Patient's question:
Medical Description: 20 years old, previously in good health. Current condition: 1. Ovarian size: Left 4443mm, right 2614mm. 2. Left ovary shows enlargement with a full shape, containing a round hypoechogenic area of approximately 4038mm, with clear boundaries and enhanced posterior echo. No abnormalities were observed in the right adnexal region. Past treatment history and effectiveness: No treatment has been administered. Desired assistance: I would like to ask if such a condition affects fertility?Doctor's answer:
Hello, ovarian cysts can cause mechanical obstruction of the fallopian tubes and may also affect ovarian function, potentially impacting fertility. Generally, when the cyst diameter is less than 5 centimeters, patients can undergo follow-up with 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 pregnancy. This is because ovarian cysts can affect fertility, and even if pregnancy occurs, they may have adverse effects on the pregnancy. In early pregnancy, ovarian cysts can cause miscarriage, while in mid-pregnancy, they are prone to torsion of the cyst stalk. In late pregnancy, larger cysts 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.