{If| When | In case } cysts are {too|very|so} {small|tiny|little}, it is {hard|difficult|troublesome} to {determine|identify|know|see|observe} the symptoms. {More often|Usually|Commonly|Most likely|Generally}, {women|females|ladies} {discover|find out|know} that they {have|got|are suffering} this {condition|disease} only during {routine|regular|required|needed} check up and ultrasound {examination|procedure}. The {symptoms|signs|indicators| indications} for complex ovarian cyst {include|are|could be} lower abdominal pain or pelvic pain, {irregular|abnormal} menstrual {period|cycle}, pelvic pain after {sexual intercourse|sex} or after {rigid|heavy|intense} exercise, feeling of lower {abdominal|stomach} or pelvic pressure or fullness, pain during {urination|secretion of urine} or bowel movement, vaginal pain or vaginal spotting, nausea and vomiting, infertility, {increment|increase} of hair {growth|development} on face or body, {abrupt|sudden} weight gain, breast tenderness {similarly|just like} during pregnancy, {pain|suffering} during and after menstruation, headaches and bloating, and {unaccounted|frequent|unusual} muscular pain in the ribs.
{Large|Big} complex ovarian cysts can {cause|produce} {noticeable|observable|visible} {symptoms|signs} or may not {show|display|projects} {symptoms|signs|indicators} at all.
{Women|Females|Ladies} with complex ovarian cysts may {experience|suffer|have} {irregularities|abnormalities} in monthly periods, {such as|like|including} absence of menstruation or {abnormal|unusual} bleeding. {Some|Few} of the {symptoms|signs} can be {like|similar to the|the same with the} {symptoms|signs} of endometriosis, ectopic pregnancy or pregnancy like {symptoms|signs|indications} such as nausea and vomiting. {Although|Moreover}, women {affected|suffering} with complex ovarian cysts {experience|feel} pain {during sexual intercourse|when having sex}, pain before and after {menstrual period|menstruation|menstrual cycle}.
It is {important|crucial|critical|essential} to {see|visit|go to} a {doctor|physician} {immediately|right away|instantly} once {any|one} of these complex ovarian cyst symptoms {is present|occurs} in order to {properly|immediately} {manage|treat} this condition. {Doctors|Physicians} {often|usually|commonly|mostly} determine or diagnose {women|females|ladies} with complex ovarian cysts {through|using|by means of} manual pelvic examination. Pelvic ultrasound is {frequently|often|usually} {done|used} to {hold up|back up|confirm} their diagnoses. A pregnancy test and blood test is {required|necessary} to rule out a pregnancy.
Endovaginal ultrasound is a {painless|pain free|convenient} {procedure|examination} that is {similar|the same} with pelvic examination. A covered wand is {inserted|put} into the vagina {towards|reaching} the uterus and ovaries. This {examination|process|procedure} {produces|provides} a better {image|view} than a scan because the {wand|apparatus|equipment} can be nearly {directed|focused} to the ovaries.
To {diagnose|examine} a {woman|lady} with complex ovarian cyst, a laparoscopy can also be {done|used|performed}. A {thin|small}, lighted tube (called a laparoscope) is {inserted|put|placed} through the abdominal {wall|lining} to {inspect|observe|see} the {inside|internal} of the abdomen.
CT scan can also be {done|used|performed} to {determine|know} the {extent|severity} of the {condition|disease}. And MRI can {clarify|back up|certain} the results of the ultrasound.
The woman’s age and {symptoms|signs} are also {regarded|considered}. Complex ovarian cyst is not at all {cancerous| dangerous|serious} but to rule out cancer, a test must be {taken|conducted|done} and {assess|perform} the {appropriate|proper} treatment.
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