Ovarian Cyst Surgery in Mumbai: Treatment Options with Dr. Maitreyee Parulekar

An ovarian cyst discovered during an ultrasound can understandably cause concern, particularly when women begin wondering whether it could be cancerous or require surgery. During my review of ovarian cyst management in Mumbai, I found that most ovarian cysts are benign and do not automatically require an operation. The appropriate approach depends on the cyst’s size, appearance, symptoms, persistence and the patient’s age and reproductive plans. For women considering Ovarian cyst surgery in Mumbai, Dr. Maitreyee Parulekar offers evaluation and minimally invasive surgical options at Kirit Nursing Home and her other affiliated hospitals.

Ovarian Cyst Surgery in Mumbai: When Is Surgery Needed?

An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. Some cysts occur as part of normal hormonal changes and disappear naturally, while others can persist or become large enough to cause symptoms. Types described by Dr. Maitreyee Parulekar’s practice include endometriomas, dermoid cysts, haemorrhagic cysts, cystadenomas and cysts associated with polycystic ovaries.

Finding a cyst does not necessarily mean surgery is required. Small, simple cysts, particularly those under approximately 5 cm, may resolve spontaneously and can sometimes be monitored with follow-up imaging. Surgery may be considered when a cyst continues to grow, persists through several menstrual cycles, causes significant symptoms or has suspicious characteristics on imaging.

Common Symptoms of Ovarian Cysts

Some ovarian cysts produce no symptoms and are discovered incidentally during an ultrasound. When symptoms occur, they can include:

• Pelvic or lower abdominal pain
• A feeling of pressure or fullness
• Abdominal bloating
• Pain during intercourse
• Menstrual changes
• Difficulty with urination or bowel movements when a large cyst presses on nearby organs
• Fertility concerns in selected cases

Sudden, severe pelvic pain can indicate complications such as cyst rupture or ovarian torsion and requires urgent medical assessment.

Types of Ovarian Cysts

The type of cyst can influence whether observation or treatment is recommended.

Endometriomas: These are associated with endometriosis and contain old blood. They can be associated with pelvic pain and may affect fertility.

Dermoid cysts: Also called mature cystic teratomas, these usually benign cysts can contain tissues such as hair, skin or teeth.

Haemorrhagic cysts: These develop when bleeding occurs within a cyst. Many resolve without surgery, although significant pain or complications require evaluation.

Cystadenomas: These may be serous or mucinous and can become large.

Polycystic ovaries: Polycystic ovary syndrome involves multiple small follicles and is different from having one large ovarian cyst.

How Is an Ovarian Cyst Evaluated?

Evaluation generally begins with a detailed medical history and pelvic examination. Ultrasound is an important diagnostic tool because it can help determine whether a cyst is simple and fluid-filled or contains features that require further assessment.

When imaging raises concern about malignancy, additional investigations may include MRI and blood tests such as CA-125. These investigations help the gynaecologist assess the likelihood that a cyst is benign, borderline or potentially malignant.

The results of these investigations, together with symptoms, age and reproductive plans, help determine whether monitoring, medical management or surgery is appropriate.

When Is Ovarian Cyst Surgery Recommended?

Surgery may be considered when a cyst is large, continues to grow, persists over multiple menstrual cycles or produces significant symptoms. Dr. Maitreyee Parulekar’s treatment information notes that cysts measuring more than approximately 5–6 cm may require surgical consideration, particularly when accompanied by concerning features.

Surgery can also become necessary in emergencies. Ovarian torsion occurs when the weight of a cyst causes the ovary to twist and potentially restrict its blood supply. A ruptured cyst can cause sudden pain and internal bleeding. Both situations require prompt medical attention.

Importantly, surgery does not automatically mean removal of the ovary. When a cyst is benign, the surgeon may perform a cystectomy, removing the cyst while preserving as much healthy ovarian tissue as possible.

Laparoscopic Ovarian Cystectomy

Laparoscopic surgery is a minimally invasive technique performed through small abdominal incisions using a camera and specialised instruments. For suitable patients, laparoscopic cystectomy can allow removal of the cyst while limiting the size of surgical incisions.

Potential advantages include smaller scars, less postoperative discomfort and a faster return to normal activities compared with traditional open surgery. However, the appropriate technique depends on the cyst’s size, location, characteristics and the patient’s overall clinical situation.

Robotic-Assisted Ovarian Surgery

Robotic-assisted surgery is another minimally invasive option that may be useful for selected complex cases. The technology provides the surgeon with a magnified view and specialised instruments that can facilitate precise dissection.

According to Dr. Maitreyee Parulekar’s practice, robotic procedures may offer enhanced precision, smaller incisions and potentially quicker recovery. They can also be considered in selected situations where fertility preservation is important.

Robotic surgery is not automatically required for every ovarian cyst. The decision should be based on clinical findings and the surgeon’s assessment.

Can Ovarian Cyst Surgery Preserve Fertility?

Fertility preservation can be an important consideration for women of reproductive age. In benign cases, the objective may be to remove the cyst while preserving healthy ovarian tissue.

Dr. Maitreyee Parulekar’s practice notes that cyst removal does not necessarily result in loss of fertility. Even when one ovary has to be removed in a particular situation, the remaining ovary can continue to release eggs. The fertility implications, however, depend on the individual diagnosis, ovarian reserve and any other reproductive factors.

Women who are planning pregnancy should discuss this goal before surgery so that it can be incorporated into the treatment strategy.

Dr. Maitreyee Parulekar: Qualifications and Clinical Expertise

Dr. Maitreyee Parulekar is a gynaecological surgeon with specialised expertise in gynaecological oncology and minimally invasive surgery. Her qualifications include MBBS, MS in Obstetrics and Gynaecology from KEM Hospital, MRCOG (UK) and FMAS from Maharashtra University of Health Sciences. She completed her master’s degree at Seth G.S. Medical College and KEM Hospital, Mumbai, where she graduated at the top of her class and received a University Gold Medal.

Her advanced training includes a Fellowship in Gynaecological Oncosurgery and Robotic Surgery at Seoul National University Hospital, South Korea. She was also a Visiting Scholar in Minimally Invasive Gynaecology at Mount Sinai Hospital and Women’s College Hospital in Toronto, Canada, and completed fellowship training in minimally invasive gynaecology and gynaecological oncology at Galaxy Care Laparoscopy Institute, Pune.

Her clinical expertise covers advanced laparoscopic and robotic procedures for benign and malignant gynaecological conditions. Her academic work includes publications in national and international peer-reviewed journals, as well as presentations of complex surgical cases and developments in minimally invasive gynaecological surgery.

For women researching a Top Gynae Oncologist In Mumbai, this combination of gynaecological oncology training, minimally invasive surgery and robotic surgery is relevant when selecting a specialist, particularly where an ovarian mass has features that require careful evaluation.

Clinic Environment and Hospital Access

Dr. Maitreyee Parulekar practises across several Mumbai hospitals, including Kirit Nursing Home, Gleneagles Hospital, Nalini Speciality Hospital, AllCure SuperSpeciality Hospital, Criticare Hospital and Surya Hospitals. Kirit Nursing Home is among her listed practising locations.

Her practice focuses on advanced laparoscopic, robotic and fertility-preserving approaches. The treatment process involves assessing the cyst’s characteristics before deciding whether monitoring, medical treatment or surgery is appropriate. This is particularly important because not every ovarian cyst requires operative treatment.

For women searching for a Gynecologist In Vile Parle, Mumbai, factors such as specialist qualifications, relevant surgical expertise, hospital access and the availability of minimally invasive treatment should be considered alongside convenience of location.

Recovery After Ovarian Cyst Surgery

Recovery depends on the surgical approach and the complexity of the procedure. Dr. Maitreyee Parulekar’s treatment information states that minimally invasive laparoscopic or robotic procedures generally result in milder postoperative discomfort and shorter downtime than open surgery. Many patients may return to light activities within a couple of weeks, while complete recovery can take approximately four to six weeks.

Patients should follow individual postoperative instructions concerning physical activity, medication, wound care and follow-up appointments. Recovery timelines vary from person to person.

Can an Ovarian Cyst Come Back?

Some women are more prone to developing ovarian cysts because of hormonal factors or underlying conditions such as endometriosis. Removing one cyst does not necessarily prevent another from developing.

Regular gynaecological evaluation and appropriate follow-up can help identify recurrent or new cysts. For women with recurrent symptoms, understanding the underlying cause is important rather than treating each cyst as an isolated problem.

Frequently Asked Questions

1. Do all ovarian cysts require surgery?

No. Many ovarian cysts are benign and disappear without intervention. Small, simple cysts may be monitored through follow-up ultrasound. Surgery is generally considered when a cyst persists, grows, causes significant symptoms or has suspicious features.

2. Can ovarian cyst surgery preserve the ovary?

In many benign cases, the cyst itself can be removed while preserving healthy ovarian tissue. The exact approach depends on the cyst and the condition of the ovary.

3. Is laparoscopic surgery possible for ovarian cysts?

Laparoscopic surgery may be appropriate for selected ovarian cysts. It uses small incisions and can offer advantages such as less postoperative discomfort and faster recovery compared with open surgery.

4. Is sudden severe pain from an ovarian cyst an emergency?

It can be. Sudden, severe pelvic pain may indicate ovarian torsion or cyst rupture, both of which require prompt medical assessment.

Consult Dr. Maitreyee Parulekar

If you have been diagnosed with an ovarian cyst, a specialist evaluation can help determine whether observation, medication or surgery is appropriate. If you are considering Ovarian cyst surgery in Mumbai, Dr. Maitreyee Parulekar can assess the cyst’s characteristics, discuss minimally invasive options and consider fertility-preserving strategies where clinically appropriate.

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