What's the connection between heavy periods and ovarian cysts?

Written in association with: Dr Sangeetha Devarajan
Published: | Updated: 26/09/2024
Edited by: Karolyn Judge

Heavy periods, also known as menorrhagia, can sometimes be connected to ovarian cysts, though not always directly. Understanding this connection requires a look at how ovarian cysts develop and how they can impact the menstrual cycle. We speak to leading obstetrician and gynaecologist Dr Sangeetha Devarajan about this important topic. 

Woman, who has ovarian cysts, which are linked to heavy periods

  

What are ovarian cysts?

Ovarian cysts are fluid-filled sacs, and they develop on or within an ovary. Most are benign, often go unnoticed and cause no symptoms. However, some can become larger, causing various symptoms, including:

  • Pain in the lower abdomen
  • Bloating
  • Irregular periods

 

 

How do ovarian cysts affect periods?

While ovarian cysts don’t always lead to heavy periods, they can cause menstrual irregularities in some cases. For example, functional cysts, which are related to the menstrual cycle, may disrupt normal hormonal balance, leading to:

  • Longer or heavier periods: If the cyst affects hormone production, it could result in heavier bleeding.
  • Irregular periods: Hormonal imbalances caused by cysts can make periods less predictable.
  • Pain during menstruation: Larger cysts can cause more pain, which might be particularly noticeable during periods.

 

 

Are there other causes of heavy periods?

It’s important to note that while ovarian cysts can contribute to heavy periods, there are other more common causes of menorrhagia, including:

  • Hormonal imbalances unrelated to cysts
  • Fibroids
  • Endometriosis
  • Polycystic ovary syndrome (PCOS)

 

 

When should I see a doctor for heavy periods?

If you’re experiencing heavy periods along with symptoms like persistent pelvic pain or bloating, it’s advisable to consult with a healthcare professional. They can determine whether ovarian cysts might be contributing to your symptoms and recommend appropriate treatment if necessary. In some cases, imaging tests like an ultrasound may be used to check for cysts.

 

Overall, while ovarian cysts can be linked to heavy periods, they are just one of many potential causes. A thorough medical evaluation is often needed to identify the exact reason for menstrual irregularities.

 

 

 

If you require expert ovarian cyst treatment, arrange a consultation with Dr Devarajan via her Top Doctors profile.

By Dr Sangeetha Devarajan
Obstetrics & gynaecology

Dr Sangeetha Devarajan is a highly experienced consultant obstetrician and gynaecologist based in South London who specialises in hysteroscopy, ovarian cyst management and endometriosis, as well as heavy periods, menopause, and period pain. She privately practises at Spire St Anthony's Hospital and her NHS base is Epsom and St Helier University Hospitals NHS Trust where she served as the lead for acute gynaecology and early pregnancy from 2018 to 2023.

Dr Devarajan holds an MB BS from Rajah Muthiah Medical College, Annamalai University, and an MS in Obstetrics and Gynaecology from Sr. Ramachandra Medical College and Research Institute in Chennai, India. She further advanced her qualifications with a DNB in Obstetrics and Gynaecology in New Delhi, India, and later, an FRCOG from the Royal College of Obstetricians and Gynaecologists in London.

Dr Devarajan is particularly skilled in minimal access surgery and has a strong focus on treating menstrual disorders and abnormal uterine bleeding. She also provides expert care in the diagnosis and management of benign gynaecological conditions such as fibroids, polyps, and pelvic pain. Additionally, she offers a comprehensive one-stop gynaecology scanning service, as well as clinics dedicated to post-menopausal bleeding, with a two-week wait referral service.

Dr Devarajan is well-regarded for her proficiency in transvaginal ultrasound scanning and the assessment of adnexal masses, both of which are essential in acute gynaecological admissions. As a trainer in these techniques, she has contributed significantly to the education and training of future specialists in the field. Her expertise extends to the management of complex cases, where she works collaboratively with a multidisciplinary team to ensure optimal patient outcomes.

In terms of surgical practice, Dr Devarajan is adept at performing a variety of minimally invasive procedures, including laparoscopic oophorectomy, cystectomy, salpingectomy, and endometriosis ablation. She is also well-trained in open gynaecological surgeries, having performed numerous abdominal and vaginal hysterectomies, as well as laparotomies for various gynaecological conditions. Her commitment to patient safety is evident in her meticulous approach to surgical procedures, particularly in the safe execution of laparoscopic surgeries.

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