I am 63, was told I have a 3.5 cm adnexal cyst. Should I have it removed?

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There are a variety of different adnexal cysts.

The following are some of the most common:

Ovarian Cancer and Other Cancers

Ovarian and fallopian tube cancers commonly form a tumor in women that can grow and spread to areas other areas of the body. Common ovarian cancer symptoms include back pain, constipation, heartburn, indigestion, fatigue, irregular periods, difficulty urinating, abdominal or pelvic distension, and painful sex.

Ovarian Cysts

Ovarian cysts will also cause adnexal cysts. These liquid-filled sacs will develop on the ovaries; however, ovarian cysts are often painless and don’t produce symptoms.

Benign Ovarian Tumors

An ovarian tumor is solid, whereas a cyst is filled with fluid. However, when the cells inside the tumor are not cancerous, it is a benign tumor. As such, it won’t invade or spread to other parts of the body. It may not even produce symptoms.

Common benign ovarian tumors that may produce an adnexal cyst or mass include dermoid cysts, fibromas, and cystadenomas.


This is a benign condition in which fluid becomes trapped inside a fallopian tube. Pain and reduced fertility rates may result.


Now, you can see that the reasons for adnexal cysts are varied. You should consult a gynecologist for this because the cysts are managed on an individual basis.

Whether you should have this cyst removed depends on the nature of the cyst. If it is just a simple ovarian cyst, you do not have to have it removed surgically. However, if it is a cystic tumor of unknown malignant potential, it should be removed.