Can a lack of sexual activity cause ovarian cysts?

Patient's question:

1, Can not having sexual intercourse cause ovarian cysts?
2, If surgery is required for an ovarian cyst, is the ovary removed along with the cyst or just the cyst is removed?

Doctor's answer:

??????Period of blood and qi stagnation or catching cold after childbirth, leading to blood stagnation due to cold. Alternatively, internal injury to emotional state, depression damaging the liver, impaired qi flow, causing qi stagnation and blood stagnation, resulting in blood and qi stasis. If the stagnation persists for a long time, it may develop into cancer. It is characterized by a mass in the lower abdomen, with generally no obvious symptoms or only visible as purple spots on the tongue. If malignant, the mass in the lower abdomen is hard and fixed, causing pain upon palpation, dry skin, and purple complexion; the tongue has purple spots. Advanced malignant patients may develop ascites, emaciation, fatigue, and exhaustion.

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