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Ovarian Cysts: Treatment, Procedure, Cost And Side Effects

What is Ovarian Cysts?

Ovaries are the female reproductive system part, which located on both sides of the uterus in the lower abdomen. Ovaries produce eggs along with hormones estrogen and progesterone. Cysts is a fluid filled sacs, which is developed in one of the ovaries. In most of the cases, cysts don’t develop any symptoms and cause no pain. There various types of cysts such as dermoid cysts, endometrioma cysts, follicle, corpus luteum cysts and polycystic ovary syndrome which can cause infertility in woman.

Can ovarian cysts lead to cancer?

Ovaries are the organ located deep within the pelvis. In a maximum number of cases, cysts don’t develop any kind of pain. But cysts is something which has fluid and sac filled.

Fluid, follicle or tumor in the cysts doesn’t mean it lead to cancer. It is a kind of condition which affects almost every woman, ones in their life. But most of it doesn’t develop ovarian cancer.

What is the cause of Ovarian Cysts?

Ovarian Cysts are sacs filled with fluid, occurring in women mainly during their ovulation period. These Cysts commonly don’t have any symptoms and are usually harmless. The basic function of the ovaries is to produce an egg every month, this is called ovulation. During this time, a cyst like structure gets formed inside the ovary. This is known as a Follicle. The mature follicle fractures when an egg is released during ovulation. The empty follicle leads to the formation of a corpus luteum and, if pregnancy does not arise, the corpus luteum dissolve. Yet, sometimes, this process does not complete accordingly, lead to the most common type of ovarian cyst which is the functional ovarian cysts. Along with this, cysts can also occur because of reasons such as Endometriosis in which women suffering from endometriosis can flourish a type of ovarian cyst called an endometrioma and Severe pelvic infections which can spread to the ovaries or fallopian tube resulting in the formation of cysts.

What are the symptoms of Ovarian Cysts?

  1. Nausea and vomiting
  2. Breast tenderness
  3. Painful sex
  4. Pelvic pain
  5. Bloating
  6. Inflammation
  7. Lower back pain

What are the treatment of Ovarian Cysts?

The ovaries are part of the female reproductive system. They’re located in the lower abdomen on both sides of the uterus. Women have two ovaries that produce both eggs and progesterone and hormones estrogen.

Sometimes, a fluid-filled sac called a cyst will develop on one of the ovaries. Most of the women will grow at least one cyst during their lifespan. In most cases, ovarian cysts are painless and cause no conditions.

Treatment for an ovarian cyst are mentioned below:

The doctor may advise treatment to reduce the size or remove the cyst if it doesn’t go away on its own or if it grows further.

  1. Birth control pills: If you have recurring ovarian cysts, the doctor may specify an oral contraceptive to stop ovulation and prevention for the development of new cysts. Oral contraceptives can also decrease your possibilities of ovarian cancer. The possibility of ovarian cancer is higher in postmenopausal women.
  2. Laparoscopy: If your cyst is small in size and results from an imaging test to rule out cancer, the doctor can perform a laparoscopy to surgically remove the cysts. The method involves your doctor making a small incision close to your navel and then implanting a small instrument into your abdomen to remove the cyst.
  3. Laparotomy: If you contain a large cyst, your doctor can surgically remove the cyst through a large incision in your abdomen. apart from this, they will conduct an urgent biopsy, and if they determine that the cyst is cancerous, they may perform a hysterectomy to remove your ovaries and uterus.

What are the post-treatment guidelines for Ovarian Cysts?

Treatment of ovarian cysts depends on various factors, such as the size and type of cyst, the woman's age and general well being, future pregnancy intentions of the patient. The earlier these cysts are observed, the less difficult the treatment would be. In some cases, the ovarian cysts do not require any treatment. In a postmenopausal patient, a repeated simple cyst smaller than 10 cm in size, along with the presence of a normal CA125 value may be followed with serial ultrasonographic examinations. If the cysts are less than 5 cm in size, no further investigation is required and there is no risk. If the size is 5-7 cm, these ovarian cysts detected in premenopausal women are functional and most of the functional cysts will have resolved within 2 months. Therefore, an ultrasound should be repeated at 6 months, with CA 125 only if a cyst is still there. CA 125 is not required at present. Non-functional benign cysts usually remain unchanged.

What are the Side effects of Ovarian Cysts treatment ?

Most ovarian cysts are benign and go away on their own without the proper treatment. These cysts cause little if any, symptoms. But in some cases, doctors may discover a cancerous cystic ovarian mass during a periodic examination.

Ruptured cysts, can cause intense pain and bleeds internally. This complication the risk of an infection and can be very dangerous if not treated.

Ovarian torsion is another severe complexity of the ovarian cysts treatment. This is when a large cyst causes an ovary to twist or move from its own original state. Blood supply to the ovary is cut off, and if not treated, it can cause injury or death to the ovarian tissue. apart from this, exceptional, ovarian torsion reports for nearly 3 percent of emergency gynecologic surgeries.

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Ovarian Cysts - How Can It Be Treated?

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Ovarian Cysts - How Can It Be Treated?

During their reproductive years, women can develop ovarian cysts, which can be described as fluid-packed sacs around their ovaries. Cysts are known to form in a woman’s ovaries during their menstrual cycles and also, through the pregnancy phase. In most cases, women with cysts do not require treatment as they dissolve on their own. However, at times, the cysts could enlarge in size and be the cause of discomfort. In rare cases, they could be cancerous too. Mostly, no symptoms are perceived when they occur. At times, the woman could experience irregular menstrual cycles, bowel-related problems, and pain during intercourse. If you notice these symptoms, visit the doctor for a diagnosis.

As a part of the diagnosis of ovarian cysts, blood tests and ultrasounds are conducted. These tests can help assess whether you are pregnant, have hormone-related problems, or if cancer is suspected.

As per the results, the medical experts will be able to structure your treatment plan. Ovarian cysts can be either functional or non-functional. If they are a part of your menstrual cycle, they are termed as functional (follicle or corpus luteum cysts). On the other hand, if the ovaries have the tendency of forming cysts or they are a result of cancer, they are known to be non-functional in nature.

Treatments for Ovarian Cysts:

In a majority of the cases, no treatment is administered for ovarian cysts. The medical professionals may deem it suitable to treat the abnormality only if the cysts cause any discomfort. Some of the treatment methods for ovarian cysts include the following:

  1. Medications: If the cysts are painful, then your doctor may prescribe birth control pills. They may not prove to be effective in dissolving the cysts but can prevent new cysts from developing. At times, hormonal drugs may be advised to control the functioning of the ovaries and the complete reproductive system.
  2. Surgical Procedures: In some cases wherein the ovaries are large in size or the cysts are causing discomforting symptoms or they do no dissolve over a period of time, a surgery is performed as a part of the treatment plan for ovarian cysts. A surgery may be required in women nearing menopause as the cysts may turn cancerous in them. The doctors may remove the cyst or the ovary, depending on the location, size, and the number of cysts.
  3. Laparoscopy: In case of smaller cysts, your doctor may conduct laparoscopy. As a part of this procedure, a small-sized incision is made around your belly and with the help of minute surgical equipment, including a small-sized camera-mounted tool, the cyst is removed. d. Laparotomy: If your cyst is cancerous, then laparotomy may be considered appropriate. In this procedure, the removal of the ovaries is carried out through a large-sized cut in the belly.

Final Thoughts: Most of the cysts that develop in the ovaries of women are benign. Normally, they dissolve within 30 to 90 days. In some cases, they can rupture and as a result, you may experience pain. During a pelvic exam, the presence of the cysts can be ascertained. Also, ultrasounds are performed to learn whether the ovarian cysts are simple or compound. If they are simple, they are considered benign; in cases of compound cysts, a surgery is required as a part of the treatment. For determining the type of treatment for ovarian cysts in women, their age is taken into consideration. Also, the type, size of cysts, and their appearance on the ultrasounds are considered.

Functional cysts are monitored on a frequent basis and only if they rupture and cause bleeding symptoms, then doctors may perform surgery. As an aftermath of the surgery, the tissue is examined by the pathologists under a microscope, following which the professionals are able to determine the type of cyst.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4703 people found this helpful

Ovarian Cysts - 9 Symptoms About It!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
Ovarian Cysts - 9 Symptoms About It!

Ovarian cysts are common and most women will have at least one during their life. In most cases they do not display any symptoms and are discovered only during routine physical exams and ultrasounds. In most cases, it is nothing to worry about but in rare cases it can lead to complications and hence it is best to get an ovarian cysts checked out by a doctor.

Ovarian cysts usually affect women in their child bearing years. They can be described as fluid-filled sacs that develop in either of the ovaries. In an ultrasound image, these can look like small bubbles. Problems usually arise when these cysts grow larger or rupture.

In such cases, you may experience symptoms that include:

  1. Pain in the lower abdomen
  2. Painful intercourse
  3. Irregular menstruation
  4. Painful urination and bowel movement
  5. Pelvic pain after exercising
  6. Nausea and vomiting
  7. Bloating
  8. Spotting between periods
  9. Heartburn and indigestion

If the doctor suspects ovarian cysts, an ultrasound is usually used to confirm the diagnosis. A pelvic ultrasound or a sonograph as it is also known is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the body’s internal structure. In some cases, an endovaginal ultrasound may also be required. This involves inserting a covered wand or probe into the vagina through which a clearer image of the ovaries can be seen.

If the cyst does not trigger any of the above symptoms, it usually does not require treatment. Instead a pelvic ultrasound may be scheduled after a month to check on the size of the cyst. In most cases, these cysts resolve themselves within a month or two. In the case of larger cysts, a biopsy may be required to rule out the chances of the cysts being cancerous. Birth control pills may be prescribed to address the pain associated with this condition. These pills are also used to stop ovulation and reduce the risk of developing further cysts.

Surgery is considered only if the cyst grows in size or continues to pain. In such cases, surgery can be of two kinds: laparoscopy or laparotomy. Laparoscopy involves the removal of cysts through a telescope like an instrument that is inserted through a small incision made in the abdomen. This is usually used to remove small cysts. Larger cysts and ovarian tumours are treated with a laparotomy. This involves making a bigger incision in the stomach and may also involve the removal of the ovaries, fallopian tubes and uterus depending on the tumour.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4260 people found this helpful

How To Deal With The Problem Of Acute Acne?

MD - Dermatology, MBBS
Dermatologist, Delhi
How To Deal With The Problem Of Acute Acne?

The skin produces a natural oil known as sebum from the sebaceous glands. This acts as a protective layer and is passed out through the multiple, minute pores. With the teenage years seeing excessive hormones, excessive sebum is produced which clogs the pores, and the underlying sebum may not be released from the glands. In some cases, there could also be bacteria trapped in these acne. In severe cases, there can be extreme pain and pus formation. The acne can be quite large in size and may leave marks, which often take a long time to disappear.


Though acne affects any age group, it is most common in the teenage years and is attributed to the hormones called androgens. In women, there is also a hormonal correlation where acne is more common with menstrual cycles, pregnancy and polycystic ovaries – all conditions associated with increased hormone levels.


Before heading out for medical help, the following are some tips to manage acne.

  1. Avoid touching it or picking it. Else it will result in a faster spreading of the infection to the surrounding areas.

  2. Use ice cubes on the acne as they help reduce redness and swelling by lowering the blood supply.

  3. Learn to keep calm as stress increases hormonal release and thereby acne.

  4. Do regular exercises. A good workout routine helps by keeping your skin clean and the pores open. There is a more frequent clearing of sebum leading to reduced acne.

  5. Maintain a healthy eating pattern. Avoid oily food items, which only add to the oiliness of the skin. Sugars again are proven to be harmful for acne.

  6. Follow a proper sleep routine as it will relax your muscles and keep you calm.

  7. Use mild detergents for washing pillow covers and towels, which are often used on the skin.

  8. Frequent washing, regular moisturizing, and exfoliating should be a part of your skin care routine. Avoid heavy chemicals and adhere to one regimen with as many natural substances as possible.

Medical Management

Medications would be required in more severe cases, where there is infection along with pain.

Topical products would include creams, gels or lotions with retinoids like tretinoin, tazarotene and adapalene. In some cases, topical antibiotics like clindamycin or erythromycin combined with benzoyl peroxide are used. Light therapy, laser resurfacing, dermabrasion, chemical peels and steroid injections can be used to remove acne scars, which may be very concerning cosmetically.

Very severe cases may require a systemic antibiotic course with doxycycline and minocycline. Birth control pills may be used in some to regulate hormonal levels.

Despite all this, let nature take its own course, and in majority of the cases, acne runs its course and settles down with the passage of teenage years. Try the next level therapy only if absolutely required. If you wish to discuss about any specific problem, you can consult a dermatologist.

4854 people found this helpful

Common Ovarian Cysts & Their Types!

Gynaecologist, Jabalpur
Common Ovarian Cysts & Their Types!

In order to have proper information about ovarian cysts, it is essential to discuss the anatomy of ovaries. These are basically a part of the female reproductive system and are located in the lower abdomen on the two sides of the uterus. The major functions of ovaries are production of eggs, oestrogen and progesterone hormones.

So what exactly are cysts? Cysts are fluid-filled sacks, which sometimes develop on the ovaries. These are usually painless, causing no such symptom and females develop a cyst at least once every year. However, there are various kinds of ovarian cysts like the dermoid cysts and endometrioma cysts. The most common kinds of cysts are usually the functional ones. The types of follicle cysts include the following:

  1. Follicle cyst: When the menstrual cycle starts, the egg grows in a sac, usually called follicle, which is located inside the ovary. In usual cases, the follicle breaks and the egg is released. However, there might be a case where the follicle may not break. In situations like these, the fluid present in the follicle may turn into cysts in the ovary.
  2. Corpus leuteum: After the egg is released into the uterus, the follicle ideally dissolves. However, in case the follicle does not dissolve, the excess liquid causes the developing of little sacs and these are the other kinds of cysts.

Most of these tumors are benign (non-cancerous) and never spread beyond the ovary. Benign tumors can be treated by removing either the ovary or the part of the ovary that contains the tumor.

Malignant (cancerous) or low malignant potential ovarian tumors can spread (metastasize) to other parts of the body and can be fatal.

There are some more types of cysts as well, which are as follows:

  1. Dermoid cyst: This is a sac-like growth, which occurs on the ovaries that can contain hair, fat or other tissues. They’re a type of ovarian germ cell tumor. Usually these tumors are benign, but occasionally they can be malignant.
  2. Endometriomas: These are those tissues, which should originally grow inside the uterus, but instead they attach themselves outside the uterus to the ovaries. This in turn results in cyst formation.
  3. Cystadenomas: These are basically non-cancerous growths that develop on the ovary surface.

Polycystic ovary syndrome
This is a condition that some women develop, a large number of small cysts form inside the ovaries, thereby causing the ovaries to enlarge. It is important that polycystic ovarian syndrome is treated soon because if left untreated for long, it may cause infertility in women. These cysts are usually not harmful, but they can cause the following:

This is not that big a deal and can be controlled easily. Also with healthy living and eating, this condition can be brought to normal.

2710 people found this helpful

How To Treat Ovarian Cysts With Ayurveda?

MD - Ayurveda
Ayurveda, Nagpur
How To Treat Ovarian Cysts With Ayurveda?

Ovarian cysts is a common problem that affects women in their childbearing years. These cysts develop inside the ovaries at the time of ovulation.

These cysts are of four main types:

  1. Polycystic ovaries

  2. Endometriosis

  3. Cystadenomas

  4. Dermoid cysts

In most cases, ovarian cysts resolve themselves, but in some cases they can cause pain and grow.

Ayurveda is a holistic form of alternate medication that can be quite effective when it comes to treating ovarian cysts. This form of medication has negligible side effects and hence, can be prescribed to women of all ages. Apart from medication, Ayurveda also involves changes in lifestyle and diet. Ayurvedic herbs help balance the hormones in a woman’s body and thereby improve the overall functioning of the ovaries as well.

Some of the Ayurvedic herbs used in the treatment of ovarian cysts are as follows:

  1. Guggul: This herb has the potential to revitalise cells and can rejuvenate a person. Guggul or commiphora mukul also has purifying properties that helps regulate lipid production and increase iron levels in a person’s blood. It also helps in weight loss and increases metabolism.

  2. Shilajit: The Ayurvedic herb asphaltum or shilajit improves stamina and the ability to deal with physical and mental stress. It is also known to increase sexual desire and enhance libido for both men and women.

  3. Amalaki: Amalaki or emblica officinalis is best known for its ability to rejuvenate cells and rid the body of free radicals. It also helps boost immunity, aids in the development of healthy skin and slows down the aging process. Amalaki helps with digestion and boosts metabolism along with maintaining the proper functioning of the liver.

  4. Aloe: Aloe is the most common Ayurvedic product used for skin care and anti-ageing products. Apart from skincare and hair care, aloe also helps relieve hypertension and has well known antioxidant properties. Additionally, it helps deal with high blood pressure and respiratory problems.

  5. Vitamins and minerals: Some vitamins and minerals boost immunity and have the ability to destroy abnormal cells such as cysts. Zinc helps prevent ovarian cysts, helps the body get rid of free radicals and aids in normal cell growth. Vitamin B complex helps in converting excessive estrogen into less weaker forms and hence balances hormone levels. Antioxidants like vitamin A and E protect the cells against damage and abnormal changes in the cell growth. Vitamin C also helps boost immunity and gives the body the ability to fight illnesses and infections.

1 person found this helpful

Popular Questions & Answers

Six months back I underwent hysterectomy and 21 cm ovary cyst removal now I am back to normal. Since 10 days I have burning sensation after urinating. I took citracal srup for one week. Still it has not gone frequently I want to urinate quantity also is very less. What should I do for this. I am on these meds regularly telma h, roseday 5 mg, glycomet 500 mg and foracort 200 ml inhaler.

MBBS, MS - Obstetrics and Gynaecology, Advanced Laparoscopy & Hysteroscopy Training Programme, Diploma In Ultrasound, Fellowship In Reproductive Medicine & ART
Gynaecologist, Delhi
After hospitaisation/surgery, its common for patients to have uti (following insertion of catheter). Get a urine r/m, urine c/s done & follow with your doctor accordingly.
1 person found this helpful

I have a cyst in my uterus. It was initially around 6 cms and after last test it was 4.2 cms. Last test was done around 6 months back. I need to know whether it ia going to create problem in pregnancy or not.

MBBS, DNB (Obstetrics & Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi Any cyst less than 7 cm will disappear on its own. Do not worry about it. Does not have any connection to getting pregnant.
6 people found this helpful

Hi, I am 39 years old. In my ultra sound scan of pelvis (tvs), it is observed that, bulky uterus with thickened endometrium and left simple ovarian cyst. I am suffering from over bleeding for the last one month.

Mbbs, MS(obstetrics and gynecology), Fellowship in laproscopic gynecological surgery
Gynaecologist, Delhi
U need to undergo endometrial biopsy or aspiration for thickened endometrium. After proper diagnosis treatment can be giver.

Hi, I am 25 married in June 8th this year and before marriage 1 years ago I have cyst in my ovary. After taking treatment am completely ok now. Nd now after marriage I got period at June 25th dat too very light period for 2 days. After dat from July and August I skipped my periods. So please help me that am pregnant or not. And also I have taken pregnancy test in July and August 1 week it showing negative. Please help me.

MBBS, DGO, DNB Obs & Gynae
Gynaecologist, Delhi
If you have not got periods in September also please repeat urine pregnancy test. If it's negative go for a scan to detect any problem like cysts or pcod. You also might need to go for certain hormone test if not pregnant.
3 people found this helpful

I was a hypothyroid, recent test showed that I am suffering from hashimoto. I have multiple follicular cystic ovaries also. And have been diagnosed with RA factor positive. please help me tell a possible reason for being detected with 3 diseases. I am worried because of this. I am just 33 and a mother of a 2 year old son. please help.

Diploma in Naturopathy & Yogic Science (DNYS), M. D. ( E. H. Medicine), Internship in Yog & Naturopathy, Ram Ratan Chikitsa Kendra , Agra
Yoga & Naturopathy Specialist, Agra
You are suffering from thyroid, PCOD,Arthritis and Hashimoto etc. Please take consultation to me for permanent and satisfied treatment of your all diseases. Thanks.

Table of Content

What is Ovarian Cysts?

Can ovarian cysts lead to cancer?

What is the cause of Ovarian Cysts?

What are the symptoms of Ovarian Cysts?

What are the treatment of Ovarian Cysts?

What are the post-treatment guidelines for Ovarian Cysts?

What are the Side effects of Ovarian Cysts treatment ?

Play video
Polycystic Ovarian Disease (PCOD)
Are you experiencing problems with your periods because of hormonal imbalance? This condition, known as PCOD and PCOS, or polycystic ovary syndrome, may make it difficult for you to get pregnant, and unwanted changes in your appearance are also indicated. In most cases, women with PCOD develop small cysts in their ovaries.
Play video
Ovarian Cysts
Hello Everyone,

This is Dr. Sanket Pisat. I am a consultant Gynecological Laparoscopic surgeon working in Adheri in Mumbai

And today we are going to discuss about ovarian cyst. Cyst in the ovary is a very common finding that you will found reported on several ultrasound studies done women who have presented varying complaints. Cyst may be the cause of infertility which is the inability to get pregnant. They may be the cause of heavy menstrual bleeding or they may be a cause for continuous dilating pain abdomen which the woman is experiencing before her periods or unrelated completely to her period. There can be several reasons for why there are cysts in the ovary and likewise these cysts may or may not dangerous and may or may not require treatment at all. Some of the commonest cyst that are seen in the ovary are poly cystic ovaries which are multiple small fluid filled balloons present inside the ovary itself which are a collection of follicles not ruptured which should have ruptured every month with every menstrual cycle. A lot of time these patients with these kind of polycystic ovaries have got menstrual disturbance find it difficult to get pregnant. This particular kind of variances can be manages wit medicine alone without the need for surgery or very rarely a small laparoscopy procedure called: polycystic ovarian drilling may be done. The other larger cyst seen in the ovary may or may not be cancerous in origin. Some of these are called simple ovarian cysts, which are just fluids filled vesicles formed in the ovary during the process of menstruation but get dissolved as the periods have gone by. Some of these cyst are in born, like dermoid cyst which is a collection of fat within the ovary itself and sometimes women endometriotic cyst which is the collection of blood filled pockets within the ovary which cause tremendous pain during periods and make it difficult for the patient to get pregnant. Rarely however these cyst can actually be cancerous in origin or may be preload to a cancer so it is so it is important that they be investigated fully. Most of the times cyst can be diagnosed by an ultrasound examination alone but sometimes these cyst may require T scan or an MRI for a diagnoses. As far as treatment is concerned some cyst can be managed by medicines alone but a lot of times these cysts needs to be removed. Earlier this kind of surgery need to be performed by open surgery or by opening the abdomen but now by laparoscopy or minimally invasive surgery it is possible only two or three cuts on the abdomen and remove the ovarian cyst with minimal damage to the ovarian tissue that means only the cystic part of the ovary which is abnormal can be removed and the rest of the ovary be left behind in order to continue its reproductive function, to continue its hormones secreting function and cause no symptoms to the patient later on.

If you have any further questions I this regard please feel free to contact me via Lybrate. Thank you.
Play video
Polycystic Ovarian Disease (PCOD)
PCOD or polycystic Ovary Disorder is one of the most common disorders of hormones among women in the age of reproduction. It is yet not discovered why some women become susceptible to this disease and it is believed to be a genetic disorder. The word polycystic refers to multiple cysts and a woman suffering from PCOD has multiple cysts in her ovary. This is due to the imbalance of hormones, which don t allow the ovary to release eggs every month and these numerous unreleased eggs present in the ovary cause it to become polycystic.
Play video
Polycystic Ovarian Disease (PCOD)
Polycystic Ovarian Disease is a condition which leads to enlargement of the ovary and formation of small follicular cysts of 0.5-1.0 cm in diameter. This disease results in hormonal imbalance, leading to the accumulation of mature eggs in the ovary as they cannot be discharged. Now, these kinds of immature follicles are known as cysts. This gives to a vicious cycle, with some cysts giving rise to more cysts and hence it goes on and on.
Play video
Polycystic Ovary Syndrome (PCOS)
PCOD or polycystic Ovary Disorder is one of the most common disorders of hormones among women in the age of reproduction. It is yet not discovered why some women become susceptible to this disease and it is believed to be a genetic disorder. The word polycystic refers to multiple cysts and a woman suffering from PCOD has multiple cysts in her ovary.
Having issues? Consult a doctor for medical advice