Ovarian dermoid cyst is a type of embryo cyst that often remains in the ovary and is generally asymptomatic. This small bag can be filled with blood, mucus or various tissues such as fat, teeth, hair, nails, skin, etc. This condition sometimes causes pain in the lower abdomen or during intercourse, but in general, ovarian dermoid cysts are benign and painless, so they are discovered accidentally during a gynecological examination. But some dermoids are more than 2 cm and their size and weight can lead to twisting of the ovary and complications such as infertility. To get more information about the impact of this condition on pregnancy, risks and complications, the best treatment, the cost of the operation, etc., stay with us in the rest of this article.

**What is an ovarian dermoid cyst?** Ovarian dermoid cyst is a benign ovarian cyst with an average diameter of 5 to 10 cm that is located on the surface of the ovary and appears in adult women and accounts for up to 25% of ovarian cysts in adult women. Most of the time, ovarian dermoid cyst affects only one ovary, in some cases it can be present on both ovaries at the same time. Unlike other types of **ovarian cyst**, this cyst originates from immature cells in the ovary and from eggs. Therefore, we can find tissues such as small bones, teeth, skin, hair or fat in dermoid cysts.

** Dr. Bita Zalali's explanation about dermoid cysts**

Ovarian dermoid cyst symptoms Most of the people with this cyst are usually symptomless and usually do not feel any symptoms or discomfort due to the formation of cysts in different parts of the body. Of course, there is also a group that the more the cyst grows in their body, they will gradually experience symptoms. The symptoms of dermoid cyst depend on its type and in each person these symptoms may be different, severe or mild. Dermoid cyst does not have a laboratory diagnosis and the definite diagnosis of this cyst is by ultrasound. The lack of symptoms of ovarian dermoid cyst in some women causes this condition to remain hidden in the person's body, and it is usually diagnosed during a consultation with a gynecologist or during an ultrasound to follow up the cause of non-pregnancy. Among the well-known symptoms that indicate the presence of an ovarian dermoid cyst: - Constant pain in the lower abdomen or during menstruation - Pain during sexual intercourse - Metrorrhagia (abnormal uterine bleeding) - Sensation of mass in the ovaries - Frequent urge to urinate - Pelvic pain

**Can a dermoid cyst become cancerous?** In most cases, this type of ovarian cyst is benign. However, the presence of this complication can make it difficult to get pregnant. The possible complications that this cyst can cause to a person include the following: - Cyst torsion: It is the most common complication that requires emergency surgery due to the increased risk of infection and necrosis. - Rupture of the cyst: the fluids and fats in the tumor flow into the abdomen by rupture and create abdominal adhesions. You need to know that dermoid cyst becoming cancerous is a very rare event and only 2% of dermoid cysts may become cancerous or the parts inside this cyst, such as the skin, may develop SCC (squamous cell cancer). In the mentioned conditions, the risk of this type of cyst becoming cancerous is higher: - Age over 45 - Presence of dermoid cyst with high growth rate - mass with a large diameter (10 cm and more)

**Laparoscopy video of ovarian dermoid cyst containing hair, teeth and fat!!**

** Getting to know how to diagnose and treat dermoid cysts** Dermoid cyst diagnosis is done using the following methods: - Medical imaging techniques (MRI, ultrasound) - By performing a biopsy of the cyst Dermoid cyst treatment involves removing this cyst with a very common minimally invasive surgical procedure called laparoscopy, which is performed under anesthesia. In some cases, laparotomy (larger opening of the abdominal wall) is necessary if a malignant cyst is detected during the laparoscopic procedure or there are operational problems due to the size of the cyst. Since dermoid cysts are organic in origin and not functional in origin, it is very rare for them to reappear in the same place after removal and removal from the ovaries.

**Is ovarian dermoid cyst dangerous?** Dermoid cysts are often harmless, but to prevent complications, these cysts must be removed, the most important complication of which is torsion or rotation of the cyst, which causes disruption of blood supply to the ovary, which can be dangerous with the loss of the ovaries. As mentioned, this cyst is better to be treated surgically, because like other types of ovarian cysts, it does not have the ability to disappear by itself. In the case that the cyst causes severe pelvic pain and makes the menstrual periods unbearable for the affected person, the person should undergo surgery and the cyst should be removed from the ovary.

**How is laparoscopic surgery to treat dermoid cysts?** Normally, for the surgical treatment of ovarian dermoid cyst and its evacuation from inside the ovary, two common methods are used, i.e. open surgery and laparoscopy. Laparoscopic surgery is relatively less invasive than open surgery and it is interesting to know that this operation is safe for the ovary. In this technique, after inflating the abdomen with carbon dioxide, fine incisions are made on the abdomen in the part where the ovaries are located on the tissue of the abdominal wall to gain access to the body and the location of the dermoid cyst. After that, special tools such as laparoscope are inserted into the ovaries and the work of removing and draining the cyst is done. Compared to open surgery, where a large incision is made on the abdomen, laparoscopy has a shorter recovery period. In addition, the person will be less exposed to the risk of infection and complications after the operation. Generally, women who are operated by laparoscopic method return to their daily life routine faster. Normally, ovarian cyst surgery takes between 1 and 2 hours. In addition, it is possible that its duration will increase depending on the size of the case and the condition of the person. Other factors are also effective during surgery. The number of cysts, the size of the ovary involvement with the cyst can have a great effect on the operation time.

**Can a dermoid cyst cause miscarriage?** In most cases, cysts prevent pregnancy. On the other hand, if an ovarian dermoid cyst is diagnosed during pregnancy, monitoring is necessary to ensure that the cyst does not interfere with fetal development or delivery. From the second trimester of pregnancy, if the doctor deems surgery necessary, he can plan to remove the cyst.

Women who suffer from ovarian dermoid cysts need to be under the supervision of the best gynecologists in order to go through the treatment process. Because the health of the ovary is very important to maintain the fertility of women in the future, people need to be careful in choosing the right specialist and experienced doctor. Dr. Bita Zalali, a surgeon and specialist in gynecological diseases and infertility, a member of the Association of Obstetricians and Gynecologists of Iran, is one of the most famous doctors and surgeons in the country, and in his clinic, very diverse and specialized services are provided, including the treatment and laparoscopy of all types of uterine and ovarian cysts, such as dermoid cysts, for dear women. The good news is that Dr. Zalali's specialized clinic is not only limited to Tehran and he has an active presence in his clinic in Andimshek. Therefore, in the cities of Tehran and Andimeshk, ovarian dermoid cyst surgery is performed by a skilled, skilled and precise doctor, that is, Dr. Bita Zalali. In order to arrange an appointment and visit, contact the experts of Dr. Zalali Medical Complex at 09126176917 (Tehran), 09361125322 and 06142628535.

**Can dermoid cyst be cured with medicine? Unfortunately no. In the first stages of the formation of this cyst, the doctor suggests that you wait for a while. During this time, it is necessary to check the size of cyst changes by ultrasound so that the doctor can decide on the next step of treatment with open vision. Finally, the best way to treat dermoid cysts is laparoscopic surgery, and it is necessary to know that all dermoid cysts above two centimeters must be surgically removed from the ovary, and the use of drugs to treat ovarian dermoid does not work.

**How much does dermoid cyst surgery cost?** Many factors can be effective in determining the cost of dermoid cyst surgery, so that due to the colorful role of these factors, it is not possible to specify a definite number as the final cost of this operation. In this section, we mention some factors affecting the cost of dermoid cyst surgery: ### **personal conditions** If the dermoid cyst is in its early stages, the cost of dermoid cyst surgery will be cheaper than when this cyst has advanced. ### **Treatment Center** The treatment center or hospital where the operation is performed has a great influence on the final cost of the operation. For example, whether these centers are private or government has a great impact on the final price. ### **surgeon salary** It is clear that the salary of skilled and experienced surgeons has a higher cost. But remember that in no way do you risk your health due to the lower cost and do not entrust yourself to the blade of inexperienced surgeons. ### **Duration of hospitalization** The longer you stay in the hospital for treatment, the higher the final cost of dermoid cyst surgery will be. In the end, it is better to consult with a specialist and experienced doctor to know the costs and start the treatment process of dermoid cyst.