In Considering the question of ovarian cysts and pregnancy, it is necessary to refer to two important aspects. The first is what to do with the cyst that is identified during pregnancy. And second — what to do with the cyst, if you only plan to have children and how the disease will affect future pregnancies.
Let’s start with the first question.
What to do if a cyst is detected during pregnancy?
A Fairly common situation. The two most frequent causes lead to the identification of the cyst during pregnancy, especially early on her terms.
The Most obvious reason lies on the surface – if you suspect a pregnancy, every woman is trying as soon as possible to do an ultrasound. Often it is the first ultrasound for the last few years.
So if you had an asymptomatic ovarian cyst, the ultrasound about pregnancy and allows her to detect. And then the question arises – what to do with it?
Surgical treatment during pregnancy should be carried out only under strict indications. Such indications include the suspicion of a malignant nature of the tumor, the large size of the cyst, severe pain, or suspected torsion of the cyst.
In other cases shows the observation of the cyst, and surgery will be needed after childbirth.
The Second common reason of identifying cysts in early pregnancy is associated with changes in the ovary. As mentioned above, in the normal course of pregnancy each month in the ovary formed “yellow body”. When a pregnancy “yellow body” begins to operate, producing important hormones. Good blood supply often leads to hemorrhage into the tissue of the corpus luteum, which eventually manifests itself in the form of cysts (see “a cyst of a yellow body”).
Such a cyst can usually easily identified by ultrasound. But after 12-14 weeks of pregnancy, when the role of the corpus luteum decreases dramatically, ovarian cyst passes without a trace. No therapeutic interventions when the cyst luteum during pregnancy you don’t want. And any impact this disease on pregnancy has not.
When to remove the cyst — before pregnancy or after childbirth?
It is widely believed that pre-pregnancy cyst is better not to remove. You need to wait for the pregnancy and she’s coming over himself. For functional cysts this advice is suitable. But in all other cases it does not work.
Because during pregnancy the cyst may grow, it may happen torsion or other emergency situation. This leads to the fact that the operation will have to perform during pregnancy, as is the risk for the baby.
Some believe that it will be possible to do the surgery after birth. But in my experience, after delivery you will engage baby and herself will come only when he gets older and can do without your presence. Sometimes this happens only after a year or two. During this time, the ovary may be irretrievably lost.
Therefore, it is best ovarian cyst remove before pregnancy (excluded if a functional cyst!).
How does a cyst on the onset and course of pregnancy
Given that the cyst often strikes young women who are just planning to become a mother, it is very important is the question – how is an ovarian cyst can affect the pregnancy?
Probably, I will be cunning, if I say that the ovarian cyst and the surgery to remove it in no way affects the ability to have children.
Almost any cyst in varying degrees, reduces follicular reserve (ovarian reserve) and the work of the ovary. Of course, much depends on the dimensions of education and duration of disease – more than a cyst, and the longer she is in the ovary, the worse.
The prognosis for pregnancy is largely determined by the type of cyst. The most insidious in this respect, endometrioid cyst. According to statistics, endometriosis is the cause of infertility in 25% of cases. As you can see, the figure is rather big.
Another negative factor is itself an operation to remove an ovarian cyst. The technique of the surgery, the used tools and materials greatly affect the final outcome and the long-awaited offensive of pregnancy. If during laparoscopy, the surgeon has one goal – to remove the cyst, and ignores the interests of the ovary, the result of such an operation can hardly be called good. On the one hand — like cysts have delivered. But on the other – the ovary caused to the already considerable damage.
Therefore, choosing a surgeon for your surgery should be paid great attention. It is actual not only for those who are planning a pregnancy, and all who care about their own future.