Ovarian Cyst Treatment in Delhi
Evaluation and, where needed, laparoscopic removal of ovarian cysts.
What ovarian cyst treatment involves
Most ovarian cysts are functional — they form and disappear with the menstrual cycle, and need nothing but a repeat scan. The job of the assessment is to separate those from endometriomas, dermoids and the small number that need urgent attention.
Where surgery is needed in a woman who wants to conceive, how it is done matters enormously. Stripping a cyst carelessly removes healthy ovarian tissue along with it.
Who this is for
- A cyst persisting beyond two or three menstrual cycles
- Cysts above 5 cm, or with complex features on ultrasound
- Sudden severe pelvic pain suggesting torsion or rupture
- Endometriomas affecting fertility
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Characterisation
Transvaginal ultrasound with Doppler, and tumour markers where features are complex.
Observation
Simple cysts are rescanned after six to eight weeks; most resolve.
Laparoscopic cystectomy
Keyhole removal with the cyst wall stripped carefully from healthy ovarian tissue.
Follow-up
Histology reviewed with you, and ovarian reserve rechecked where relevant.
Your results, in writing
Whatever the outcome of ovarian cyst treatment, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: The cyst that did not need an operation
23, Munirka · 6 cm ovarian cyst · surgery advised elsewhere
What she came in with
An incidental 6 cm cyst found on a scan for abdominal pain. She had been advised laparoscopic removal within the month and had come for a second opinion, frightened.
What the workup showed
The scan features were entirely simple: unilocular, thin-walled, anechoic, no solid areas, no internal blood flow on Doppler. Tumour markers were normal. The appearance was of a functional follicular cyst, and the scan had been done on day nine of her cycle.
What we did
No surgery. A repeat transvaginal ultrasound eight weeks later, at a different point in the cycle, with clear advice about which symptoms would mean coming back sooner.
Outcome
The repeat scan showed a 1.2 cm residual follicle and nothing else. The cyst had been a normal physiological structure all along.
The point of this case
Functional cysts come and go with the cycle. Removing one costs a young woman ovarian tissue she will need, and an eight-week wait answers the question at no cost at all.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Ovarian reserve measured before surgery in women planning pregnancy
Tissue-sparing technique with minimal use of cautery near the hilum
Day-care laparoscopy with discharge the same or next day
Conservative management wherever the scan allows it
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about ovarian cyst treatment
Will removing a cyst affect my fertility?
Careful cystectomy has a modest effect. Poor technique, especially excessive cautery, can reduce reserve significantly. This is why we measure AMH before and discuss it with you.
Can a cyst be cancerous?
In young women this is uncommon. Ultrasound features and markers guide us, and anything suspicious is referred to a gynae-oncologist.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.