Is pregnancy with ovarian cyst dangerous? Ovarian cysts are one of the most common diseases in women, accounting for 3.6% of the total number of gynecological diseases, especially common in women of reproductive age. It is not a rare disease even for women during pregnancy, causing many women to worry and panic.
As noted above, ovarian cysts are a very common disease among women. This is the ovarian phenomenon of resident tumor. U has an outer sheath and an inner liquid solution.
Although it is a benign tumor, if not detected in time, the disease can develop into a very dangerous ovarian cancer, even to human life.
Ovarian cyst pathology during pregnancy is usually diagnosed by ultrasound of the fetus.
There are 2 types of ovarian cysts:
These are tumors that are formed due to the changing endocrine activity of the ovaries during pregnancy. Muscle ovarian cysts disrupt endocrine in the ovaries, causing follicles to develop less than usual but are usually benign, which can go away on their own by 12 weeks of pregnancy and pose no danger.
Commonly seen in women with a history of miscarriage, abortion or stillbirth. Pathological cysts cause the function of the thyroid gland to be impaired and endocrine imbalance in the long term, the disease can cause changes in the organizational structure of the ovaries in tumors, so these are at risk. Muscle cancer, dangerous for both mother and baby. Which is divided into 3 types:
Aqueous cyst is the most common, accounting for about 40% of ovarian cysts. If on the tumor surface there are cystic proliferation vessels, or papillae on the surface or in the tumor are signs of suspicion of cancer.
Mucoid cyst: about 20% of ovarian tumors
Dermal cyst: about 25% of ovarian tumors
Pregnancy with an ovarian cyst will not show up until complications
In some cases, the cyst appears in the ovaries before pregnancy with a small size, about less than 4 cm in diameter.
Another special thing is that the disease does not have any obvious symptoms until complications, so many women often do not detect the disease until the time of medical examination. Initially, women may experience symptoms similar to other gynecological diseases such as mild pain in the lower abdomen, excessive gas discharge, unusual vaginal bleeding, abdominal or back pain, back pain, chest tightness. , breast pain ...
Difficulty breathing when a large tumor compresses the diaphragm
High fever, back pain when the tumor presses, causing urinary tract infection. Difficulty urinating or not being able to walk.
You feel nauseous, have chest pain, or want to vomit like you're sick
Sudden abdominal pain, fever or poisoning when the tumor is broken or twisted
When the tumor grows to a malignant stage, the body is thin, weight loss, and the belly grows fast
There are many causes of ovarian cyst disease that can be mentioned as:
Ovarian follicles are incomplete development, do not ovulate and do not absorb the fluid in the ovaries.
Blood vessels of the endometriosis areas in the ovaries rupture causing bleeding to form cysts.
An excess of Chorionic Gonadotropin hormone leads to the formation of a lutein cyst.
Excessive secretion of luteinizing hormone (LH).
Lymphoma develops, leading to the appearance of a luteum.
In addition, during the first 3 months of pregnancy, a few cysts may appear spontaneously in the mother's ovaries to support the fetus until the placenta is formed. Sometimes the cyst also appears until the end of pregnancy.
This disease affects the development of the fetus because the fetus is under the pressure of the tumor, making the baby's development space narrow.
Especially, if the cyst is twisted or broken, it will cause a miscarriage. In these cases, a termination of pregnancy is often indicated in order to protect the health of the pregnant woman.
However, not every pregnancy with an ovarian cyst has complications, there are many cases where both mother and baby are safe throughout the pregnancy and the baby is born completely healthy.
Pregnant women with ovarian cysts must be under close medical supervision. First, pregnant mothers will have to do tests to determine the tumor status such as benign or malignant, tumor size ... At each stage, there will be different treatment:
First trimester: Both the pregnant woman and the fetus must be closely monitored. Because the ovarian cyst can atrophy on its own during this stage, there is usually no medical intervention for the first 3 months if nothing is wrong.
The middle three months: If the first 3 months of the ovary cyst are not atrophied by the end of the first 3 months, the doctor will prescribe an appropriate method of removing the tumor depending on each specific case. This is the most appropriate time for surgery to remove the tumor because the fetus is now nourished by the placenta and umbilical cord, and the uterus is also less sensitive.
Last trimester of pregnancy: If an ovarian cyst is found at this stage, usually doctors will wait until the baby is born to initiate treatment to avoid harm to the fetus.
However, the above mentioned treatment is only applicable to benign tumors. At any time, if a malignant tumor is found, surgery will be performed immediately to ensure safety.
Ovarian cyst is a disease that can go away on its own but also very easy to recur despite surgery, especially in cases of this disease during pregnancy.
Therefore, women need to have a diet and scientific activities. More importantly, it is necessary to go to the doctor before and during pregnancy regularly, especially in the first 3 months when the cyst is more easily detected than other stages, after the first 3 months, the uterus will grow with development. development of the fetus, ovarian tumors will be difficult to palpate on examination and difficult to observe with ultrasound, so the likelihood of omission will be higher.
Pregnancy with ovarian cysts is not too scary. When there are any symptoms, women need to see a doctor as soon as possible to detect the disease and treat it early.
Benign cysts are not at all worrying, but if the tumor is malignant, in any case, doctors will give priority to the mother first if considering it is not possible to save both. families need to prepare mentally in this case. As for women who are planning to become pregnant, it is better to have an overall health check before pregnancy to be treated for ovarian cysts before pregnancy.
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