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Simple ovarian cyst — DRCOG MCQ

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ModerateGynaecologySimple ovarian cystDRCOG

A 32-year-old premenopausal woman has an incidental 3 cm simple unilateral ovarian cyst on ultrasound. She has no pain, bloating or family history of ovarian cancer. What would you advise?

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Correct answer: D — Reassure that a small simple cyst is usually functional

Small simple ovarian cysts in premenopausal women are commonly functional and often need no urgent intervention. Suspected cancer referral depends on features such as complex morphology, ascites, raised CA125 with concerning symptoms or postmenopausal status. Surgery and chemotherapy are inappropriate from this benign description. Endometriosis is not diagnosed solely from a small simple cyst.

Reference: NICE CKS ovarian cyst; RCOG Green-top Guideline No. 62