What are follicles? What is the difference between them and cysts? They are very similar in shape.

Patient's question:

A while ago, I had a medication abortion and had my uterus cleared. Later, a check-up revealed a 3.02.7 cm cyst in the left adnexa. Today, I had an ultrasound and it was said to be a follicle.
Doctor, what is a follicle? What's the difference between a follicle and a cyst? Are they very difficult to distinguish in shape? Why are the results different for the two times?

Doctor's answer:

Follicles are physiological ovulation, while cysts are pathological. Surgical intervention is required if they cause pedicle torsion. To confirm a diagnosis with one ultrasound, the echo-free diameter must exceed 6.0; otherwise, it could still be a follicle. Therefore, frequent follow-ups are recommended, with the most accurate timing being 3 to 4 days after the menstrual period just ends.

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