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 approximately 4038mm, with clear boundaries and enhanced posterior echo. No abnormalities were observed in the right adnexal region. History of Treatment and Effect: No treatment has been administered. Desired Help: 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, if the cyst diameter is less than 5 centimeters, the patient can undergo follow-up and regular check-ups. If the cyst significantly increases in size, 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. 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.