen you should make sure you go for an ultra-sound. If you have Polycystic ovaries there are measures that you can take to reduce the symptoms. For example, it was discovered that a medication for diabetes  - Metformin - can help to regulate periods that are otherwise made irregular by the cysts.

What to do if you have a cyst?

It is important to check the current status of the cyst and note any changes, which means getting regular check-ups with ultrasound. You may also notice that you have hormone changes that would be worth noting, for example: does your skin get worse, do you have bad cramps? All of this information will hep your doctor decide which is best: managing the condition if the cysts are small or removing them should the cysts continue to grow.

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