Most cysts need only observation. When surgery is needed, we remove the cyst and preserve the ovary — fertility-conscious keyhole surgery by senior gynaecologists.
Ovarian cysts are fluid-filled sacs on or in the ovary. The majority are “functional” cysts linked to the normal cycle — they come and go harmlessly, often discovered incidentally on ultrasound. A smaller group (persistent, large, complex, endometriotic “chocolate” cysts or dermoids) needs treatment. The skill lies in telling these apart — treating what needs treatment and *not* operating on what will disappear by itself.
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A good pelvic ultrasound is the cornerstone — size, appearance and blood-flow pattern classify the cyst. Blood markers (like CA-125, interpreted carefully) and occasionally MRI complete the picture. Simple small cysts are typically re-scanned after 6–8 weeks; many vanish on their own.
Functional cysts usually resolve within one to three cycles — observation with a repeat scan is the correct treatment, not surgery. Pain is managed while nature does the work. We schedule the follow-up scan so nothing is left to chance.
Persistent, large, complex or symptomatic cysts are removed laparoscopically — usually as ovary-preserving cystectomy, peeling the cyst while protecting healthy ovarian tissue and future fertility. Torsion is treated as an emergency to save the ovary. Suspicious masses follow a proper oncologic pathway with appropriate referral built in.
We recommend surgery only when it is genuinely the best option for you — and explain why, in plain language, before you decide.
Keyhole surgery; home the same day or next morning.
Light routine and desk work.
Full routine activity for most women.
Histopathology reviewed with you; cycle and fertility guidance given.
Timelines are typical for uncomplicated cases — your surgeon will give you a personalised plan.
The final cost depends on the technique used, the complexity of your case, the type of room you choose and your length of stay. After your consultation you receive a clear, itemised estimate — before you decide anything.
Bring your policy details or insurance card and our front-desk team will help you with the paperwork and coordination with your insurer from admission through discharge.
Bawa Hospital in Ludhiana treats patients from across Punjab — including Chandigarh, Mohali, Jalandhar, Amritsar, Patiala, Bathinda, Moga and Khanna — as well as Delhi NCR, Haryana, Himachal Pradesh and Jammu & Kashmir.
For outstation patients we plan the consultation, pre-operative tests and surgery to minimise trips — often completed in a single visit, with follow-up support on WhatsApp.
No. Most cysts in reproductive-age women are functional and disappear within weeks. The right first step is usually a repeat scan after 6–8 weeks, not an operation — we will tell you honestly which kind yours looks like.
Ovary-preserving laparoscopic cystectomy is specifically designed to protect fertility — the cyst is removed, healthy ovary is retained. For endometriotic cysts in women planning pregnancy, we coordinate with our IVF team so surgery and fertility planning work together.
An endometrioma — a cyst filled with old blood caused by endometriosis. These cause pain and can affect fertility, and they do not resolve on their own; management is individualised between surgery and fertility treatment.
A cyst can make the ovary twist on its stalk, cutting off blood supply — sudden severe one-sided pain, often with vomiting. It is a surgical emergency; treated within hours, the ovary is usually saved.
Medically reviewed by Prof. (Dr.) Ashvind Bawa, MS FACS — Director, Surgical Services · Last reviewed July 2026
Honest classification first — surgery only for the cysts that truly need it, done fertility-first.