In many cases, treatments for functional ovarian cysts are not needed, as the cysts typically disappear on their own in eight to 12 weeks. Birth control pills, however, may help regulate the menstrual cycle and decrease the development of ovarian cysts.
Other treatment options for benign ovarian cysts include analgesics, or pain relievers such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs) or narcotic pain medicine. NSAIDs usually work best if taken at the first signs of pain. In addition, hot and cold compresses—e.g., hot water bottles and bag of ice wrapped in towels and applied to the lower abdomen—may be used to stimulate circulation and healing in the ovaries. You may also wish to reduce strenuous activity to limit the risk of the cyst rupturing.
Surgery is used to remove the cyst and/or make sure that it isn’t cancer. Ovarian cysts larger than five centimeters that do not go away on their own, or cysts present is women who are menopausal or near menopause, should be surgically removed. Laparoscopic surgery is often use to detect and remove the cyst.