This is an automatically translated article.
The article is professionally consulted by Master, Doctor Trinh Thi Thanh Huyen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Ovarian cysts are quite common in women of any age, can be common even during pregnancy, many women only find out they have ovarian cysts when they go to antenatal care, most ovarian cysts Eggs are harmless and nothing to worry about.
1. Causes of ovarian cysts during pregnancy
During pregnancy, the corpus luteum produces hormones to nourish and support the development of the uterine lining, creating favorable conditions for the embryo to implant and grow. Until the fetus reaches 10 to 12 weeks, the maturation of the placenta will gradually replace this function of the corpus luteum. At this time, the corpus luteum shrinks, degenerates and disappears.However, in rare cases of pregnancy, this corpus luteum continues to fill with fluid and remains present on the ovary instead of regressing. This is called a corpus luteum cyst.
Besides, a pregnant woman can still have one or more ovarian cysts before pregnancy that has not been detected. They can remain present and persist on the ovaries throughout pregnancy and cause ovarian cysts during pregnancy.
2. Symptoms of ovarian cysts during pregnancy
While most ovarian cysts are asymptomatic, some ovarian cysts during pregnancy or during pregnancy can cause some of the following symptoms:Pain: Pain It is often quite vague and is sometimes described as a feeling of weight rather than pain. The location can occur in the lower abdomen or pelvis on the side of the cyst. Sometimes the pain may increase in intensity or occur as a sudden severe abdominal pain, suggesting a possible rupture of an ovarian cyst. In addition, in rare cases, ovarian cysts can cause the ovaries to twist, causing a woman a lot of pain and needing to go to the emergency room. Flatulence, delayed digestion, poor appetite Abdomen larger than gestational age or abnormally high abdominal pressure If ovarian cyst ruptures, the common symptom of ovarian cyst during pregnancy is pain, sometimes up to this point Newly discovered due to pre-existing cyst. However, not all women experience pain after an ovarian cyst ruptures, but other symptoms may include: Vaginal bleeding Nausea or vomiting (when the ovaries are twisted) Dizziness, lightheadedness due to blood loss Fever, possibility of infection
Đau là triệu chứng điển hình của u nang buồng trứng khi mang thai
3. Ovarian cysts during pregnancy are dangerous?
Many people wonder if ovarian cysts are okay during pregnancy. In fact, because the rate of fetal growth is very fast, especially in the second trimester, ovarian cysts during pregnancy, especially those that tend to grow in size during pregnancy, are difficult to detect. may have no effect on the fetus. The effects of ovarian cysts on the fetus have been reported to cause miscarriage, preterm birth, and placenta previa.Conversely, pregnancy can also have an effect on ovarian cysts during pregnancy, causing ovarian cyst complications at any stage of pregnancy, including postpartum. Especially in the first days after birth, the state of the abdominal wall is soft and the abdomen is empty, so it is easy to lead to complications of torsion.
Trắc nghiệm: Bạn có hiểu đúng về dấu hiệu mang thai sớm?
Các dấu hiệu mang thai sớm không phải chỉ mỗi trễ kinh mà còn có rất nhiều dấu hiệu khác như xuất huyết âm đạo, ngực căng tức,… Điểm xem bạn biết được bao nhiêu dấu hiệu mang thai sớm thông qua bài trắc nghiệm này nhé!
4. What to do if you have an ovarian cyst during pregnancy?
Most ovarian cysts during pregnancy are not dangerous or harmful to the pregnancy. For example, if it is a corpus luteum cyst, it will most likely go away on its own in the second trimester.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.
However, to be sure that ovarian cysts during pregnancy are completely unaffected by the pregnancy and to monitor the progress of existing cysts, during the prenatal examination, the doctor will need to schedule more frequent fetal ultrasound, both to monitor the development of the fetus, and to monitor the progress of ovarian cysts. Using ultrasound to visualize ovarian cysts, the doctor will measure the size and abnormal condition of the cyst to ensure that it does not grow further or turn into a risk of harm to the fetus or fetus. as the process of labor later.
Most ovarian cysts during pregnancy go away on their own during pregnancy without any treatment. However, if there are urgent cases such as ovarian torsion, the pregnant woman should be promptly intervened by surgery. At this time, the laparoscopic surgical method will be preferred. If the cyst is large and laparoscopic surgery is not feasible, laparotomy will be considered.
For corpus luteum cysts that tend to progress during pregnancy and the risk of affecting the development of the fetus, even though there are no symptoms, an active intervention program should still be considered. The preferred time is selected after 13 weeks, when the placenta is relatively mature, capable of secreting enough hormones to nourish the fetus. If the tumor grows large after that, a milestone to choose is in the second trimester of pregnancy. Both of these times are ideal for intervention, the risk of adverse effects on the fetus is minimal.
In summary, ovarian cysts during pregnancy can be considered a risky pregnancy, especially when the cyst tends to increase in size and easily lead to dangerous complications. Close monitoring of pregnancy, along with ultrasound assessment of tumors is extremely necessary, choosing the right time of intervention, ensuring a healthy pregnancy for both mother and fetus.
Phụ nữ mang thai cần khám thai định kỳ theo hướng dẫn của bác sĩ
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 giving birth Master. Trinh Thi Thanh Huyen is highly trained in obstetric ultrasound, laparoscopic surgery and hysteroscopy at the National Hospital of Obstetrics and Gynecology and has more than 13 years of experience working at Hai Phong Obstetrics and Gynecology Hospital.
Currently, the doctor is an Obstetrician and Gynecologist at Vinmec Hai Phong International General Hospital
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