Ovarian cysts and pregnancy

Category Gynecology | December 12, 2017 00:14

The presence of a cyst in pregnant women always carries a number of possible complications. There may be a compression of the uterus and a threat of termination of pregnancy and, conversely, the compression of the uterus with the appearance of its necrosis. Most often there is a twisting of the foot of the tumor with a clinical picture of the acute abdomen. Finally, sometimes there is rapid growth and malignant tumor degeneration.

No less danger is the presence of the cyst in childbirth due to the possibility of its rupture, and after childbirth - the torsion of the legs.

In addition, with a low tumor location and low mobility( for example, with an intraligamental cyst), as well as at very large sizes, it may not be possible to naturally deliver it naturally.

With large tumors displacing the uterus to the side, there are cases of improper fetal position. When making a diagnosis, one should keep in mind the possibility of errors( mixing ovarian cysts with a dystopic kidney or fibromyoma on t
he stem).

It should be a rule to remove the ovarian tumor in pregnant women soon after it is diagnosed. With this tactic, the overwhelming majority of authors agree. Do not operate only luteal cysts accompanying the bladder drift, since they are subject to reverse development after the eradication of the drift.

The risk of spontaneous abortion after surgery is not very high, even after the removal of bilateral tumors, as well as when the yellow body is injured or removed during a minor pregnancy. Timely( before surgery, and then after surgery) administration of the drugs of the hormone of the yellow body allows you to save pregnancy in the vast majority of observations.

Interruption of pregnancy after surgery, according to different authors, is observed in 3.7-19.5%.

An interesting observation is RA Kurbatova, who noted a frequent disease with late toxicosis of pregnant women with a distant ovary. It turned out that the more time passed from the operation to the onset of pregnancy, the more frequent toxicosis was observed.

It can be assumed that unilateral removal of the ovary leads to hormonal deficiency, which in turn causes a change in the sensitivity of the central nervous system. Late toxicosis, in the mechanism of occurrence of which, probably, the hormonal link also is important, can arise more easily against this background.