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Can you get ovarian cysts while pregnant: Management of ovarian cysts and cancer in pregnancy

by alexxlab

Can pregnant women develop ovarian cysts? Are ovarian cysts dangerous during pregnancy? Get answers to your questions about managing ovarian cysts and cancer during pregnancy.

Understanding Ovarian Cysts

Ovarian cysts are a common condition among women of childbearing age, particularly those over 30. These fluid-filled sacs can develop on the ovaries and, if left undetected, can potentially turn into ovarian cancer. There are several recognized causes of ovarian cysts, including:

  • Inadequate development of the follicles, failure to ovulate, and failure to absorb the fluid in the ovary.
  • Bursting of the blood vessels in endometriosis areas within the ovaries, leading to bleeding and cyst formation.
  • Excess chorionic gonadotropin hormone, resulting in the formation of lutein cysts.
  • Excessive secretion of luteinizing hormone (LH).
  • The development of a corpus luteum tumor.

Symptoms of Ovarian Cysts During Pregnancy

While many ovarian cysts are asymptomatic, some can cause symptoms during pregnancy, such as:

  • Pain
  • Bloating, indigestion, and poor appetite
  • Abnormally high abdominal size or intra-abdominal pressure
  • Vaginal bleeding
  • Nausea or vomiting (when the ovaries are twisted)
  • Dizziness and light-headedness due to blood loss
  • Fever and the possibility of infection

Are Pregnant Ovarian Cysts Dangerous?

The level of risk associated with ovarian cysts during pregnancy depends on the size and type of the cyst. While small or benign cysts may not pose a significant threat, larger cysts can potentially cause complications, such as:

  • Tumor compression during pregnancy
  • Cyst rupture
  • Torsion (twisting) of the cyst
  • Malignant neoplasm (cancer)

The cancer rate of ovarian cysts during pregnancy ranges from 1 in 10,000 to 1 in 25,000. However, the risk of malignancy increases if the tumor goes undetected for an extended period.

Monitoring and Management of Ovarian Cysts During Pregnancy

Most ovarian cysts during pregnancy are not dangerous and do not adversely affect the pregnancy. However, to ensure the cysts are not causing any issues, your doctor will need to schedule frequent ultrasounds during your prenatal visits to monitor the growth and progression of any existing cysts.

In the majority of cases, ovarian cysts during pregnancy will resolve on their own without any intervention. However, in acute situations, such as ovarian torsion, prompt surgical intervention may be necessary.

Importance of Pre-Pregnancy Screening

To minimize the risks associated with ovarian cysts during pregnancy, it is recommended that women have a comprehensive gynecological examination, including an ultrasound of the uterus and ovaries, before planning a pregnancy. This allows for the early detection and management of any existing cysts or tumors.

During the first three months of pregnancy, it is also crucial to undergo regular prenatal checkups to detect any potential issues, as the growing uterus can make it more difficult to identify ovarian cysts as the pregnancy progresses.

Comprehensive Maternity Care at Vinmec

Vinmec International General Hospital offers a full package of maternity services, providing pregnant women with the peace of mind that comes from being monitored by a team of leading specialists throughout their pregnancy. This includes regular prenatal check-ups, early detection of abnormalities, and comprehensive care during childbirth and for the newborn.

To learn more about Vinmec’s maternity services or to schedule an appointment, please contact the HOTLINE or register online.

Conclusion

In summary, while ovarian cysts during pregnancy are not uncommon, the majority of them are not dangerous and do not pose significant risks to the mother or the developing baby. However, it is essential to have regular prenatal check-ups and monitoring to ensure the cysts are not causing any complications. By working closely with a team of experienced healthcare professionals, pregnant women can receive the comprehensive care they need to have a safe and healthy pregnancy.

Are pregnant ovarian cysts dangerous?

This is an automatically translated article.

Ovarian cysts during pregnancy are not uncommon. It makes many pregnant women confused and worried about whether ovarian cysts are dangerous and what to do when they have ovarian cysts during pregnancy?

The article was professionally consulted by Doctor Nguyen Gia Hoang Anh, Obstetrician and Gynecologist, Vinmec Times City International Hospital

1. Learn about ovarian cysts

Ovarian cysts are the most common disease of childbearing age, of all ages, especially women aged 30 and older. If not detected early, cysts can turn into ovarian cancer, affect a woman’s ability to have children, and even endanger a woman’s life.
Ovarian cysts can develop and exist in many different forms with many dangerous, even life-threatening complications.
There are 5 common causes of ovarian cysts that have been recognized, including:
Inadequate development of the follicles, failure to ovulate and failure to absorb the fluid in the ovary. The blood vessels of the endometriosis areas in the ovaries burst, causing bleeding to form cysts. Excess chorionic gonadotropin hormone leads to the formation of lutein cysts. Excessive secretion of luteinizing hormone (LH) (just read it as ‘horrible’). The development of the corpus luteum leads to the appearance of a corpus luteum tumor. While most ovarian cysts are asymptomatic, some ovarian cysts during pregnancy or during pregnancy can cause some of the following symptoms:
Pain Bloating, slowness indigestion, poor appetite Abdominal size for gestational age or abnormally high intra-abdominal pressure Vaginal bleeding Nausea or vomiting (when ovaries are twisted) Dizziness, light-headedness due to blood loss Fever, possibility of infection Danger level The risk of ovarian cysts depends on the size and type of ovarian cyst. Although a cyst may be small or benign at first, it can increase in size during pregnancy.
In some cases, if there is no early intervention, the cyst can progress to cause dangerous complications for pregnant women such as:
Tumor compression during pregnancy Broken tumor Torsion phenomenon Malignant neoplasm

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2.

Are pregnant ovarian cysts dangerous?

Depending on the type of tumor, the rate of malignancy varies. The cancer rate of ovarian cysts during pregnancy ranges from 1 in 10,000 to 1 in 25. 000. Most malignancies occur when the tumor is left undetected for too long in the abdomen. In particular, during pregnancy, the tumor can still turn into ovarian cancer, causing danger to both mother and baby.
Most ovarian cysts during pregnancy are not dangerous or have any adverse effects on the pregnancy.
Other types of ovarian cysts can continue to grow during pregnancy and in some cases can cause pain and heaviness in the lower abdomen. However, even in those cases, these cysts usually don’t cause serious problems with the pregnancy.
To make sure that ovarian cysts during pregnancy are completely unaffected and to monitor the progress of existing cysts, during the prenatal check-up, your doctor will need to schedule an ultrasound. pregnancy more often, to monitor fetal growth and progression of ovarian cysts.
Most ovarian cysts during pregnancy go away on their own during pregnancy without any treatment. If the occurrence of acute cases such as ovarian torsion, pregnant women need timely surgical intervention.
The best way is that before planning to become pregnant and give birth, women should have a gynecological examination, ultrasound, especially the uterus and ovaries. After that, antenatal care should be taken within the first 3 months of pregnancy to detect tumors of the uterus or ovaries. Because after the first 3 months, the uterus will grow according to the development of the fetus, ovarian tumors will be difficult to palpate on examination and difficult to observe with an ultrasound machine, the possibility of miss will be higher. Meanwhile, complications can occur at any time during pregnancy, affecting the health of both mother and baby.
Vinmec International General Hospital offers a full package of maternity services, which is a solution to help all pregnant women feel completely secure because of the companionship of a team of leading specialists. throughout pregnancy. When choosing Maternity package, pregnant women will be:
Monitored by a team of qualified doctors throughout the pregnancy Regular prenatal check-ups and early detection of abnormalities The package pregnancy helps to Convenience during childbirth Newborns receive comprehensive care after birth

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A Rapidly Enlarging Ovarian Cyst in a Pregnant Patient: The Surprise

Introduction: More than 90% of ovarian tumors during pregnancy are less than 5 cm in size and are generally absorbed spontaneously before the 16th week of pregnancy. A big, rapidly enlarging ovarian tumor during pregnancy is an extremely rare finding and when present, should raise suspicion for malignancy. We present a case of a rapidly enlarging ovarian mass that, surprisingly, turned out to be a benign tumor.

Case Presentation: 23-year-old pregnant, G3P1101, at 13 weeks of pregnancy, that came to the emergency department for evaluation of abdominal pain. Patient reported she was experiencing a left lower quadrant abdominal pain. Pain was cramping, and was radiating to the back. No vaginal bleeding, nausea, vomiting or urinary complaints associated with it. Abdominal exam demonstrated a gravid uterus, and a soft abdomen with mild left pelvic tenderness to palpation. Initial pelvic ultrasound (US) showed a single live intrauterine pregnancy along with a 9.6 cm thin walled anechoic left ovarian cyst (Image 1).

At 22 weeks of gestation, her uterine height was noted to be much greater than expected for her gestational age and repeat US showed the cyst was 13 cm in size (Image 2). Subsequently, ultrasound done at 26 weeks of gestation showed a left ovarian cyst of 18 cm which contained a 7 cm multiseptated avascular daughter cyst (Image 3). CA 19-9, CA-125, and inhibin A were elevated. CEA and AFP were normal for this stage of pregnancy. After this, a transvaginal US showed a huge, complex cystic mass in the left adnexa measuring 21.6 cm, with a solid portion seen in the cranial aspect of the cystic mass. Because of the rapidly enlarging nature of this mass, a concern for malignancy was raised. Betamethasone was given for fetal lung maturation and patient underwent emergent exploratory laparotomy.

A 20-cm left ovarian mass adherent to the retroperitoneum was found and removed. The pathology results were significant for a mucinous cystadenoma. The patient proceeded with the remainder of the pregnancy delivered a viable newborn at 40 weeks via spontaneous delivery. There were no complications following the delivery and both mother and baby are doing well.

Discussion: There are many cases describing rapidly enlarging malignant tumors during pregnancy. But, there are not many cases describing rapidly enlarging benign tumors during pregnancy. Balci et al. published a series of 36 cases of pregnancies with adnexal masses, comprising patients over a 6-year period, and only 1 case of adnexal masses requiring surgery turned out to be a mucinous cystadenoma.

The pathogenesis of mucinous cystadenomas and the mechanism by which these tumors may grow rapidly during pregnancy is unknown. A possible theory is that these tumors may be positive for hormonal receptors. However, there are cases of receptor-negative tumors that expand rapidly during pregnancy as well. More study is needed to understand the origin and mechanism by which these tumors may grow rapidly, as this is unknown and may have significant implications in terms of management.

Conclusions: Even though a rapidly enlarging ovarian tumor during pregnancy may raise suspicion for malignancy, there is still a possibility to find a benign tumor. This is extremely rare, but, more study regarding these tumors is needed so that a timely management can be instituted to avoid miscarriages, intra-uterine growth restrictions, and other obstetrical complications.

Ovarian cyst during pregnancy. You can get pregnant with an ovarian cyst.

There are several types of cysts. Among the most common are functional ones (their other name is “normal”), since they develop against the background of natural ovulation processes and pass on their own over time.

Others – abnormal cysts – can cause the development of various complications, up to their degeneration into a malignant tumor.

Many women do not attach much importance to this problem, but if you are suddenly planning a pregnancy or are already in an “interesting position”, then you should pay closer attention to this problem. In this regard, expectant mothers are interested in several questions, we list them below.

Is it possible to get pregnant with an ovarian cyst?

An ovarian cyst in itself can cause difficulties with conception, that is, cause secondary infertility.

With a long existence and lack of adequate treatment, an ovarian cyst can give complications: there is a “torsion” of its legs, hemorrhages and ruptures, and poor health.

If you have been diagnosed with an ovarian cyst and you are wondering if it is possible to get pregnant, then be sure to contact an experienced ON CLINIC gynecologist who will help dispel all your doubts!

Can pregnancy occur after removal of an ovarian cyst?

With the right approach, timely diagnosis and treatment, an ovarian cyst is only a temporary phenomenon. And even if the doctor had to resort to surgical intervention, thanks to modern organ-preserving technologies and equipment, pregnancy successfully occurs after removal of the ovarian cyst.

Is an ovarian cyst dangerous during pregnancy?

An ovarian cyst during pregnancy is not dangerous if the woman is under close medical supervision.

In relation to a pregnant woman, the doctor, as a rule, takes a wait-and-see attitude, monitors her well-being and conducts control ultrasounds.

The danger for a pregnant woman is represented by large cysts and cysts “on legs” (because the leg can be twisted, as a result of which necrosis of the cyst may develop, manifested by severe pain in the abdomen).

There is also a possibility that the cyst will rupture, allowing its contents (mucus, watery fluid, or bloody substance) to enter the abdominal cavity. This situation already belongs to the category of urgent and requires emergency intervention of doctors!

Operations to remove an ovarian cyst during pregnancy are prescribed according to strict indications.

Can a cyst occur during pregnancy?

During pregnancy, a woman may face various problems, and the appearance of an ovarian cyst is no exception; no expectant mother is immune from this.

The first trimester of pregnancy is characterized by the appearance of a corpus luteum cyst. The corpus luteum during pregnancy contributes to the production of progesterone and the formation of the placenta. Often the corpus luteum turns into a cyst, but after about 12 weeks, when the placenta takes over the functions of providing the body with progesterone, it gradually regresses (disappears).

Other types of cysts, such as cystadenoma and endometrioid cyst, can be large and therefore very dangerous, and they cause severe pain.

Thus, a cyst of the left or right ovary during pregnancy, if it does not bother a woman, does not require special treatment, but only needs to be monitored by a doctor!

If the cyst does not resolve on its own for a long time, drugs are prescribed to speed up this process. In extreme cases, if the cyst reaches a large size and complications are noted, an intervention may be prescribed to preserve the pregnancy.

Many women diagnosed with ovarian cysts have successfully carried and given birth to healthy babies. The main thing is to be under the supervision of a highly qualified gynecologist and regularly undergo the necessary diagnostic tests.

The most experienced gynecologists of ON CLINIC are especially attentive to pregnant patients with a diagnosis of ovarian cyst, conduct control examinations, closely monitor the condition and well-being of a woman.

Under the supervision of ON CLINIC gynecologists, every woman “in an interesting position” can be confident in the successful resolution of pregnancy. Contact professionals and feel the joy of healthy motherhood!

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Ovarian cyst: surgery or conservative treatment?

Ovarian cyst: is pregnancy possible? Diagnosis and treatment of ovarian cysts

Tumors and tumor-like formations of the ovaries are a common diagnosis in the practice of an obstetrician-gynecologist. Depending on their type of such formations, there are various types of therapy. However, everything is not so simple when such a pathology occurs during gestation.

This article cannot be used for diagnosis, treatment, and is not a substitute for a doctor’s appointment.