How to prepare for pregnancy with ovarian cysts

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 04, 2024
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If you have ovarian cysts and the cysts are relatively large, it is recommended to control the cysts before considering pregnancy. If the cysts are not very large and do not have a significant impact on the body, you can also consider pregnancy and preparing for pregnancy, which generally proceeds as per the normal preparatory process. During the preparation period, try to avoid eating particularly stimulating foods, and abstain from drinking and smoking, as these may likely impact the fetus. It is also important to pay attention to regular exercise, strengthen the body, and maintain a robust constitution, which is conducive to the conception of a healthy fetus.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to eliminate ovarian cysts?

Currently, most ovarian cysts in clinical practice require surgical removal. However, not all ovarian cysts need to be removed surgically. For some ovarian cysts, such as pelvic inflammatory cysts, anti-inflammatory treatment can be given first. After one course of anti-inflammatory treatment, the treatment effect should be evaluated. If the treatment effect is unsatisfactory, surgical treatment can be considered again. Furthermore, if the ovarian cyst is not large, it is also not indicated for surgical removal. Therefore, the severity of the condition needs to be assessed before treating an ovarian cyst.

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Written by Xia Hu
Obstetrics and Gynecology
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How to check for ovarian cysts?

There are two methods for examining ovarian cysts. Firstly, through a gynecological examination, especially in cases of sexual activity, a bimanual examination can be conducted. Under bimanual examination, a mass in one of the adnexal areas can be palpated, where the nature of the mass such as whether its boundaries are clear can be observed, as well as checking for tenderness. This allows for the examination of ovarian cysts. Another method involves an ultrasound. Generally, if performing an abdominal ultrasound, it is necessary to hold urine to view the ovaries clearly. If performing a vaginal ultrasound, especially in cases of sexual activity, this can be chosen; thus, the ultrasound can provide a clearer view. It is closer to the uterus and ovaries, and thus under ultrasound, the masses in the ovaries can be detected. Therefore, both of these methods are viable.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is an adnexal cyst the same as an ovarian cyst?

Adnexa clinically refers to the fallopian tubes and ovaries combined, thus, adnexal cysts are not necessarily ovarian cysts. During gynecological ultrasound, these are often reported as cysts in the adnexal area because the proximity of the ovaries and fallopian tubes makes it difficult to conclusively determine if an adnexal cyst is an ovarian cyst. Clinically, cysts in the fallopian tubes are also referred to as cysts in the adnexal area. Distinguishing them often requires surgery to see the exact location of the cyst for identification.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is an adnexal cyst an ovarian cyst?

In clinical terms, the adnexa include the fallopian tubes and ovaries, so an adnexal cyst is not solely an ovarian cyst; rather, ovarian cysts are just one type of adnexal cyst. Adnexal cysts can also include fallopian tube cysts, but in clinical practice, most adnexal cysts are manifestations of ovarian cysts. Therefore, when patients hear the term "adnexal cyst," they should further inquire whether it is an ovarian cyst, instead of simply assuming it to be one.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Symptoms of benign ovarian cysts

When women develop benign ovarian cysts, the clinical symptoms are somewhat related to the number and size of the cysts. For example, when the cysts are relatively small in diameter, they usually exhibit no clinical manifestations and are often only discovered during routine gynecological exams or ultrasound screenings. As the cysts grow in size, some women may experience heaviness and pain on one side of the lower abdomen, along with a sore back. These abdominal symptoms can worsen with excessive fatigue, staying up late, or during intercourse. Some women may also experience abnormalities in their menstrual cycle, such as changes in the amount of menstrual bleeding, duration of menstruation, or irregular vaginal bleeding.