You’re trying to get pregnant—or thinking about it—but an ovarian cyst shows up. Now what? This question comes up often, and the truth is: not all cysts are harmful. Some won’t impact your chances at all. Others might make things more challenging. Let’s go over the impact of an ovarian cyst on fertility, how it might affect your cycle, and what to do next.
Key Takeaways:
- Functional cysts like follicle and corpus luteum are normal; in fact, they support ovulation and don’t affect fertility.
- Dermoid cysts and cystadenomas rarely affect fertility. However, if surgery is needed, it may lower the egg count.
- Endometriomas and PCOS cysts, on the other hand, can make ovulation harder and reduce egg quality or number.
- Since PCOS disrupts ovulation through hormone imbalance, treatments may include Clomid, metformin, or letrozole.
- While endometriomas damage ovarian tissue, removal can help, yet it may also reduce egg count.
- Fortunately, fertility treatments like IVF, IUI, and hormone therapy can help many women with cysts conceive.
- Additionally, surgery helps in specific situations. A cystectomy, for instance, preserves ovaries but may affect the egg reserve.
- Moreover, lifestyle habits such as diet and movement, along with supplements like inositol and folic acid, and acupuncture, may support ovulation.
- Although cysts during pregnancy may cause torsion or rupture, they are often harmless and typically resolve without treatment.
- Finally, see a fertility specialist if you've been trying for more than 6–12 months or if hormone symptoms appear.
Understanding the Connection Between an Ovarian Cyst and Fertility: A Complete Guide for Women
If you've been diagnosed with an ovarian cyst and fertility is on your mind, you're not alone. Many women face this situation and wonder how it might affect their ability to get pregnant. The good news is that not all cysts reduce fertility, and many people go on to conceive naturally or with support.
To begin, it’s important to know that not every ovarian cyst affects fertility. In fact, some are part of your natural reproductive process.
Functional Cysts Support Ovulation
Common cysts like follicular cysts and corpus luteum cysts form during your menstrual cycle. These are known as functional cysts, and they usually disappear on their own. They actually support ovulation and hormone balance—meaning your body is doing its job well.
Other Cysts May Need Monitoring
Cysts such as dermoid cysts and cystadenomas are often harmless. While they don't usually affect fertility, large ones may require surgery. If surgery involves removing part of the ovary, it could lower the number of available eggs—something to consider if you're trying to conceive.
To learn more about different types of cysts, visit WomensHealth.gov.
Some Forms of an Ovarian Cyst Can Interfere With Fertility
While many cysts are harmless, others, like endometriomas and cysts linked to PCOS, can impact your ability to get pregnant.
Endometriomas Can Block Ovulation
These "chocolate cysts" form when endometrial tissue grows on the ovary. They may:
- Scar the ovaries
- Block the release of eggs
- Interfere with fertilization
Endometriomas can also cause pain and inflammation, which may affect egg quality.
Polycystic Ovary Syndrome (PCOS) and Fertility
PCOS isn’t defined by true cysts but by underdeveloped follicles that don’t release eggs. This leads to:
- Irregular or skipped periods
- Hormonal imbalances
- Ovulation problems
If you’re experiencing acne, weight changes, or missed periods, PCOS may be the cause. Learn more from this PCOS and fertility guide.
Many Women Still Ovulate and Conceive With Ovarian Cysts
Despite these challenges, most women with cysts can still ovulate. The key is knowing what kind of cyst you have.
Functional Cysts Often Disappear
If you have a functional ovarian cyst, it usually resolves without any issue. These cysts are a sign your body is cycling normally.
PCOS-Related Cysts Can Be Managed
With PCOS, ovulation can often return through:
- Medications like Clomid or Letrozole
- Insulin regulation with Metformin
- Lifestyle changes like exercise and weight management
Doctors also use ultrasound and hormone testing to track ovulation and ovarian health.
Treatments That Can Improve Fertility When An Ovarian Cyst Is Involved
If you're trying to conceive and have been diagnosed with an ovarian cyst, the right treatment can make a big difference.
Medication and Hormonal Therapy
- Clomid or Letrozole help stimulate ovulation
- Metformin supports insulin balance in PCOS
- Hormonal birth control may prevent new cysts (used outside pregnancy planning)
These treatments depend on your cyst type and hormone levels.
Surgery: When and Why It’s Needed
In some cases, surgery may be recommended, especially if:
- A cyst is large or painful
- It blocks the release of eggs
- It interferes with IVF or IUI treatments
Laparoscopic surgery is minimally invasive and aims to preserve the ovary. If you’re considering surgery, ask about AMH testing (anti-Müllerian hormone) to check egg reserve before and after the procedure.
Fertility Treatments Like IVF and IUI Are Still an Option
With the support of fertility professionals, many women with ovarian cyst and fertility concerns still succeed through treatments like IVF or IUI.
IVF Can Be Tailored to Your Needs
- Cysts may need to be drained before starting
- Hormone levels are carefully monitored
- PCOS patients may need lower doses to avoid overstimulation
IUI May Work If Timing Is the Issue
If ovulation is happening but timing is off, IUI (intrauterine insemination) can help place sperm at the right time in the cycle.
Surgery Can Help, but May Also Affect Egg Supply
Sometimes, cyst removal surgery improves fertility, especially for endometriomas or obstructive cysts. However, there are risks.
What to Know Before Surgery
- Cystectomy removes the cyst but saves the ovary
- Oophorectomy removes an entire ovary (less common)
- Surgery may reduce egg supply, especially with endometriosis
That’s why some women choose to freeze eggs before surgery, especially if they plan to delay pregnancy.
PCOS and Endometriosis Need Ongoing Fertility Support
Both PCOS and endometriosis can cause long-term fertility challenges. However, treatment options are available and often successful.
PCOS: Restarting Ovulation
Treatments also include:
- Letrozole for ovulation
- Lifestyle changes to reduce insulin resistance
- Ovarian drilling in resistant cases
Endometriosis: Protecting the Ovaries
- Hormone therapy to reduce inflammation
- Surgery to remove cysts or scar tissue
- Egg freezing if ovarian function is at risk
Read the CDC’s fertility guide for more on managing long-term conditions.
Natural Strategies Can Support Hormone Balance
In addition to medical treatment, natural steps can help support fertility with ovarian cysts.
Diet and Movement Make a Difference
- Eat whole foods, veggies, lean protein, and healthy fats
- Avoid sugar and processed foods
- Exercise regularly—walking, yoga, and swimming are great options
Supplements and Herbs That May Help
- Inositol supports ovulation in PCOS
- Folic acid prepares the body for pregnancy
- Zinc, vitamin D, and omega-3s support egg quality
Talk with your doctor before starting supplements or herbs like chasteberry or maca root.
Acupuncture and Stress Relief
- Acupuncture may improve blood flow and reduce stress
- Mindfulness, breathing, and sleep also support hormone balance
Many Women Conceive After Cyst Diagnosis: Real Stories
You are not alone in facing ovarian cyst and fertility concerns.
Success Stories Are Common
- A woman with stage 3 endometriosis conceived five months after surgery
- A PCOS patient ovulated after three rounds of Clomid and had a baby
- Another woman had IVF after a dermoid cyst surgery and welcomed twins
These stories show that pregnancy is possible, with or without medical interventions.
Some Types of Ovarian Cyst Can Affect Fertility or Pregnancy Later On
While most cysts are harmless during pregnancy, some may cause problems.
Monitoring Cysts During Pregnancy
- Early ultrasounds often detect cysts
- Most shrink on their own by the second trimester
- If they grow or rupture, you may feel pain or pressure
When to Seek Help
Contact a doctor if you feel:
- Sudden sharp pain
- Nausea or dizziness
- Pressure that doesn’t ease
In rare cases, a cyst may be removed during a C-section or earlier if it becomes urgent.
Monitoring and Ovarian Cyst Prevention Help Protect Fertility
If you’ve been diagnosed with a cyst, regular checkups are important for your reproductive health.
When to See a Fertility Specialist
- After 6 months of trying (if over 35)
- After 12 months (if under 35)
- Sooner if you have pain, bloating, or irregular cycles
Prevention Tips for Cyst-Related Fertility Issues
- Track your menstrual cycles
- Maintain a healthy weight
- Avoid high sugar, alcohol, and processed foods
- Use ovulation kits or apps
- Manage stress and sleep consistently
Hormonal birth control may help prevent cysts when not trying to conceive. For PCOS, metformin may also improve ovulation.
You Don’t Have to Face This Alone
Ovarian cysts don’t always mean infertility. With the right care, many women go on to have healthy pregnancies. Additionally, your next steps will depend on the type of cyst, your symptoms, and your fertility goals. That’s why personalized care matters.
Get Trusted Ovarian Cyst and Fertility Support From Our Team
If you're concerned about an ovarian cyst and fertility, the compassionate experts at The Woman’s Clinic in Little Rock can help. We offer personalized care, fertility evaluations, and advanced treatment options. Whether you’re just starting to try or already facing challenges, we’ll guide your next step.
