ovarian cysts Specialist 

 Ulas Bozdogan, MD, FACOG

Endometriosis & Fibroids Specialist located in Hackensack, NJ and New York City, NY

Dr. Bozdogan is a recognized leader in advanced robotic surgery. He has carried out more than 3,000 Laparoscopic and robotic surgeries over the course of his career. An avid believer in life long learning, he attends numerous conferences at the national and international level.

REQUEST AN APPOINTMENT

What is ovarian cysts ?

Ovaries release eggs for fertilization over the reproductive lifetime of a woman. From the ovary and its egg follicles are made hormones that take part in this monthly cycle. When the cycle goes off-kilter, as can happen from time to time, there is a pause in this orderly process and fluid can build up in a follicle to become a cyst. The dividing line between a follicle and a cyst is an arbitrary size of 2 centimeters (cm), because it is > 2 cm at which signs and symptoms become apparent.

Ovarian Cyst Specialist

Dr. Ulas Bozdogan is a specialist in diagnosing and in treating ovarian cysts. First, he is a gynecologist, board-certified by the American Congress of Obstetricians and Gynecologists; second, he has the thousands of hours’ and surgeries’ experience he has accrued treating them, eminently qualify him as a “specialist,” which becomes crucial when a woman wants to preserve her child-bearing potential. A specialist like Dr. Bozdogan uses the latest state-of-the-art technology, diagnostic, therapeutic, and surgical techniques.

What causes an ovarian cyst?

As above, when a follicle becomes enlarged beyond 2 cm, it is termed a cyst.

  • The most common cause of this is a hormone imbalance, that is, a dysfunction of your usual menstrual cycle. Things such as ovulation and normal follicle resorption can be delayed, causing follicular fluid to accumulate and expand within the follicle. After 2 cm in diameter, the lining over it, rich in pain nerve fibers, can distend and cause lower pelvic pain on the respective side.
  • Other causes of ovarian cysts are abnormalities with other glands (“endocrine”) that take part in the menstrual cycle, namely, the hypothalamus and pituitary glands in the brain.
  • A diabetic condition called “insulin resistance” can also interfere with the normal cycle to the point that abnormal amounts of hormones that are in the estrogen family, such as testosterone, can lead to “virilzing” (male-like) cosmetic effects, such as acne, deep voice, hairiness, and breast size reduction.
  • Genetic problems can cause strange cysts in the ovary filled with hair, bone, and even teeth. These are called “dermoid” cysts and most are benign, but if they rupture, their contents can cause peritonitis.
  • Cancer of the ovary can present as a malignant cyst, usually in an older woman. Such a cyst is not influenced by hormonal changes or manipulation.

What are the signs and symptoms of an ovarian cyst?

This depends on the nature (cause) of the ovarian cyst.

  • By far the most common symptom is pelvic pain, usually on the side of the cyst. The bigger the cyst, the more the pain because the ovary hangs on a stalk of nerves and blood vessels, and this stalk is stretched by the increased weight of the cyst.
  • Since most of them, especially in women before menopause, are hormonal or are endocrine in nature, a common symptom is irregular bleeding (irregular periods—too often, too seldom, heavy, or scant).
  • Polycystic ovarian syndrome, from the insulin-resistance that interferes with the cycle [SEE ABOVE], can present with facial hair, acne, breast-size reduction, extra oily skin, and deepening of the voice due to conversion of hormones to testosterone.
  • Cancer of the ovary is usually silent until it attains a size that is already considered dangerous, so extra vigilance is necessary when there is a family history of it.
  • A very large cystic ovary can twist on its stalk, which can cut off the blood supply resulting in death of the ovary (called “ovarian torsion”), a surgical emergency.
  • A cyst that ruptures spontaneously (and thus, “cures” itself) will result in the pain peaking and then suddenly disappearing.
  • However, if there is any bleeding from the rupture, although the bleeding is self-limited and harmless, it can still cause pain. Although the rupture will make the sharp, unilateral pain disappear, with bleeding it will be replaced by a vaguely distributed burning-type pain in your pelvis. Eventually over a couple of days this will resolve as well.
  • Painful intercourse can result from the mechanical jostling of an enlarged ovary on its tension-sensitive stalk.

Could something else cause any of these symptoms?

Yes. Other conditions can cause similar symptoms:

  • Irritable bowl syndrome or inflammatory bowel disease.
    With so much of the abdomen providing space for the gastrointestinal organs (small and large intestines, rectum), irritation of a section on one side can mimic the pain of an ovarian cyst.
  • Cystitis
    A bladder infection, although more centrally located in its symptomatic pain presentation, can cause the same type of tenderness seen with an ovarian cyst.
  • Appendicitis
    An inflamed appendix can mimic the pain of a right ovarian cyst, but a CT scan or ultrasound can help make the call.
  • Ectopic pregnancy.
    The symptoms of an ectopic (tubal) pregnancy can be exactly like that of an ovarian cyst—pain that is sharp, severe, pin-point, and unilateral. As with a cyst, it can also cause bleeding with the associated vaguely distributed pain throughout the pelvis. Whereas ovarian cysts are rarely dangerous, ectopic pregnancies can be fatal if not treated in time. It is important that you seek out a specialist like Dr. Bozdogan to make such an important diagnosis, and if either an ectopic—or the rare, dangerous ovarian cyst—is the issue, he has his robotic technology to remedy the emergency with minimal pain and downtime.

How are ovarian cysts treated?

An ovarian cyst, when due to a temporary hormonal dysfunction, is not a disease, but a normal variation that requires only waiting it out.

For recurrent ovarian cysts, simple birth control pills can “redesign” your cycle into a normal pattern. Either way, watchful waiting, perhaps with ultrasound surveillance for a brief period of time, is all that is needed.

If cysts come about because of an endocrine disorder, identifying and treating the primary condition will also fix the ovarian cyst problem. A specialist like Dr. Bozdogan is the appropriate person to go to for this type of diagnostic evaluation.

For life-threatening emergencies such as a hemorrhagic ovarian cyst, ovarian torsion, or even an ectopic pregnancy, surgery is the definitive therapy, best done using minimally invasive technique such as Dr. Bozdogan’s robotic approach. Today’s same-day, minimally invasive and robotic techniques, the kind in which Dr. Bozdogan is a specialist, shortens recovery time. His state-of-the-art technology also makes possible complete excision while sparing the rest of the ovary (or—in ectopic pregnancy—the tube), important if fertility is a concern.

Dr. Ulas Bozdogan in Numbers

Dr. Ulas bozdogan's numbers speaks for themselves, with over thousands of successful surgery and happy patients that have given his patients the confidence to live without pain. 

100% 

Surgeries Succeeded

1500+ 

Robotic Surgeries

300+ 

5 Star Reviews

20+ 

Years of Experience

A good word means a lot

Successful stories and Patient testimonials

It’s always the word of mouth that’s the best advice. Here are some of our…

There are no words to describe the care Dr. Boz and his staff have given me. I am 2 days out of surgery (partial hysterectomy) and feel like a new person already. Dr. Boz has called 2 times to check on my recovery, I have never experienced that personal care with any doctor I have had. After 10 years of suffering from pain, multiple trips to the ER with no answers, I found Dr. Boz and was finally diagnosed with stage 4 endometriosis. I had surgery 2 weeks later and I'm finally on the road to recovery! Thank You for giving me my life back!

I’m just so happy that I found Dr. Bozdogan and I can’t thank enough him for helping me. I always have very painful period to the point I pass out from it. Every gynecologist was saying it’s normal but it isn’t. Dr. Bozdogan from my first visit was amazing! He described with smallest details my surgery and what to expect after.He has amazing bedside manner and very professional! I highly recommend Dr Bozdogan if you suffer with endometriosis

From my first consultation, I could not be happier with the service I received from Dr.Boz and his staff.
Dr.Boz listened to me and my issues and asked questions and had honest answers for me. He is both personal and professional and I would highly recommend him to any woman who is having pelvic pain, endometriosis or other gynecological issues.

I’m thankful That my concerns were heard. Dr. Bozdogan is Very professional and easy to talk to regarding my fibroids. I got an appointment quickly, no wait time in the office, friendly staff, ultrasound in office to confirm my fibroids. He scheduled my surgery quickly and it was outpatient do I could recover at home. He answered all my questions and made sure that The fibroids were removed robotic surgery without removing my uterus so I could have more kids if I chose to.

Dr. Boz is a great doctor for endometriosis. He took his time to explain everything to me and show me what he wanted to look at. I just had my surgery with him and I have nothing but appreciation for him with the time he takes with me. I’m also feeling much better then I was feeling before. Thank you Dr. Boz!!!

Dr Boz was amazing with me and I'm so happy I used him for my surgery. I went for several Doctoredbefore deciding he was the one to perform my Myomectomy (fibroid removal surgery). From the initial appointment for diagnosis until the follow up after surgery he was there all away!I was able to text hI'm personally with questions if I needed and he put any anxieties at ease with all the reasons why he will do what he planned for me. He explained my procedure step by step very clearly and had a great bed side matter at the hospital as well. As for as the surgery went he preformed it with ease and with in 8 days I'm doing great and with nearly no scars.

Our Affiliations

Ovarian Cysts Specialist  

 Ulas Bozdogan, MD, FACOG

Endometriosis & Fibroids Specialist located in Hackensack, NJ and New York City, NY

Dr. Bozdogan is a recognized leader in advanced robotic surgery. He has carried out more than 3,000 Laparoscopic and robotic surgeries over the course of his career. An avid believer in life long learning, he attends numerous conferences at the national and international level.

REQUEST AN APPOINTMENT

What is ovarian cysts ?

Ovaries release eggs for fertilization over the reproductive lifetime of a woman. From the ovary and its egg follicles are made hormones that take part in this monthly cycle. When the cycle goes off-kilter, as can happen from time to time, there is a pause in this orderly process and fluid can build up in a follicle to become a cyst. The dividing line between a follicle and a cyst is an arbitrary size of 2 centimeters (cm), because it is > 2 cm at which signs and symptoms become apparent.

Ovarian Cyst Specialist

Dr. Ulas Bozdogan is a specialist in diagnosing and in treating ovarian cysts. First, he is a gynecologist, board-certified by the American Congress of Obstetricians and Gynecologists; second, he has the thousands of hours’ and surgeries’ experience he has accrued treating them, eminently qualify him as a “specialist,” which becomes crucial when a woman wants to preserve her child-bearing potential. A specialist like Dr. Bozdogan uses the latest state-of-the-art technology, diagnostic, therapeutic, and surgical techniques.

What causes an ovarian cyst?

As above, when a follicle becomes enlarged beyond 2 cm, it is termed a cyst.

  • The most common cause of this is a hormone imbalance, that is, a dysfunction of your usual menstrual cycle. Things such as ovulation and normal follicle resorption can be delayed, causing follicular fluid to accumulate and expand within the follicle. After 2 cm in diameter, the lining over it, rich in pain nerve fibers, can distend and cause lower pelvic pain on the respective side.
  • Other causes of ovarian cysts are abnormalities with other glands (“endocrine”) that take part in the menstrual cycle, namely, the hypothalamus and pituitary glands in the brain.
  • A diabetic condition called “insulin resistance” can also interfere with the normal cycle to the point that abnormal amounts of hormones that are in the estrogen family, such as testosterone, can lead to “virilzing” (male-like) cosmetic effects, such as acne, deep voice, hairiness, and breast size reduction.
  • Genetic problems can cause strange cysts in the ovary filled with hair, bone, and even teeth. These are called “dermoid” cysts and most are benign, but if they rupture, their contents can cause peritonitis.
  • Cancer of the ovary can present as a malignant cyst, usually in an older woman. Such a cyst is not influenced by hormonal changes or manipulation.

What are the signs and symptoms of an ovarian cyst?

This depends on the nature (cause) of the ovarian cyst.

  • By far the most common symptom is pelvic pain, usually on the side of the cyst. The bigger the cyst, the more the pain because the ovary hangs on a stalk of nerves and blood vessels, and this stalk is stretched by the increased weight of the cyst.
  • Since most of them, especially in women before menopause, are hormonal or are endocrine in nature, a common symptom is irregular bleeding (irregular periods—too often, too seldom, heavy, or scant).
  • Polycystic ovarian syndrome, from the insulin-resistance that interferes with the cycle [SEE ABOVE], can present with facial hair, acne, breast-size reduction, extra oily skin, and deepening of the voice due to conversion of hormones to testosterone.
  • Cancer of the ovary is usually silent until it attains a size that is already considered dangerous, so extra vigilance is necessary when there is a family history of it.
  • A very large cystic ovary can twist on its stalk, which can cut off the blood supply resulting in death of the ovary (called “ovarian torsion”), a surgical emergency.
  • A cyst that ruptures spontaneously (and thus, “cures” itself) will result in the pain peaking and then suddenly disappearing.
  • However, if there is any bleeding from the rupture, although the bleeding is self-limited and harmless, it can still cause pain. Although the rupture will make the sharp, unilateral pain disappear, with bleeding it will be replaced by a vaguely distributed burning-type pain in your pelvis. Eventually over a couple of days this will resolve as well.
  • Painful intercourse can result from the mechanical jostling of an enlarged ovary on its tension-sensitive stalk.

Could something else cause any of these symptoms?

Yes. Other conditions can cause similar symptoms:

  • Irritable bowl syndrome or inflammatory bowel disease.
    With so much of the abdomen providing space for the gastrointestinal organs (small and large intestines, rectum), irritation of a section on one side can mimic the pain of an ovarian cyst.
  • Cystitis
    A bladder infection, although more centrally located in its symptomatic pain presentation, can cause the same type of tenderness seen with an ovarian cyst.
  • Appendicitis
    An inflamed appendix can mimic the pain of a right ovarian cyst, but a CT scan or ultrasound can help make the call.
  • Ectopic pregnancy.
    The symptoms of an ectopic (tubal) pregnancy can be exactly like that of an ovarian cyst—pain that is sharp, severe, pin-point, and unilateral. As with a cyst, it can also cause bleeding with the associated vaguely distributed pain throughout the pelvis. Whereas ovarian cysts are rarely dangerous, ectopic pregnancies can be fatal if not treated in time. It is important that you seek out a specialist like Dr. Bozdogan to make such an important diagnosis, and if either an ectopic—or the rare, dangerous ovarian cyst—is the issue, he has his robotic technology to remedy the emergency with minimal pain and downtime.

How are ovarian cysts treated?

An ovarian cyst, when due to a temporary hormonal dysfunction, is not a disease, but a normal variation that requires only waiting it out.

For recurrent ovarian cysts, simple birth control pills can “redesign” your cycle into a normal pattern. Either way, watchful waiting, perhaps with ultrasound surveillance for a brief period of time, is all that is needed.

If cysts come about because of an endocrine disorder, identifying and treating the primary condition will also fix the ovarian cyst problem. A specialist like Dr. Bozdogan is the appropriate person to go to for this type of diagnostic evaluation.

For life-threatening emergencies such as a hemorrhagic ovarian cyst, ovarian torsion, or even an ectopic pregnancy, surgery is the definitive therapy, best done using minimally invasive technique such as Dr. Bozdogan’s robotic approach. Today’s same-day, minimally invasive and robotic techniques, the kind in which Dr. Bozdogan is a specialist, shortens recovery time. His state-of-the-art technology also makes possible complete excision while sparing the rest of the ovary (or—in ectopic pregnancy—the tube), important if fertility is a concern.

SERVICES

Endometriosis
Specialist

Fibroid
Specialist

Hysterectomy
Specialist

Myomectomy
Specialist

Ovarian Cysts
Specialist

Abnormal
Bleeding

Pelvic Pain
Specialist

Infertility
Specialist

Dr. Ulas Bozdogan in Numbers

Dr. Ulas bozdogan's numbers speaks for themselves, with over thousands of successful surgery and happy patients that have given his patients the confidence to live without pain. 

100% 

Surgeries Succeeded

1500+ 

Robotic Surgeries

300+ 

5 Star Reviews

20+ 

Years of Experience

A good word means a lot

Successful stories and Patient testimonials

It’s always the word of mouth that’s the best advice. Here are some of our…

There are no words to describe the care Dr. Boz and his staff have given me. I am 2 days out of surgery (partial hysterectomy) and feel like a new person already. Dr. Boz has called 2 times to check on my recovery, I have never experienced that personal care with any doctor I have had. After 10 years of suffering from pain, multiple trips to the ER with no answers, I found Dr. Boz and was finally diagnosed with stage 4 endometriosis. I had surgery 2 weeks later and I'm finally on the road to recovery! Thank You for giving me my life back!

I’m just so happy that I found Dr. Bozdogan and I can’t thank enough him for helping me. I always have very painful period to the point I pass out from it. Every gynecologist was saying it’s normal but it isn’t. Dr. Bozdogan from my first visit was amazing! He described with smallest details my surgery and what to expect after.He has amazing bedside manner and very professional! I highly recommend Dr Bozdogan if you suffer with endometriosis

The best at what he does I can’t thank dr Bozdogan enough, I suffered from pelvic pain 15 years no joke , went to many doctors in New York was put on meds even IV antibiotics because no doctor had an answer for my pain. I moved to New Jersey and found Dr Bozdogan he is amazing !!!! From the moment I called the office to set up my appointment I felt I was at the right place , they took me in the same week I called, my surgery was also scheduled promptly and they worked with my schedule. Dr Bozdogan gave me back my life literally , this pain was ruining my life. Please if you are suffering from pelvic pain /endo/fibroids etc go to him it will change your quality of life , the only thing I regret was not finding this gem doctor before.

From my first consultation, I could not be happier with the service I received from Dr.Boz and his staff.
Dr.Boz listened to me and my issues and asked questions and had honest answers for me. He is both personal and professional and I would highly recommend him to any woman who is having pelvic pain, endometriosis or other gynecological issues.

I’m thankful That my concerns were heard. Dr. Bozdogan is Very professional and easy to talk to regarding my fibroids. I got an appointment quickly, no wait time in the office, friendly staff, ultrasound in office to confirm my fibroids. He scheduled my surgery quickly and it was outpatient do I could recover at home. He answered all my questions and made sure that The fibroids were removed robotic surgery without removing my uterus so I could have more kids if I chose to.

Dr. Boz is a great doctor for endometriosis. He took his time to explain everything to me and show me what he wanted to look at. I just had my surgery with him and I have nothing but appreciation for him with the time he takes with me. I’m also feeling much better then I was feeling before. Thank you Dr. Boz!!!

Dr Boz was amazing with me and I'm so happy I used him for my surgery. I went for several Doctoredbefore deciding he was the one to perform my Myomectomy (fibroid removal surgery). From the initial appointment for diagnosis until the follow up after surgery he was there all away!I was able to text hI'm personally with questions if I needed and he put any anxieties at ease with all the reasons why he will do what he planned for me. He explained my procedure step by step very clearly and had a great bed side matter at the hospital as well. As for as the surgery went he preformed it with ease and with in 8 days I'm doing great and with nearly no scars.

Our Affiliations