Teratoma

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Written by Shen Li Wen
Obstetrics and Gynecology
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Can you have intercourse with a teratoma?

When a woman has a teratoma, whether intercourse is advisable depends on the size of the tumor or the woman’s clinical symptoms. For example, if the teratoma is small and usually shows no clinical symptoms, normal intercourse is possible. As the size of the teratoma increases, some women may experience symptoms such as a sensation of heaviness or pain in the lower abdomen accompanied by discomfort in the back. During intercourse, the impact and change in tension could exacerbate these abdominal symptoms. Additionally, frequent changes in position during intercourse might provoke the teratoma, potentially leading to torsion and acute abdominal conditions, such as sudden lower abdominal pain. For these women, intercourse is still possible, but it is important to be gentle and slow when changing positions to avoid inducing these issues.

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Written by Yan Qiao
Obstetrics and Gynecology
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How long after laparoscopic surgery for a teratoma can one have sexual intercourse?

Teratomas are predominantly benign tumors, mainly located in the ovaries, although in some patients with unique physical constitutions, ovarian tissues may also ectopically end up in the pelvic area, forming a pelvic teratoma. Whether it is an ovarian teratoma or a pelvic teratoma, the scope of the surgery is typically medium-sized. If the surgery is an open operation, it is classified as a second-level surgery, and if it is performed using laparoscopy, it should be classified as a third-level surgery. Both second and third-level surgeries fall under the medium-sized category, and patients usually recover quite quickly after the operation. Typically, we advise patients to refrain from sexual intercourse, pelvic baths, and to avoid heavy physical labor within a month post-operation.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Does a teratoma require surgery?

Ovarian teratomas are a type of germ cell tumor, requiring surgical treatment whether the teratoma is benign or malignant. Teratomas can be divided into mature teratomas and immature teratomas. Mature teratomas, also known as dermoid cysts, are considered benign tumors. Immature teratomas are malignant tumors, accounting for 1%-3% of ovarian teratomas. Mature teratomas are cystic with a single chamber filled with sebum and hair, and sometimes teeth and bone material can be found inside. Therefore, once a teratoma is identified, the choice of surgical method depends on the size of the tumor, and some biochemical tests are needed to determine the nature of the cystic tumor.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Is medication effective for ovarian teratoma?

The occurrence of ovarian teratomas is often related to congenital factors; it is a solid tumor for which medication is ineffective. It is necessary to check if there are other symptoms when a teratoma is detected. For example, some ovarian teratomas involve endocrine issues, others may have a tendency to become malignant, or some might be large in size, and some can experience torsion, leading to sudden abdominal pain, among other problems. Some require early surgical treatment, while small ovarian teratomas can be periodically monitored and observed.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do ovarian teratomas hurt?

Ovarian teratomas, if without any complications, do not cause abdominal pain. Many people only discover the presence of ovarian teratomas during routine physical examinations. However, if a series of complications occur with ovarian teratomas, they can lead to abdominal pain. For example, the torsion of an ovarian teratoma, can cause the patient to feel sudden acute pain in the lower abdomen on one side. This pain is generally severe and unbearable and may also be accompanied by symptoms such as nausea and vomiting.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Is surgery necessary for teratoma?

Ovarian teratoma belongs to a type of germ cell tumor. Ovarian teratomas can be classified into mature teratomas and immature teratomas. Mature teratoma, also known as dermoid cyst, is mostly a benign tumor. Within the cyst, components such as sebum, hair, teeth, and bone can be found. Additionally, mature teratomas have a malignant transformation risk of 2%-4% and are commonly seen in postmenopausal women. On the other hand, immature teratomas are malignant tumors, accounting for 1%-3% of ovarian teratomas and more commonly found in younger patients, with the average age ranging from 11 to 19 years old. Therefore, timely surgical treatment is necessary once an ovarian teratoma is detected.

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Written by Du Rui Xia
Obstetrics
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The difference between ovarian teratoma and cysts

Ovarian teratomas and ovarian cysts are two completely different diseases. Ovarian teratomas are caused by congenital factors and are tumors of the germ cells that can be benign or malignant, usually requiring surgical removal for treatment. Ovarian cysts, on the other hand, are caused by various factors in women, such as poor lifestyle habits or an imperfect diet structure, leading to a hormonal disease. Ovarian cysts can be physiological or pathological. Usually, physiological ovarian cysts gradually disappear with the menstrual cycle, while pathological ovarian cysts can also be benign or malignant. The need for surgical treatment depends on the nature, size, and clinical symptoms of the ovarian cyst.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Will a teratoma regrow if it is removed?

After surgery for ovarian teratoma, whether it can regrow is uncertain, because ovarian tissue can potentially develop such tumors. Ovarian teratomas can be benign or malignant. The recurrence rate of benign teratomas is very low after surgery, but there is still a possibility of regrowth. However, for malignant teratomas, also known as immature teratomas, surgery involves removing the affected ovary. The opposite ovary can be preserved if it is normal, depending on the patient's age, but regular follow-ups are necessary. If the patient is older, an extensive surgery for teratoma, which includes the removal of both the uterus and ovaries, might be required.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Ovarian teratoma is what?

Ovarian teratoma, which is one of several types of ovarian cysts, is mostly benign. However, in clinical practice, there is a possibility for some ovarian teratomas to become malignant. Therefore, it is recommended that if ovarian teratoma is suspected, immediate examinations should be conducted at local hospitals to assess the condition. If necessary, it is advised that patients with ovarian teratoma undergo surgical removal of the tumor in the hospital.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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Is surgery necessary for ovarian teratoma?

If a color Doppler ultrasound confirms the presence of an ovarian teratoma, surgical treatment is required, as ovarian teratomas can be benign or malignant. Once diagnosed via color Doppler ultrasound, abdominal CT, MRI, or other radiological methods, surgery is necessary. Based on the surgical pathology results, if the teratoma is benign, cystectomy can be performed. If the pathology indicates malignancy, a more extensive surgical procedure and postoperative chemotherapy may be required. During this period, it is important to avoid ovarian cyst torsion and rupture to prevent the necessity of emergency surgery for acute abdomen. Ovarian teratomas cannot disappear naturally, so prompt surgical treatment is essential once diagnosed.