Hailey Bieber reveals she has two ovarian cysts: Here’s how to tell if you might too

Less than a year after welcoming her son, Jack Blues Bieber, with husband Justin Bieber, Rhode Skin founder Hailey Bieber shared an update on her health. In April, the 28-year-old opened up about her struggles on Instagram Stories, writing, “Currently have 2 ovarian cysts😩. If you deal with ovarian cysts I’m right there with ya!❤️‍🩹” This marks a recurrence of a condition Hailey first revealed in 2022, when she shared she had an ovarian cyst “the size of an apple.”

An ovarian cyst is a fluid-filled sac (usually 2.5 to 5cm wide) that forms on or within an ovary. While they often resolve on their own, larger cysts, ruptures, or cases involving ovarian twisting may require surgery.

“Ovarian cysts are pretty common. It’s estimated that many women will experience them at some point in their lives,” says Dr. Lim Wan Ting, Family Physician with Doctor Anywhere.

Here, Dr. Lim discusses what you need to know about ovarian cysts and how to manage them.

What leads to the formation of ovarian cysts? 

“Ovarian cysts can be caused by various factors, with the most common being ovulation or pregnancy, where harmless cysts form when a follicle doesn’t release an egg or remains after pregnancy begins, typically resolving on their own. 

Dermoid cysts, which contain tissues like hair, teeth, or fat, are usually harmless but may require surgical removal. 

Polycystic ovary syndrome (PCOS) causes multiple small cysts to form instead of a single follicle, often without the need for treatment, though medication may be needed for other PCOS-related symptoms. 

Endometriosis, a condition where tissue normally found in the uterus grows outside it, can lead to ovarian cysts and cause pelvic pain, painful sex, or difficulty getting pregnant. 

While ovarian cancer can cause cysts, it accounts for less than 1 in 100 cases and is more common in older individuals or those with a family history of the disease. 

Most ovarian cysts are harmless, but some may require medical attention depending on their cause.”

Who are more likely to develop ovarian cysts? Is it something that can be prevented? 

“Ovarian cysts are most common in women during their reproductive years, especially those who still menstruate. 

Certain types, such as endometriomas and functional ovarian cysts, are more likely to recur. Regular check-ups are important for early detection, and treating underlying conditions like PCOS or endometriosis can help reduce the risk of developing cysts.”

What are some of the symptoms of ovarian cysts? How is it diagnosed?

“Ovarian cysts often don’t cause symptoms. When symptoms do occur, they may include dull or sharp pain, or pressure on one side of the lower abdomen. In some cases, cysts can rupture, causing sudden severe pain, or lead to ovarian torsion, a serious condition requiring urgent treatment. Symptoms of ovarian torsion include intense one-sided lower belly pain, nausea, vomiting, and fever. 

Ovarian cysts are sometimes detected during a pelvic exam, but imaging tests like ultrasound, CT, or MRI are used to confirm their size, location, and characteristics. Blood tests, including a pregnancy test and the CA 125 test, may also be done to rule out pregnancy or assess the risk of ovarian cancer.”

When is medical attention required?

“Most ovarian cysts are asymptomatic, meaning you won’t experience any noticeable symptoms. However, if you do experience pain, it may signal that something requires more urgent attention, and seeking medical advice is crucial. Temporary measures like pain relievers, compresses, rest, or hydration should not be the primary response. The best course of action is to consult your doctor.

If you have ovarian cysts and experience sudden, severe lower belly pain, nausea, vomiting, or fever, contact your doctor or go to the emergency department immediately. Additionally, reach out to your doctor if you experience new or worsening pain, pain during urination or sex, or missed periods or bleeding between periods.”

How do you manage ovarian cysts? 

“Preventing ovarian cysts, particularly the common functional types, is not typically possible. However, their occurrence can be managed or reduced. If you’ve been evaluated by a doctor or are under their care, the best approach is to discuss your symptoms and management options with them, following their specific recommendations. Additionally, maintaining a healthy lifestyle and weight can support overall reproductive health.

Ultimately, Dr. Lim urges, “The biggest thing is to pay attention to your body and advocate for yourself. If something doesn’t feel right, don’t hesitate to talk to your doctor.”