Ovarian cyst treatment by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro.

When dealing with ovarian cysts, patients often experience lower abdominal pain, menstrual irregularities, discomfort during sexual intercourse, or a sensation of pressure in the pelvic area.

The doctor conducts a thorough clinical evaluation, analyzes complaints and medical history, and, if necessary, orders additional examinations to clarify the condition.

The patient receives a clear and structured action plan — from initial measures and necessary tests to monitoring changes over time.

Special attention is given to ongoing observation and differential diagnosis of the causes, which helps to timely adjust treatment and prevent complications.

When to See a Doctor

If you experience discomfort in the pelvic area or other symptoms related to ovarian cysts, it is important not to delay seeking medical advice. Patients often come with complaints of pain or changes in their menstrual cycle that can affect their quality of life. You should make an appointment with an obstetrician-gynecologist if you notice the following with ovarian cysts:

• Persistent or intermittent pain in the lower abdomen
• Irregular or sudden changes in the menstrual cycle
• Discomfort or pain during sexual intercourse
• A feeling of heaviness or pressure in the pelvic area
• Increased pain during physical activity or movement
• Symptoms that recur or worsen over time
• Pain that interferes with work, sleep, or daily activities
• No relief from self-care measures such as painkillers or rest
• Symptoms appearing for the first time and causing concern
• Inability to identify the cause of worsening well-being
• Need for treatment adjustment if previously prescribed methods are ineffective
• Seeking help after stressful events or changes in health status

Even if symptoms seem minor, their regular occurrence or worsening requires evaluation by a specialist. A doctor can help identify possible causes, order necessary tests, and develop a monitoring and treatment plan. Don’t leave these issues unattended — timely consultation helps to better manage your condition and avoid complications.

Emergency Conditions or When You Need to See a Doctor Immediately

• Sudden severe pain in the lower abdomen that rapidly intensifies
• Combination of severe pain with fever and overall worsening of well-being
• Sudden onset of heavy bleeding from the genital tract
• Feeling extreme weakness, dizziness, or loss of consciousness along with pain
• Symptoms quickly worsen and interfere with normal movement or breathing

If you experience any of these symptoms, do not wait for a scheduled appointment — timely evaluation can be crucial. If necessary, you can call a doctor to your home to receive urgent care in a familiar environment.

Causes and Risk Factors of Ovarian Cysts

This section will discuss the possible causes of ovarian cyst development and the factors that may increase the risk of their occurrence. Understanding these aspects will help identify which points to discuss with your doctor and what examinations might be necessary.

Main Causes / Mechanisms (briefly)

• Fluctuations in hormone levels affecting ovulation and ovarian function
• Menstrual cycle disturbances related to hormonal regulation disorders
• Inflammatory processes in the pelvic organs that may contribute to cyst formation
• Congenital structural features of the ovaries influencing the processes within them
• Other gynecological conditions that can impact cyst development

Risk Factors

• Age — cysts are more commonly detected in women of reproductive age
• Hormonal imbalances, including menstrual cycle irregularities
• Presence of chronic inflammatory diseases of the pelvic organs
• Regular stress and changes in overall body condition
• Hereditary predisposition and similar issues in close relatives
• Excess weight and metabolic disorders
• Use of certain types of hormone therapy without medical supervision
• Weakened immune system and frequent infections

Reversible Causes That Are Important to Rule Out

• Acute or chronic inflammatory processes that can be treated
• Hormonal changes that can be adjusted under medical supervision
• Temporary menstrual cycle disturbances related to external factors

Each case requires individual evaluation by a physician with mandatory examinations. Causes and risk factors of ovarian cysts often overlap, so professional consultation and ongoing monitoring are essential for an accurate understanding of the condition.

Diagnostics

Diagnostics for ovarian cysts aim to identify the causes and characteristics of the issue, which helps in choosing the appropriate examination and monitoring plan. The doctor will thoroughly assess your condition and help determine the necessary steps for further management.

Diagnostic Approach

• Medical history collection: discussing complaints, menstrual cycle history, and overall health
• Physical and gynecological examination for initial assessment of the organ
• Conducting basic tests and analyses as indicated
• Ordering additional studies depending on symptoms and initial evaluation results
• Reviewing results and developing a plan for further action and observation
• Referral to specialized specialists if necessary for focused consultation

Typical Tests Based on Indications

• Ultrasound examination of the pelvic organs
• Blood tests for hormones affecting ovarian function
• General tests to assess inflammatory processes
• MRI or CT scans if needed to clarify the structure and size of cysts
• Other examinations prescribed individually by the doctor

What to Bring to Your Appointment

• Results of previous examinations and tests, if available
• A list of medications and supplements you are taking
• A menstrual cycle and symptom diary, if you keep one
• Questions and concerns you want to discuss with the doctor

Diagnostics of ovarian cysts is a comprehensive process that allows for a preliminary assessment of your condition and helps determine the next steps for your health.

Treatment

The treatment of ovarian cysts aims to reduce symptoms, manage the condition, and prevent possible complications. The therapy plan is always tailored individually, taking into account the specifics of the condition and the presence of concomitant factors.

Therapy Goals

• Reduce pain and discomfort
• Correct hormonal balance and address possible causes of cyst formation
• Improve reproductive system function and overall well-being
• Prevent complications and disorders related to cysts

Main Treatment Approaches

• May include medication therapy as indicated to regulate hormonal levels
• Key strategies include observation and dynamic monitoring of the cysts
• Non-pharmacological methods aimed at improving general health may be used
• Minimally invasive procedures may be considered if necessary
• Therapy is individualized and adjusted based on effectiveness and the body's response

What the Doctor Does

• Selects and adjusts the treatment plan considering all patient-specific factors
• Takes into account concomitant diseases and possible risk factors
• Monitors for side effects if necessary
• Explains to the patient the criteria for evaluating therapy effectiveness
• Coordinates treatment with other specialists when a comprehensive approach is required

What to Expect: Plan and Monitoring

• The tentative plan includes regular check-ups and examinations as indicated
• Therapy effectiveness is evaluated based on symptom dynamics and examination results
• If no improvement occurs, the plan may need adjustment
• Follow-up visits are important for condition monitoring and timely intervention

You can learn more about ovarian cyst treatment options during a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention of ovarian cysts helps reduce the risk of their occurrence and possible complications. A preventive plan is tailored individually, taking into account health specifics and the doctor's recommendations.

Key Primary Prevention Measures

• Monitoring and maintaining normal hormonal balance with the help of a qualified specialist
• Adhering to a healthy lifestyle with an emphasis on regular physical activity
• Avoiding harmful habits that affect overall body condition
• Timely treatment of inflammatory diseases of the pelvic area
• Regular monitoring in the presence of chronic gynecological issues

Screening and Secondary Prevention / Regular Monitoring

• Scheduled check-ups with an obstetrician-gynecologist as indicated
• Ultrasound examination of the pelvic organs to monitor the condition of the ovaries
• Discussion and adjustment of hormonal therapy if necessary
• Monitoring of concomitant conditions affecting reproductive health

Practical Tips

• Discuss personal risk factors and individual recommendations with your doctor
• Maintain a balanced diet and daily routine
• Avoid sudden hormonal fluctuations without medical supervision
• Keep a menstrual cycle calendar and record any changes
• Consult your doctor promptly if new symptoms appear for timely evaluation

Effective prevention of ovarian cysts is possible only with regular monitoring and professional medical support.

Important to Know

The treatment of ovarian cysts requires a comprehensive approach aimed not only at reducing symptoms but also at identifying the causes of their occurrence. Early assessment of the condition helps to choose the right strategy and reduce the risk of complications or disease progression. Often, regular examinations and adjustment of the treatment plan over time are necessary to evaluate effectiveness and, if needed, change the approach. Various factors influence the course of the disease — stress levels, sleep patterns, physical activity, and the presence of comorbidities. Self-treatment in this case can complicate diagnosis, cause unwanted reactions, and delay seeking professional help.

• Identifying the cause and provoking factors is more important than merely relieving symptoms
• Early consultation helps select the correct treatment and reduce risks of complications
• Sometimes monitoring and adjustment of the treatment plan based on examination results are necessary
• Lifestyle factors and comorbidities affect the course of the disease and well-being
• Self-treatment can mask symptoms and make diagnosis more difficult
• A doctor ensures consistent support and therapy control
• Ongoing monitoring helps adapt treatment to changing needs

If you have questions about treating ovarian cysts, it is better to discuss them with a doctor who can help select an individual approach and address all concerns. You can learn more about causes, diagnosis, and therapy on our general gynecology page.

Self-care Before the Appointment: What You Can and Cannot Do

Before visiting Dr. Kulbach Irina Ivanovna, it is important to ensure a safe environment and help the specialist obtain accurate information. If your condition worsens, do not delay seeking medical help.

What You Can Do Before the Appointment

• Write down when and how the symptoms started, as well as what makes them worse or better
• Bring a list of all medications you are taking to the appointment, including dosages if known
• Keep a symptom diary: note intensity, frequency, and possible triggers
• Measure and record your body temperature if inflammation is suspected
• Try to reduce physical activity and give your body rest
• Drink enough water to avoid dehydration, if appropriate
• Use simple pain relief medications if they are usually safe for you and there are no contraindications
• Prepare records of your menstrual cycle and any recent changes

What You Should Avoid Before the Appointment

• Do not stop or change prescribed medications without consulting your doctor
• Do not start using new medications or remedies simultaneously without your doctor’s approval
• Do not use unverified folk remedies claiming quick recovery
• Do not try to interpret test results or images by yourself
• Do not delay visiting your doctor if symptoms worsen or severe pain appears
• Do not self-medicate in ways that could mask symptoms and complicate diagnosis
• Do not increase physical strain if you are experiencing discomfort or pain

If signs of an emergency condition appear, seek immediate help from Dr. Kulbach Irina Ivanovna.

How I Can Help as a Doctor with Ovarian Cysts

During a consultation regarding ovarian cysts, I will help you understand your symptoms and choose the best approach for your health. We will discuss possible causes, assess your condition, and together develop a plan for further steps. At the appointment, I can assist you with the following:

• Analyze symptoms and medical history to identify potential causes of your condition
• Evaluate the severity and possible risks associated with your current state
• Conduct initial diagnostics and determine the need for additional tests if indicated
• Review current prescriptions and assess medication tolerance if treatment has already been prescribed
• Develop a personalized plan for examination, treatment, and follow-up care considering your individual characteristics
• Take into account comorbidities and medications to avoid unwanted interactions
• Provide recommendations regarding lifestyle and daily regimen based on your specifics and exam results
• Discuss criteria for ongoing monitoring and set timelines for repeat consultations if needed
• Adjust treatment in case of insufficient effect or if side effects occur

This comprehensive approach helps not only to alleviate symptoms but also to address root causes and manage the condition to reduce the risk of complications. As a doctor, I always consider your questions and aim to make the process clear and comfortable for you.

What questions can I ask a doctor about ovarian cysts?

During a consultation regarding ovarian cysts, you can discuss the following situations and symptoms with Irina Ivanovna Kulbach:

• Pain and discomfort in the lower abdomen or pelvic area
• Menstrual cycle irregularities or unusual discharge
• Recurring or worsening symptoms that interfere with daily life
• Lack of effect from previously prescribed treatment or need for a second opinion
• A feeling of pressure or heaviness in the pelvic region
• Problems related to accompanying inflammatory processes
• Planning next steps after an exacerbation or hospitalization

In case of sudden severe pain, bleeding, or high fever — urgent medical attention is required, do not wait for a scheduled appointment.

Questions you may ask during the consultation:

• What is happening to me and what could it be?
• Why have these symptoms appeared now?
• How can I distinguish an ovarian cyst from other pelvic organ problems?
• What examinations are needed in my specific case?
• Which tests or investigations are mandatory, and which can be skipped?
• How should I prepare for the examinations and consultation?
• What treatment options are available for ovarian cysts and how do they differ?
• Is it possible to completely resolve the issue, or does this condition require ongoing monitoring?
• What should I do if the prescribed treatment does not bring improvement?
• Can the problem be managed without surgery or long-term medication?
• How long does the treatment usually last and how often should follow-ups be done?
• What signs indicate improvement or deterioration of the condition?
• What should I do in case of sudden worsening of symptoms or an exacerbation?

If you have doubts or questions about your condition, a consultation will help provide clarifications and choose the best course of action. Remember, urgent symptoms require immediate medical care.

How the Consultation Works

A consultation for ovarian cysts includes discussing your complaints, assessing your condition, and developing a plan for further actions. The scope of examinations is determined individually, based on indications, and depends on your specific symptoms and health characteristics. During one appointment, the doctor conducts a preliminary assessment to understand which steps will help improve your condition.

1. Clarifying complaints and the purpose of the visit — finding out what concerns you, how long the symptoms have been present, and what you expect from the appointment.
2. Collecting medical history and risk factors — discussing menstrual cycle features, concomitant diseases, and lifestyle.
3. Reviewing previous examinations and treatments — if applicable, it is important to bring test results, imaging, and a list of medications you are taking.
4. Conducting an examination and basic tests as indicated — safe procedures for the initial assessment of the pelvic organs.
5. Preliminary evaluation — the doctor determines possible causes of symptoms and rules out dangerous conditions, without giving a final diagnosis online.
6. Discussing the need for additional examinations, which may include ultrasound, blood tests for hormones, and other tests.
7. Developing a treatment and monitoring plan — general therapy principles taking into account individual indications and patient characteristics.
8. Setting timelines for follow-up and repeat visits — how to assess the treatment effect and when to contact the doctor sooner than planned.

If this is your first visit, we will thoroughly clarify your symptoms and try to understand the causes of your condition. If previous treatment was ineffective, the consultation will address possible reasons for the lack of results and adjust the management strategy.

The consultation takes place in a calm environment with detailed attention to your questions and condition. This approach helps to build an effective plan that considers all important aspects of your health.

Preparation for the Appointment

To ensure an effective appointment with the obstetrician-gynecologist, it is important to prepare in advance and gather the necessary documents. This will help to make a quicker diagnosis and develop an appropriate treatment plan.

• Bring a list of all current medications with their names and dosages, if known
• Take previous examination results, including pelvic ultrasound, blood tests, and hormone tests
• Write down your main complaints: when the symptoms began, what worsens or alleviates them
• Do not stop taking prescribed medications without consulting your doctor
• If recommended, come on an empty stomach: do not eat or drink for 8–12 hours (confirm when making the appointment)
• Bring your menstrual cycle calendar, if you keep one
• Prepare questions and notes about your condition to discuss with the doctor
• Avoid using cosmetics or creams on the abdominal area before the appointment (if an examination is expected)

If you have any questions about preparation, it is better to clarify them when scheduling the appointment. Do not change your medication intake without consulting your doctor.

About the Doctor

Irina Ivanovna Kulbach is a highly qualified obstetrician-gynecologist with over 40 years of experience. She works with patients facing ovarian cysts, including initial consultations, recurring symptoms, and cases where previous treatments have been ineffective.

In her practice, Irina Ivanovna pays special attention to dynamic monitoring and differential diagnosis of the causes, which helps to adjust treatment in a timely manner. Patients receive a detailed explanation of their condition and a clear action plan during the consultation, ensuring a more comfortable and safe path to recovery.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When addressing ovarian cysts, Dr. Irina Ivanovna Kulbach offers a structured approach that helps patients understand their current condition and the treatment plan. She works with the results of previously conducted examinations and takes into account all aspects of the patient's health, ensuring safety and comfort during therapy. Particular attention is given to diagnosing the causes and dynamically monitoring the condition, which allows timely adjustments to treatment if necessary. The doctor explains the goals and potential risks, helping patients make informed decisions at every stage.

• Clear treatment plan with step-by-step stages and result monitoring for patient convenience
• Examinations prescribed strictly based on indications, without unnecessary procedures or expenses
• Consideration of comorbidities and medications to minimize risks and side effects
• Monitoring of condition dynamics with the possibility of prompt correction of tactics if no effect is observed
• Review of previous examination results to avoid repeated and unnecessary procedures
• Explanation of the plan and criteria for assessing patient understanding and confidence in treatment
• Emphasis on preventing complications and exacerbations to maintain a stable condition
• Experience managing complex and recurring cases, including patients with concurrent diagnoses

This approach helps patients better navigate their health and makes the treatment process transparent and manageable. A consultation with Irina Ivanovna is an opportunity to receive targeted assistance and a comprehensive plan tailored to your needs.

Case Studies

Initial Consultation with Suspected Ovarian Cyst

A middle-aged patient presented with intermittent lower abdominal pain and menstrual irregularities. It was important to exclude serious conditions and clarify the cause of the pain. The physician conducted a detailed history, physical examination, and ordered necessary investigations, including an ultrasound. The findings revealed a lesion requiring dynamic observation. Over several weeks, symptoms stabilized. The patient was advised to undergo regular monitoring and discuss any changes at follow-up visits.

Adjustment of Management Strategy Due to Lack of Effect from Previous Treatment

A young woman came with complaints of pain and discomfort despite previously prescribed therapy. The physician carefully reviewed the medical history, prior treatments, and examination results. After evaluation, the management approach was adjusted considering treatment tolerability and effects. A positive trend in symptom relief was noted over the following weeks. Further monitoring and additional adjustments, if needed, were planned.

Chronic Course with Comorbidities

A patient with chronic menstrual irregularities and the presence of cysts sought care for condition monitoring and adjustment. An important aspect was to consider comorbidities affecting treatment. The physician performed a comprehensive assessment, taking into account all diagnoses and medications, and developed an individual management plan. Follow-up visits showed symptom stabilization and general improvement in wellbeing. Regular observation and plan modifications based on investigation results were recommended.

Exacerbation and Follow-up Plan After Symptom Worsening

A woman presented with intensified pain and menstrual changes, necessitating prompt evaluation. During consultation, emergency conditions were excluded, and the treatment plan was updated based on the current status. Subsequent follow-up examinations documented a decrease in symptom severity and improved quality of life. To prevent further exacerbations, a maintenance plan was developed, including regular check-ups and lifestyle recommendations.

Recurrent Symptoms Requiring a Second Opinion and Diagnostic Clarification

A patient with a long history of pain and inconclusive test results sought a second opinion. The physician thoroughly analyzed all available data, performed an additional examination, and referred for further diagnostic studies if necessary. This resulted in a clearer management plan aimed at better symptom control. Follow-up visits demonstrated positive progress and reduced complaints. The physician maintains ongoing contact for timely assessment of the patient’s condition.

How long does a consultation last?

A consultation usually takes between 30 and 60 minutes; please confirm the duration when making an appointment.

How should I prepare for the appointment?

Write down when and how your symptoms begin, as well as what makes them worse or better.

What should I bring to the appointment?

Bring the results of any previous examinations, a list of current medications, and a symptom diary.

Do I need to come on an empty stomach?

Usually not, unless otherwise specified at the time of booking or in the instructions.

How many visits are usually required?

The number of visits depends on your condition and treatment plan; typically, several visits are needed for monitoring.

When can I expect the first results?

This varies individually and depends on the chosen approach and how your body responds.

What should I do if my condition worsens before the appointment?

If you experience significant deterioration or dangerous symptoms, seek medical attention immediately.

Can treatment be combined with my current medications?

Discuss all medications during your appointment; do not change your treatment on your own.

Is it possible to have an online consultation?

Yes, online consultations are available if you have the necessary information ready.

Can I come with tests I have already done?

Yes, please bring all existing test results for a comprehensive evaluation.

Do I need to come for follow-up visits, and how often?

Follow-up visits are scheduled as needed to monitor treatment effectiveness.

Can I get a second opinion?

Yes, the doctor is willing to review previous tests and recommendations.

What should I do if symptoms return after improvement?

Do not delay your visit so treatment can be adjusted and complications prevented.

How is the examination conducted during the appointment?

The scope of examinations is tailored individually; additional tests are ordered as necessary.

Can I refuse recommended examinations?

Decisions are made together with the doctor, taking risks and benefits into account.

How can I tell if the treatment is working?

Effectiveness is assessed by improvement of symptoms and results from ongoing monitoring.

How long does the treatment last?

Treatment duration depends on the cause and individual patient response.

Can I book a consultation without a referral?

Yes, appointments are available without a referral—just contact us directly.

How should I prepare for examinations?

If needed, the doctor will provide recommendations; usually, no special preparation is required.