Change is Good! Especially in the world of reproduction.

Change is Good! Especially in the world of reproduction. Only a uterus can sit quietly, the size of your fist, and manage to completely shed its entire inner surface each month. And then, when pregnant, grow as big as a basketball to hold a baby. Afterwards, it returns to its small size and resumes menstrual function.

Ovaries are equally dynamic. Each month one ovary develops an egg in a small follicle (cyst) filled with clear fluid. After ovulation, this cyst changes character releasing progesterone to support a pregnancy. Eventually, these structures dissolve. If there is not a pregnancy, the whole process repeats in the other ovary during the next month.

Ovarian cysts are not always the normal process as described above. There are some structures that develop and continue to grow unless intervention occurs. An endometrioma contains uterine lining tissue and enlarges with menstrual blood every month. This blood turns brown and is referred to as a chocolate cyst. Dermoid cysts can have skin, teeth, hair and cartilage in them. Cystadenomas develop from cells on the outside of the ovary.

All enlarged ovaries carry the risk of torsion, twisting on its support and cutting off its blood supply. This requires emergency surgery to have any hope of saving the ovary.

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Women's Health Care

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