Can a 5 cm ovarian cyst be left untreated before pregnancy?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Can an ovarian cyst 5 cm in diameter before pregnancy be left untreated without surgery?

Doctor's answer:

Ovarian cysts are classified as physiological or pathological. Physiological cysts undergo changes that vary with the menstrual cycle, and in most cases, they will spontaneously resolve or shrink within 3-6 months. If the cyst is pathological, treatment should be symptomatic based on clinical manifestations and the size of the cyst. Generally, if the cyst is smaller than 6 cm, it is recommended to wait and see, with regular follow-up visits to the hospital. If the cyst is larger than 6 cm, hospitalization and surgical treatment may be necessary. A biopsy and pathological examination should be performed after surgery to determine the nature of the lesion.

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