Can women with ovarian teratomas have children?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on November 15, 2024
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Ovarian teratomas, if discovered after pregnancy, do not significantly impact the child; however, it's crucial to confirm that the ovarian teratoma is benign. If detected during pregnancy, close observation is possible, and sudden lower abdominal pain may indicate ovarian torsion, which requires timely surgical intervention. If there are no symptoms, surgery can wait until after the child is born. If an ovarian teratoma is discovered before pregnancy, it is advisable to undergo surgery before becoming pregnant because ovarian teratomas can sometimes be malignant, and torsion may occur during pregnancy, which could affect the child.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Will a teratoma disappear with Chinese herbal medicine?

Teratoma is a common type of ovarian cyst. Clinically, teratomas will not disappear by taking traditional Chinese medicine. Generally, it is recommended that if a patient suspects a teratoma, they should immediately seek medical attention at a local hospital, undergo gynecological examinations, gynecological ultrasound, and other relevant tests, and hospitalization for surgical treatment if necessary. The primary purpose of the surgery is to completely remove the ovarian teratoma. Secondly, the removed ovarian teratoma should be subjected to further pathological examination to confirm whether it is an ovarian teratoma.

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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 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.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Does teratoma affect menstruation?

Teratoma, under normal circumstances, does not affect menstruation, but it does affect fertility. If it is confirmed that one side has a teratoma, surgery is generally required. After treatment, the ovary on that side is typically removed. Once removed, that ovary will no longer ovulate, and ovulation must occur from the other ovary. The maintenance of hormone levels in the body needs to be supported by the other ovary. If the function of the other ovary is normal, menstruation will continue to occur normally; it will not affect menstruation. However, if after the removal of the teratoma, one ovary is removed, the chance of conception is reduced by half compared to others. Therefore, it is crucial for patients with teratoma to undergo surgery as early as possible. After the surgery, if the pathology shows no issues and if it is a simple teratoma removal, it does not affect menstruation.