Patient's question:
I've been married for a year and a half. In early June this year, I had surgery to remove a left ovarian cyst, and the doctor said it was very successful.I've been trying to have a baby for three months now. My ovulation period is calculated very accurately, and my sexual life is also normal, but I haven't been successful yet. Could it be that I have infertility? Or is it because I had an ovarian cyst that affects fertility? First follow-up question: The right ovary is fine, but during the surgery, the doctor removed the right follicle. It seems that the fallopian tubes are not a problem because the doctor didn't mention it at the time. Could it be that the right follicle was removed and won't grow back? Also, I heard from the doctor that my endometrium is only 3mm, which seems a bit thin.
Doctor's answer:
Hello, ovarian cysts can cause mechanical obstruction of the fallopian tubes and may also affect ovarian function, potentially impacting fertility. Generally, if the cyst diameter is less than 5 centimeters, the patient can undergo follow-up and regular check-ups. If the cyst significantly enlarges, surgical removal should be considered. If, after several months of treatment, the cyst does not shrink but instead grows and is larger than 5 centimeters, it is recommended to undergo surgical treatment before attempting to conceive. Because ovarian cysts can affect fertility, even if pregnancy occurs, they may have adverse effects on the pregnancy. Ovarian cysts can cause miscarriage in early pregnancy, are prone to torsion of the cyst stalk in the second trimester, and larger cysts in late pregnancy can lead to abnormal fetal position, potentially obstructing the birth canal and causing dystocia. Therefore, surgical treatment before pregnancy is more beneficial than surgical treatment during pregnancy.