What should I do if I find ovarian cysts after pregnancy?
Comrades are slow, and the essence is taken away first: About 70%of all ovarian cysts found in early pregnancy will disappear by themselves in the middle of pregnancy.No symptoms do not need to be processed.Ovarian cysts, or ultrasonic imaging that are continuously existing in pregnancy, or ultrasonic imaging, are mostly pathological cysts.When the following situations occur in ovarian cysts during pregnancy, surgical intervention needs to be considered.Highly suspected of a malignant tumor; acute abdomen (such as cysts twist and rupture); tumor diameter is> 10 cm and continues; severe complications (such as kidney accumulation); estimated cysts will cause production channel obstruction.Most pregnant women who find ovarian cysts can continue pregnancy after pregnancy, and rarely affect the baby’s development;
Trina Sky Task
Medical Physician of obstetrics and gynecology hospital affiliated to Fudan University
Obstetrics at the obstetrics and gynecology hospital affiliated to Fudan University
Pregnancy was a very happy thing, but some people had a ovarian cyst to "make fun" at this time, which made many pregnant mothers very worried and distressed–
Can you continue to pregnancy, ovarian cysts need no surgery, the risk of surgery is large, will it affect the fetus if no surgery …
Today, let’s understand the characteristics of ovarian cysts during pregnancy!
The types of ovarian cysts during pregnancy are the same as non -pregnancy period, mainly divided into physiological cysts and ovarian/malignant tumors.
Ovarian cysts mainly include mature fault tumors, slurry cyst tumors, ovarian membrane cysts, mucus cystic adenoma, endometriosis, etc.
In the special period of pregnancy, especially the use of ovulation -promoting drugs and the popularization of the auxiliary reproductive technology, the incidence of biological cysts in ovarian ovarian during pregnancy.
Most of the simplicity ovarian cysts with diameter of <5 cm in the pregnancy of pregnancy are mostly functional ovarian cysts, such as follicular cysts, luteal cysts, etc.
About 70%of all ovarian cysts found in early pregnancy will disappear by themselves in the middle of pregnancy.Ovarian cysts, or ultrasonic imaging that are continuously existing in pregnancy, or ultrasonic imaging, are mostly pathological cysts.
According to the characteristics of specific ultrasound imaging, it is not difficult to diagnose the medical history and tumor logo.
Most of the ovarian cysts during pregnancy are not asymptomatic, and they are generally discovered accidentally during conventional production of ultrasound examination or cesarean section surgery.
Few patients have symptoms. The most common is pain. A small number of patients have acute abdominal pain due to cyst twisting or rupture.
It is undeniable that pregnancy with ovarian cysts can cause abortion and premature birth. If the cyst is large, it can cause the obstruction of the birth canal to cause dystocia and the stagnation of the labor process, which endangers the safety of mothers and children, so it needs to be paid attention.
Look forward to treatment
Most of the early pregnancy ovarian cysts disappear by themselves, without any symptoms without treatment.
Therefore, for the early ovarian cysts (5-10 cm) in the early pregnancy, as long as its malignant risk is not high and no abdomen manifestations, it should be encouraged to treat treatment and follow the clinic.Evaluate again in the middle of pregnancy (14 to 16 weeks of pregnancy), if suspicious and malignant, consider surgery; if there is no malignant risk, you can continue to follow the clinic.
When the following situations occur in ovarian cysts during pregnancy, surgical intervention needs to be considered.
Highly suspected of a malignant tumor; acute abdomen (such as cysts twist and rupture); tumor diameter is> 10 cm and continues; severe complications (such as kidney accumulation); estimated cysts will cause production channel obstruction.
In the middle of pregnancy, it is a suitable operation time. You can choose abdominal surgery or laparoscopic surgery according to the situation.
For example, after 24 weeks of pregnancy, ovarian cysts are found. As the uterus further increases, the risk of adverse ending in surgery has increased. If there is no ovarian malignant tumor signs or torsion, rupture, secondary infection and other acute abdomen, you can choose to follow the clinic.When the cesarean section (if there is an obstetric section indicator) or after 6 weeks of vaginal delivery, it is re -evaluated.
In short, the incidence of ovarian cysts during pregnancy is not high, and the incidence of malignant tumors is lower.
Diagnostic evaluation mainly depends on ultrasound, and magnetic resonance can be made when evaluating difficulties.
Most pregnant women who find ovarian cysts can continue pregnancy after pregnancy, and rarely affect the baby’s development;
For symptomatic ovarian cysts, it is recommended to treat surgery in the appropriate gestational week; asymptomatic pregnancy ovarian cyst therapy method needs to be individualized according to factors such as gestational weeks and evaluation of surgical indications.
Therefore, after pregnancy, I found that ovarian cysts do not have to worry too much, but do not take it lightly, formulate an individualized solution under the guidance of a professional doctor, and spend pregnancy during pregnancy.
| First post: Family Medicine Magazine