Ovarian Conditions

Most functional cysts cause no symptoms at all and are found incidentally during a routine scan. Some women may experience a dull ache or fullness in the lower abdomen, especially around the time of their period. In rare cases, a cyst can twist or rupture, which causes sudden, sharp pain that needs prompt medical attention.

As an experienced gynecologist in Vadapalani, Dr. N.S. Saradha monitors functional cysts with regular ultrasound scans and advises treatment only when the cyst is large, persistent, or causing discomfort. In most cases, watchful waiting with periodic follow-up is all that is needed.

Symptoms to watch for include:

• Pelvic pain that worsens before and during periods
• Pain during intercourse
• Difficulty getting pregnant
• Bloating or a feeling of pressure in the lower abdomen
• Pain during bowel movements, especially around the period

It is important to note that some women with endometriomas feel very little pain, while others experience significant discomfort. The size of the cyst does not always match the severity of symptoms.

Treatment depends on the size of the cyst, the woman's symptoms, and whether she is trying to conceive. Dr. N.S. Saradha offers both medical and surgical options. For women planning pregnancy, laparoscopic surgery to remove the cyst while preserving the ovary is often recommended. As a skilled gynecologist in Saligramam and Vadapalani, she takes particular care to protect ovarian tissue and fertility during any surgical procedure.

Dermoid cysts, also known as mature cystic teratomas, are a unique type of ovarian cyst. They form from cells that have the potential to develop into various tissue types which is why they can sometimes contain hair, skin cells, fat, or even small fragments of bone or teeth. This might sound alarming, but dermoid cysts are almost always benign (non-cancerous).

Surgery is the primary treatment, and Dr. N.S. Saradha performs laparoscopic removal whenever possible a minimally invasive approach that means a shorter hospital stay, smaller incisions, and a faster return to daily life. For women who come to her for ovarian conditions treatment in Chennai, she always tailors the surgical plan to protect as much healthy ovarian tissue as possible.

Ovarian torsion is considered a gynaecological emergency. It most often happens when an ovarian cyst or enlarged ovary makes the organ heavy enough to twist on its own axis. Occasionally, it can occur in a normal-sized ovary as well.

Common symptoms include:

• Sudden, sharp pain on one side of the lower abdomen
• Nausea and vomiting alongside the pain
• Pain that may come and go or escalate over time
• Feeling feverish or unwell

If you experience sudden, severe pelvic pain, it is important to seek medical care right away. Time matters in ovarian torsion the sooner treatment is given, the better the chance of saving the ovary.

Surgery is required to untwist the ovary and restore blood flow. In most cases, the ovary can be saved if treatment is given promptly. Dr. N.S. Saradha performs laparoscopic surgery for ovarian torsion, using a minimally invasive technique to untwist the ovary and address any cyst that may have caused the problem. As a trusted gynecologist in Vadapalani, she is equipped to handle urgent gynaecological cases with both speed and care.

Borderline ovarian tumours are a group of tumours that sit in the middle ground between a benign cyst and an ovarian cancer. They grow slowly and do not invade surrounding tissue the way cancerous tumours do but they are also not completely benign and do need to be taken seriously and treated appropriately.

These tumours are most commonly found in women between the ages of 20 and 50. They often cause no symptoms in their early stages, and are frequently discovered during a routine ultrasound scan or fertility investigation. In some cases, they may cause abdominal bloating, pelvic discomfort, or a feeling of fullness.

The diagnosis of a borderline tumour is confirmed by pathology after the tissue is examined. This is why surgery specifically to remove the tumour and send it for analysis is the key step in both diagnosis and treatment.

PCOS is one of the most common hormonal conditions in women of reproductive age, affecting roughly 1 in 10 women. It can affect the menstrual cycle, fertility, weight, skin, and mood and its effects can vary considerably from woman to woman.

Common signs of PCOS include:

• Irregular, infrequent, or absent periods
• Acne, oily skin, or hair thinning on the scalp
• Excess hair growth on the face, chest, or abdomen
• Weight gain, particularly around the waist
• Difficulty getting pregnant due to irregular or absent ovulation
• Mood changes, fatigue, or low energy

PCOS is managed rather than cured, but the right treatment can significantly improve quality of life and fertility outcomes. Lifestyle changes particularly around diet and physical activity make a meaningful difference, especially for women with insulin resistance. Medical treatment options include hormonal therapy to regulate cycles, medication to manage androgen levels, and ovulation induction for women trying to conceive.

Dr. N.S. Saradha has extensive experience managing PCOS across all life stages from teenagers experiencing irregular cycles for the first time, to women managing metabolic health in their 30s, to those seeking fertility support. As a well-regarded gynecologist in Saligramam, she creates individualised care plans based on each woman's specific symptoms, priorities, and goals

Ovarian conditions are more common than many women realise and the range is wide, from simple functional cysts that need no treatment at all, to more complex conditions that benefit from timely medical or surgical care. What they have in common is that they are all manageable with the right support.

If you have been told you have an ovarian cyst, or if you are experiencing unexplained pelvic pain, irregular periods, bloating, or difficulty conceiving, it is worth getting a proper evaluation. Early assessment makes it easier to understand exactly what you are dealing with and to make informed choices about your care.

Dr. N.S. Saradha brings over 30 years of hands-on experience to every consultation. Her expertise in laparoscopic and robotic gynaecological surgery, combined with her patient-centred approach, means that women seeking ovarian conditions treatment in Chennai are in highly capable and compassionate hands. Whether the treatment required is watchful monitoring, medical management, or minimally invasive surgery, she works closely with each patient to find the right path forward.