Can teratoma affect pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on March 28, 2025
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Teratoma is a relatively common disease that occurs in the ovaries of women, caused by abnormal differentiation of reproductive cells during the embryonic period. Teratomas are classified into benign and malignant types. Teratomas can indeed affect a woman's ability to become pregnant and can pose a threat to health. Potential complications include torsion, rupture, and infection of the teratoma, which can gradually lead to other concurrent conditions. If not treated promptly, it could cause acute diseases and threaten a woman's ability to reproduce, affecting the happiness of the entire family. When an ovarian teratoma enlarges or undergoes degeneration, it may prevent the normal movement of eggs or fertilized eggs, thereby affecting normal fertility. Upon detection of a teratoma, surgery is generally required for treatment.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can one have sexual intercourse with a teratoma?

Teratoma is a type of ovarian cyst located within the abdominal cavity. Generally, the presence of a teratoma does not affect the patient's ability to have a normal sexual life. However, it is advised not to engage in overly vigorous sexual activity, as intense sexual activity can cause torsion of the ovarian cyst in the abdominal cavity. Once torsion of the ovarian teratoma occurs, it can lead to torsion of both the fallopian tube and the ovary on the affected side. Following torsion, the twisted fallopian tube and ovary lack blood supply, which can further lead to ischemia and necrosis. In such cases, it becomes necessary to surgically remove the affected fallopian tube and ovary.

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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 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 Du Rui Xia
Obstetrics
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Is the recurrence of ovarian teratoma serious?

If there is a recurrence after undergoing ovarian teratoma surgery, it is considered serious. In such cases, it should be considered that the ovarian teratoma might be malignant, and malignant teratomas can potentially metastasize. Therefore, it is recommended that women, after having ovarian teratoma surgery, should actively pursue further radiotherapy and chemotherapy based on the nature of the teratoma, to control the cancer cells. In daily life, it is advisable to eat a light diet, consume various fresh vegetables and fruits, and avoid cold, spicy, and irritating foods. Moderate exercise should be performed to enhance physical condition and maintain a cheerful mood, all of which can help alleviate the condition.

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Written by Su Wen
Obstetrics and Gynecology
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What is a teratoma?

Teratoma is the most common type of ovarian germ cell tumor. The majority of these tumors are mature cystic tumors, while a minority are immature solid ones. Mature teratomas are also known as dermoid cysts, are mostly benign, and can occur at any age, mostly between 20-40 years old, often presenting unilaterally. Immature teratomas are malignant tumors, more commonly found in younger patients, and these tumors are usually solid and bilateral. The primary treatment method is surgical, with post-surgery pathology determining the benign or malignant nature of the tumor and guiding subsequent treatment decisions.