Is it a symptom of an ovarian cyst?

Patient's question:

Detailed medical condition and consultation purpose: My last two menstrual cycles were between 15 and 20 days apart. During a hospital ultrasound, it was found that the right ovary was 3.32.8 CM in size with an unstrained cystic formation visible inside. The doctor suspected it was caused by physiological reasons. Is this an ovarian cyst? Can you determine the size of the cyst from this result? I have had my period again after only 15 days this time, and the amount is very light. I am not married yet. What should I do now? What tests can determine if it is pathological or physiological? Are there many types of cysts? Can an ultrasound show this?
I am very scared

Doctor's answer:

Ovarian cysts often manifest clinically with lower abdominal pain, discomfort in the lower abdomen, increased vaginal discharge, yellowish vaginal discharge, vaginal odor, menstrual irregularities, and typically a solid, painless lump in the lower abdomen. At times, sexual intercourse may cause pain. When cysts affect hormone production, symptoms such as irregular vaginal bleeding or hirsutism may occur. If a cyst twists, severe symptoms like abdominal pain, distension, shortness of breath, reduced appetite, nausea, and fever may arise. Larger cysts can compress nearby bladder tissue, leading to frequent urination and difficulty urinating. Particularly when these symptoms are severe, bleeding is frequent, and multiple symptoms appear simultaneously, the likelihood of a woman having an ovarian cyst increases, and the risk of malignant transformation into ovarian cancer becomes more significant.

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