Will a cyst go away on its own?

An estimated 20% of adults will experience a cyst at some point, making the question Will a cyst go away on its own? a very common one. The possibility of a cyst resolving naturally depends heavily on its type, size, and location.

Quick Summary

The likelihood of a cyst disappearing on its own varies significantly; while some minor types, like certain epidermoid cysts, may shrink over time, many others require professional intervention to be fully and permanently resolved. Ignoring a persistent or bothersome cyst is not recommended and can lead to complications.

Key Points

• Depends on the Type: The likelihood of a cyst disappearing on its own is entirely dependent on its type and cause.

• Recurrence is Common: Even if a cyst appears to resolve naturally by draining, it can return if the sac lining remains intact.

• Avoid Self-Treatment: Never attempt to pop or drain a cyst at home, as this can lead to serious infection and scarring.

• When to See a Doctor: Seek medical attention for cysts that are painful, inflamed, growing rapidly, or causing significant cosmetic concerns.

• Definitive Treatment: Surgical excision is often the most effective method for permanently removing a cyst and preventing recurrence.

• Non-invasive Options: For some cysts, less invasive treatments like drainage or steroid injections can be effective.

• Observation is an Option: For harmless, non-bothersome cysts like some ganglion cysts, a doctor may recommend observing it over time.

What Exactly is a Cyst?

Before addressing whether a cyst can resolve on its own, it is important to understand what a cyst is. A cyst is a closed pocket of tissue that is completely separate from surrounding tissue. It can be filled with fluid, pus, or other semisolid material. Cysts can develop anywhere on the body and range dramatically in size, from microscopic to large enough to affect organ function. They are generally non-cancerous and feel like small, smooth bumps beneath the skin.

Common Types of Cysts and Their Outlook

Not all cysts are created equal, and their ability to disappear naturally is highly dependent on their specific characteristics.

Epidermoid Cysts

• Causes: These form when surface skin cells move inward, multiplying and forming a sac that fills with keratin. They are most common on the face, trunk, neck, and scalp.
• Resolution: Epidermoid cysts can sometimes go away on their own. However, even if they drain on their own, the cyst wall often remains, allowing it to refill and recur. To prevent recurrence, the entire cyst sac must be removed, typically through minor surgery.

Sebaceous Cysts

• Causes: These originate from the sebaceous glands, which lubricate the skin and hair. They are less common than epidermoid cysts.
• Resolution: While they may temporarily shrink, they rarely disappear permanently on their own. Recurrence is very likely if the sac is not fully removed.

Ganglion Cysts

• Causes: These non-cancerous lumps develop along the tendons or joints of wrists and hands. They are filled with a jelly-like fluid.
• Resolution: Ganglion cysts can and often do disappear on their own over time. They can also reappear, and waiting to see if it resolves is a viable option if it isn't causing any issues.

Baker's Cysts

• Causes: A Baker's cyst, or popliteal cyst, is a fluid-filled swelling behind the knee, often caused by knee joint issues like arthritis.
• Resolution: They often resolve once the underlying knee problem is treated. They rarely disappear on their own without addressing the primary cause.

When Is Medical Intervention Necessary?

While some cysts might resolve themselves, it is often best to have a medical professional evaluate any lump you discover. Medical intervention is necessary in several scenarios:

1. Infection or inflammation: A cyst that is red, swollen, warm to the touch, or painful likely indicates an infection. This requires prompt medical attention.
2. Rapid growth or persistent size: If the cyst continues to grow or does not shrink after a period of observation, a doctor should examine it.
3. Rupturing: A ruptured cyst, particularly an epidermoid cyst, can cause significant inflammation and pain. A doctor should assess the situation to ensure proper healing and prevent scarring.
4. Pain or discomfort: If the cyst is causing pain, or interfering with movement, it may need to be drained or removed.
5. Cosmetic concerns: For some, the appearance of a cyst can cause distress. In such cases, elective removal can be discussed.

Methods for Cyst Removal

Medical professionals have several ways to deal with persistent or problematic cysts. These methods are safe and prevent complications associated with at-home treatments like attempting to pop or drain the cyst yourself.

• Incision and Drainage: A minor procedure where the doctor makes a small cut to allow the fluid inside the cyst to drain. This provides immediate relief but does not remove the cyst wall, so recurrence is possible.
• Corticosteroid Injection: For inflamed cysts, an injection of steroid medication can help reduce swelling and inflammation, often causing the cyst to shrink.
• Surgical Excision: This is the most definitive way to prevent a cyst from returning. The entire cyst sac is surgically removed, ensuring the lining is gone.

At-Home Care and What to Avoid

If a medical professional advises a 'wait and see' approach for a minor cyst, there are safe ways to manage it at home. However, it's critical to avoid dangerous practices.

Things to Do:

• Apply a warm compress to the area to help with drainage and reduce inflammation.
• Keep the area clean to prevent infection.

Things to Avoid:

• Never squeeze or pop a cyst. This can push the infection deeper, lead to significant scarring, and increase the risk of a serious bacterial infection.
• Do not attempt to lance or drain a cyst with a needle or sharp object at home. This is extremely dangerous and should only be done by a trained professional using sterile equipment.

Comparison of Common Cyst Types and Resolution

Cyst Type	Common Location	Chance of Natural Resolution	Typical Treatment if Needed
Epidermoid	Face, neck, torso	Possible, but recurrence likely	Surgical Excision
Sebaceous	Genitals, chest, back	Unlikely	Surgical Excision
Ganglion	Wrists, hands, feet	High	Observation, Drainage, Surgery
Baker's	Behind the knee	Resolves with underlying issue	Steroid injection, Drainage, Surgery

The Final Word on Cysts

The question will a cyst go away on its own? has a complex answer. While some types of cysts, particularly small and non-bothersome ones, may disappear over time, it's never a guaranteed outcome. The most effective approach for persistent or problematic cysts is to seek professional medical advice. A healthcare provider can properly diagnose the type of cyst, rule out more serious conditions, and recommend the best course of action to ensure the cyst is resolved safely and permanently. For a comprehensive guide to cyst removal, you can read more at the Cleveland Clinic.

Frequently Asked Questions

Can a small cyst go away on its own?

Yes, some small cysts, especially certain epidermoid cysts, can shrink or disappear over time. However, this is not a guarantee, and recurrence is still possible if the cyst's sac is not removed.

Will a sebaceous cyst go away on its own?

It is very unlikely for a true sebaceous cyst to go away on its own permanently. They may temporarily shrink, but they typically return as the cyst sac remains under the skin. Definitive treatment usually involves surgical removal.

How long does it take for a cyst to go away on its own?

There is no set timeline for a cyst to disappear on its own. For some, it may take weeks or months, while others may persist indefinitely. If it's causing concern, it's best to consult a doctor rather than waiting indefinitely.

What happens if a cyst doesn't go away on its own?

If a cyst does not go away on its own, it may become infected, inflamed, or simply grow larger. A persistent cyst should be evaluated by a medical professional to determine the best course of action, which could be draining or removal.

Can diet or home remedies help a cyst go away on its own?

There is no scientific evidence that diet can make a cyst go away on its own. While a warm compress can help reduce inflammation, no reliable home remedy can ensure a cyst disappears permanently. It is important to avoid unproven treatments and dangerous practices.

Will a cyst go away on its own after being infected?

An infected cyst requires medical intervention and will not typically resolve on its own. Infection causes pain, swelling, and redness, and if left untreated, can become more severe. A doctor may need to drain the cyst and prescribe antibiotics.

Can a cyst on the scalp go away on its own?

Cysts on the scalp, often called pilar cysts, are hereditary and rarely go away on their own. They tend to grow slowly over time. The only way to ensure permanent removal is surgical excision by a doctor.

Is there a way to tell if a cyst will go away on its own or needs removal?

The only reliable way to know for sure is to have it professionally diagnosed. A doctor can determine the type of cyst, its underlying cause, and whether it's likely to resolve itself or if intervention is necessary to prevent complications or recurrence.