Patient's question:
Dear doctor treating ovarian cysts, I have had my period for half a month, and the hospital suspects ectopic pregnancy. The ultrasound shows there is a cyst, and both hCG tests were over 20.Doctor's answer:
Whether an ovarian cyst affects fertility depends on its nature, size, and location. For simple cysts that are not too large, it usually does not affect fertility and does not require treatment. For common liquid cysts, the Chinese herbal remedy "Zhangyuan Fushanfang Patch" can be used for regulation. If the cyst is large or bilateral, it may obstruct the fallopian tubes' ability to pick up eggs, thus affecting conception. In such cases, surgical removal may be considered, but it should be noted that postoperative adhesions can also lead to infertility. Therefore, the impact on fertility should be weighed before surgery, and a decision should be made after a certain period of observation and treatment. If it is a chocolate cyst, it should be treated as a chocolate cyst. Laparoscopic surgery or open surgery may be performed if necessary. The pregnancy rate for chocolate cysts is between 50% and 70%. In summary, ovarian cysts can affect fertility but do not necessarily lead to infertility. With proper treatment, the chances of conception can be improved.