Prevalence of Ovarian Cyst Diagnosed on Ultrasonography in Females of Reproductive Age Visiting Tertiary Care Hospital: Prevalence of Ovarian Cyst

Tashfeen Eman; Fatima Batool; Yasser Khan; Filza Sultan; Ramsha Asghar; Asm Raza; Zoha Ali

doi:10.54393/pbmj.v7i12.1235

Authors

Tashfeen Eman School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Fatima Batool School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Yasser Khan School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Filza Sultan School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Ramsha Asghar School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Asm Raza School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
Zoha Ali School of Allied Health Sciences, Combined Military Hospital, Lahore Medical College and Institute of Dentistry, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v7i12.1235

Keywords:

Ovarian Cyst, Ultrasonography, Reproductive Age, Abdominal Pain

Abstract

Ovarian cyst is most common in females of reproductive age ranging from 18-44 years. An ovarian cyst can cause many complications e.g. ovarian cyst accidents include cyst rupture, hemorrhage, and torsion thus timely diagnosis and treatment are important to lessen patient suffering. Objective: To calculate the prevalence of ovarian cyst diagnosed on ultrasonography in females of reproductive age visiting tertiary care hospital. Methods: This descriptive study was conducted in the radiology department of CMH Lahore Hospital from September to December 2023. All the individuals who fulfilled the inclusion/exclusion criteria were enrolled. A detailed history was taken from all patients including age, difficulty urination, pregnancy, pain and associated symptoms. Data entry and analysis were done by SPSS version 26. Results: The mean age was 30.25 years. All females were of reproductive age. Abdominal pain was the most common symptom in this study 52.1% (113). The second most common symptom discovered was irregular periods in which the frequency of female patients was 65 (30%). There were 217 females in this study. Out of 217, 137 (63.1%) were normal and 80 (36.9%) had ovarian cyst. So according to this study prevalence was 36.9%. Conclusions: Ultrasound is an effective, non-invasive and Radiation safe modality for the diagnosis and detection of prevelance of ovarian cysts in females of reproductive age. The most common symptom in females was abdominal pain and irregular periods. Ovarian cysts were present in one-third of the target population. The frequency of benign cysts was higher than malignant cysts.

References

Seidizadeh O, Aliabad GM, Mirzaei I, Yaghoubi S, Abtin S, Valikhani A et al. Prevalence of hemorrhagic ovarian cysts in patients with rare inherited bleeding disorders. Transfusion and Apheresis Science. 2023 Jun; 62(3): 103636. doi: 10.1016/j.transci.2022.103636. DOI: https://doi.org/10.1016/j.transci.2022.103636

Levine D, Patel MD, Suh-Burgmann EJ, Andreotti RF, Benacerraf BR, Benson CB et al. Simple adnexal cysts: SRU consensus conference update on follow-up and reporting. Radiology. 2019 Nov; 293(2): 359-71. doi: 10.1148/radiol.2019191354. DOI: https://doi.org/10.1148/radiol.2019191354

Ghosh B and Rufford B. A practical approach to managing post-menopausal women with ovarian cysts. Obstetrics, Gynaecology & Reproductive Medicine. 2023 Jun; 33(6): 153-9. doi: 10.1016/j.ogrm.2023.03.001. DOI: https://doi.org/10.1016/j.ogrm.2023.03.001

Hoo WL, Yazbek J, Holland T, Mavrelos D, Tong EN, Jurkovic D. Expectant management of ultrasonically diagnosed ovarian dermoid cysts: is it possible to predict outcome?. Ultrasound in Obstetrics and Gynecology. 2010 Aug; 36(2): 235-40. doi: 10.1002/uog.7610. DOI: https://doi.org/10.1002/uog.7610

Das R and Rajbhandari S. An ovarian dermoid cyst in pregnancy: a rare cause of Intrauterine growth restriction. Med Phoenix. 2020 Sep; 5(1): 75-8. doi: 10.3126/medphoenix.v5i1.31422. DOI: https://doi.org/10.3126/medphoenix.v5i1.31422

Kaur N and Ma K. Benign ovarian cysts in premenopausal women. Obstetrics, Gynaecology & Reproductive Medicine. 2024 Oct. doi: 10.1016/j.ogrm.2024.10.003. DOI: https://doi.org/10.1016/j.ogrm.2024.10.003

Kobenge FM, Elong FA, Mpono EP, Egbe TO. Management of a Huge Ovarian Cyst in Pregnancy at the Douala General Hospital, Cameroon: A Case Report and Review of the Literature. Advances in Reproductive Sciences. 2024 Jun; 12(3): 165-78. doi: 10.4236/arsci.2024.123014. DOI: https://doi.org/10.4236/arsci.2024.123014

Firdous A, Saqib HA, Zia Ul Islam SN, Ali H, Tahir R, Khan M. Role of doppler ultrasound in detection of malignant lesions in patients presenting with ovarian masses taking histopathology as gold standard. Pakistan Journal of Medical and Health Sciences. 2021 Feb; 15(3): 654-5.

Senarath S, Ades A, Nanayakkara P. Ovarian cysts in pregnancy: a narrative review. Journal of Obstetrics and Gynaecology. 2021 Mar; 41(2): 169-75. DOI: https://doi.org/10.1080/01443615.2020.1734781

Tehrani HG, Tavakoli R, Hashemi M, Haghighat S. Ethanol sclerotherapy versus laparoscopic surgery in management of ovarian endometrioma; a randomized clinical trial. Archives of Academic Emergency Medicine. 2022 Jul; 10(1): e55. doi: 10.22037/aaem.v10i1.1636.

Exacoustos C. Sonography for pelvic endometriosis. Gynäkologische Endokrinologie. 2023 Sep; 21(3): 165-75. doi: 10.1016/j.jmig.2019.08.027. DOI: https://doi.org/10.1007/s10304-023-00523-4

Ștefan RA, Ștefan PA, Mihu CM, Csutak C, Melincovici CS, Crivii CB et al. Ultrasonography in the differentiation of endometriomas from hemorrhagic ovarian cysts: the role of texture analysis. Journal of Personalized Medicine. 2021 Jun; 11(7): 611. doi: 10.3390/jpm11070611. DOI: https://doi.org/10.3390/jpm11070611

Abbas AM, Amin MT, Tolba SM, Ali MK. Hemorrhagic ovarian cysts: Clinical and sonographic correlation with the management options. Middle East Fertility Society Journal. 2016 Mar; 21(1): 41-5. doi: 10.1016/j.mefs.2015.08.001. DOI: https://doi.org/10.1016/j.mefs.2015.08.001

Mantecon O, George A, DeGeorge C, McCauley E, Mangal R, Stead TS et al. A case of hemorrhagic ovarian cyst rupture necessitating surgical intervention. Cureus. 2022 Sep; 14(9): e29350 . doi: 10.7759/cureus.29350. DOI: https://doi.org/10.7759/cureus.29350

Farghaly OI. Current diagnosis and management of ovarian cysts. Clinical and Experimental Obstetrics & Gynecology. 2014; 41(6): 609-12. doi:10.12891/ceog20322014. DOI: https://doi.org/10.12891/ceog20322014

Mais V, Guerriero S, Ajossa S, Angiolucci M, Paoletti AM, Melis GB. The efficiency of transvaginal ultrasonography in the diagnosis of endometrioma. Fertility and Sterility. 1993 Nov; 60(5): 776-80. doi: 10.1016/s0015-0282(16)56275-x, DOI: https://doi.org/10.1016/S0015-0282(16)56275-X

Van Sloun RJ, Cohen R, Eldar YC. Deep learning in ultrasound imaging. Proceedings of the IEEE. 2019 Aug; 108(1): 11-29. doi: 10.48550/arXiv.1907.02994. DOI: https://doi.org/10.1109/JPROC.2019.2932116

Jamdade K and Gajjar K. Management of ovarian cysts and cancer in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine. 2025. DOI: https://doi.org/10.1016/j.ogrm.2025.02.002

Samanta R, Anand R, Solanki R, Yadav R. Ultrasonographic evaluation of pelvic pain in first trimester of pregnancy: a prospective study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2023 Aug; 12(8): 2417-22. doi: 10.54361/ajmas.2472021. DOI: https://doi.org/10.18203/2320-1770.ijrcog20232283

Christensen JT, Boldsen JL, Westergaard JG. Functional ovarian cysts in premenopausal and gynecologically healthy women. Contraception. 2002 Sep; 66(3): 153-7. doi: 10.1016/s0010-7824(02)00353-0. DOI: https://doi.org/10.1016/S0010-7824(02)00353-0

Aguer EM, Wangalwa R, Jeninah A, Augustino SM. Microbiological Safety and Quality of Raw Milk at Pastoral Community Cattle Campsites in Rejaf East Payam, South Sudan. Journal of Food and Nutrition Sciences. 2025 Feb; 13(1): 28-47. doi: 10.11648/j.jfns.20251301.14. DOI: https://doi.org/10.11648/j.jfns.20251301.14

Gurung P, Hirachand S, Pradhanang S. Histopathological study of ovarian cystic lesions in tertiary care hospital of Kathmandu, Nepal. Journal of Institute of Medicine Nepal. 2013; 35(3): 44-7. doi: 10.59779/jiomnepal.658. DOI: https://doi.org/10.59779/jiomnepal.658

Ismail SR. An evaluation of the incidence of right-sided ovarian cystic teratoma visualized on sonograms. Journal of Diagnostic Medical Sonography. 2005 Jul; 21(4): 336-42. DOI: https://doi.org/10.1177/8756479305279035

Sohu DM, Inayatullah MR, Phul AH, Memon IK, Hafeez R. Clinical Correlation of Ovarian Cyst Malignant or Benign with Ultrasound Reports. Pakistan Journal of Medical & Health Sciences. 2022 Jul; 16(06): 328. doi: 10.53350/pjmhs22166328. DOI: https://doi.org/10.53350/pjmhs22166328