Can an Ovarian Cyst Stop You from Being Pregnant? Debunking Myths and Understanding Realities

The journey to parenthood is often filled with excitement, anticipation, and questions. One common concern that some women may face is whether an ovarian cyst can hinder their ability to conceive. Ovarian cysts are fluid-filled sacs that develop on or within the ovaries. While the presence of a cyst might raise some worries, it’s important to separate fact from fiction and understand the true impact of ovarian cysts on fertility.

What Are Ovarian Cysts?

Ovarian cysts are a natural part of a woman’s reproductive cycle. They can develop for various reasons, such as follicular cysts during ovulation or corpus luteum cysts after egg release. Most of these cysts are functional and tend to resolve on their own without intervention. However, in some cases, cysts can grow larger or cause discomfort, leading to further medical attention.

What Are Its Impacts on Fertility?

The relationship between ovarian cysts and fertility is not as straightforward as it might seem. In general, small, functional cysts are unlikely to significantly affect a woman’s ability to conceive. Many women with such cysts conceive and have healthy pregnancies without any issues. However, there are scenarios in which ovarian cysts could potentially impact fertility:

  • Size and Location: Large cysts or cysts located in certain areas of the ovaries might interfere with the release of eggs during ovulation. This can affect the chances of conception, as the egg might not be available for fertilization.
  • Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder characterized by the presence of multiple small follicles on the ovaries. This condition can cause irregular ovulation or even anovulation (lack of ovulation), which can make it challenging to conceive.
  • Endometriomas: Endometriomas are cysts that form when endometrial tissue grows within the ovaries. These cysts can cause inflammation and damage to ovarian tissue, potentially affecting egg quality and ovulation.
  • Functional Cysts: Some functional cysts, like corpus luteum cysts, produce hormones that could impact the uterine lining’s ability to support pregnancy. However, this is more of a rare occurrence.

When Should You Seek Medical Guidance?

If you’re concerned about the impact of ovarian cysts on your fertility, better to consult fertility specialist. A doctor can perform necessary tests, such as ultrasounds and hormonal evaluations, to assess the size, type, and potential impact of cysts on your reproductive health. They can also provide guidance on the most appropriate steps to take based on your individual situation.

What Are The Treatment Options?

Treatment for ovarian cysts depends on their type, size, and impact on fertility. Small, functional cysts often resolve on their own and may not require intervention. However, larger cysts, endometriomas, or large dermoid cyst or other pathological cysts might need medical or surgical management.

If preserving fertility is a concern, your fertility specialist will work with you to develop a treatment plan that considers your reproductive goals. In some cases, surgical procedures might be required to remove cysts while preserving healthy ovarian tissue.


While ovarian cysts can raise concerns about fertility, they do not universally prevent pregnancy. Many women with cysts go on to conceive naturally and have healthy pregnancies. It’s important to differentiate between different types of cysts, their size, and potential impact on fertility. 

To know more about ovarian cysts and pregnancy, you can seek help from Fertility Specialist 

Dr Ila Gupta 

(Director & Sr. Consultant at Ferticity IVF & Fertility Clinics).