Are ovarian cysts and polycystic ovary syndrome the same?
Gynecological diseases are very common and harmful to women. They cover a wide range of conditions, including ovarian cysts and polycystic ovary syndrome. Many women do not fully understand these two diseases and may even mistake ovarian cysts for polycystic ovary syndrome. In fact, although they share some similarities, they are not the same condition and should not be confused during diagnosis and treatment.
No, ovarian cysts and polycystic ovary syndrome are not the same. Women with polycystic ovary syndrome do not necessarily have ovarian cysts, and women without polycystic ovary syndrome may develop cysts due to other reasons.
Both ovarian cysts and polycystic ovary syndrome occur in the ovaries and have some common features in ultrasound imaging, such as cystic changes in the ovarian region. They may also be manifestations of endocrine disorders in women. In some cases, both conditions may require surgical treatment.
Generally speaking, ovarian cysts can be physiological, while polycystic ovary syndrome is a disease caused by endocrine and metabolic disorders in women. They also differ in ultrasonic manifestations. Most ovarian cysts are single and relatively large in diameter, usually considered pathological if larger than 3cm. In contrast, polycystic ovary syndrome is characterized by many small cysts in a honeycomb-like pattern. According to the Amsterdam diagnostic criteria, the diagnosis of polycystic ovary syndrome requires the presence of 10-12 small cysts with a diameter of 0.6-0.9cm on each ovary.
Patient characteristics also differ between these two conditions. Ovarian cysts are generally asymptomatic and do not have specific features. However, polycystic ovary syndrome mainly affects young women, many of whom are obese, hirsute, and have acne and other androgenic manifestations. Clinically, ovarian cysts can manifest in various ways and often do not cause symptoms. In contrast, women with polycystic ovary syndrome may experience infrequent menstruation, amenorrhea, and fertility issues, often seeking medical attention due to difficulties in conceiving.