How is an ovarian teratoma caused?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on March 19, 2025
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The majority of the causes of ovarian teratomas stem from embryonic development, generally due to congenital factors leading to the formation of ovarian teratomas. A well-developed teratoma forms a complete teratoma, while poor development results in an incomplete teratoma, which typically exhibits a higher degree of malignancy. Most teratomas are benign tumors, with only a very small percentage showing tendencies to become malignant. Therefore, it is crucial for patients with teratomas to seek surgery at a hospital as soon as possible, and post-surgery, the removed tissue should be re-examined pathologically to check for any abnormalities. Hence, patients with ovarian teratomas must actively seek medical treatment at a hospital and, after recovery, prevent recurrence by undergoing regular medical check-ups annually, thus ensuring proactive treatment for those with teratomas.

Other Voices

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Written by Shen Li Wen
Obstetrics and Gynecology
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What's the matter with ovarian teratoma pain?

The causes of lower abdominal pain in women with ovarian teratomas are complex. Firstly, as the teratoma grows in size, it can, due to gravity, pull on surrounding ligaments, causing pain on one side of the lower abdomen. When the teratoma is particularly large, it can also compress nerves in the pelvis, leading to neuropathic pain. Moreover, teratomas are heterogeneously textured. If they are quite mobile and not adhering to surrounding tissues, sudden changes in body position, or an increase in uterine size during the mid-pregnancy, might shift the position of the teratoma. This can lead to torsion of the stalk, causing local ischemia and hypoxia, and resulting in acute lower abdominal pain.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long after ovarian teratoma surgery can I go back to work?

Ovarian teratoma surgery generally requires at least one month of rest. Afterward, the timing to return to work should depend on one's personal health status and recovery condition. It also depends on the physical demands of the job, as everyone's situation is different. Ovarian teratoma surgery usually involves minimally invasive procedures, which generally allow for a faster recovery; most people can return to work after about a month. Only a minority of patients undergo open surgery, or some individuals who are in poorer health might need to rest for up to three months post-surgery.

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

Ovarian teratomas do not cause abdominal pain under normal conditions. However, if a patient engages in vigorous activities, it can lead to a torsion of the ovarian teratoma. The torsion of the teratoma can drag the ovary to twist along with it, consequently affecting the blood supply to the adnexa on the affected side, leading to ischemic necrosis of the adnexa, and thus causing a sudden onset of severe lower abdominal pain on one side. In such abnormal situations, the ovarian teratoma can indeed cause lower abdominal pain.

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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 Liu Wei Jie
Obstetrics
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Is it easy to get pregnant with a teratoma?

First, what is a teratoma? Teratoma is a common ovarian tumor in gynecology, with a very high incidence rate. It is generally benign and the occurrence of teratomas is related to congenital genetic factors. Generally, if a teratoma is found, the first step is to check the size of the teratoma. If it is smaller than five centimeters, tumor series tests are normal, and there is no other discomfort, observation can be initiated. If the teratoma is relatively large, larger than five centimeters, surgical intervention is required. Teratomas themselves are not related to pregnancy, but because teratomas can lead to ovarian cyst torsion, after torsion occurs, one side of the adnexa may need to be removed, which could reduce fertility.