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

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. 

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.