Patient's question:
Main symptoms: Onset after being pregnant for over a monthTime of onset: Test results: Uterus is in the anterior position, with a 37x34 mm cystic echo mass in the right ovary
Doctor's answer:
According to your description, the first consideration is an ovarian cyst. An ovarian cyst refers to a cystic mass formation within the ovary, which can be classified into two categories: tumorous and non-tumorous. The ovarian cysts people usually refer to are the non-tumorous type, also known as non-neoplastic ovarian cysts. Most of them are functional cysts of the ovary, including follicular cysts, corpus luteum cysts, lutein cysts, inflammatory cysts, polycystic ovaries, and endometriosis cysts (also known as chocolate cysts of the ovary). Most ovarian cysts are non-tumorous cysts, and their diameter rarely exceeds 5 centimeters. These cysts are not tumors; most of them are benign and can resolve on their own without surgery. However, if the cyst is large or progressively enlarging, or if it ruptures, surgical removal may be necessary. In other words, once an ovarian cyst is detected, it should be determined as early as possible whether it is tumorous or non-tumorous. This can be based on the rate of tumor growth, size, characteristics, and corresponding examinations, such as: hysterosalpingography, intravenous pyelography, ultrasound diagnosis, abdominal computed tomography, magnetic resonance imaging, laparoscopy, laparotomy, etc., to confirm the diagnosis. If it is the former, early surgical removal should be performed regardless of whether it is malignant at the current time. Generally, women of reproductive age are most likely to develop functional ovarian cysts, such as follicular cysts, corpus luteum cysts, lutein cysts, and polycystic ovaries. This is due to excessive physiological responses caused by endocrine dysfunction, insufficient luteinizing hormone secretion, or drug stimulation. Patients usually have no symptoms or discomfort, and a few may experience menstrual disorders, dysmenorrhea, or infertility, often discovered incidentally during medical examinations for other reasons. Inflammatory cysts are formed when tubal inflammation frequently affects the ovaries, leading to inflammatory effusion or purulent accumulation, which then develops into an ovarian cyst. To be precise, it should be called an inflammatory nodule, not a true ovarian cyst. Endometriosis cysts of the ovary, also known as chocolate cysts, are also relatively common ovarian cysts. They are caused by endometriosis affecting the ovaries, forming cysts filled with chocolate-like viscous fluid. Patients often experience progressively worsening dysmenorrhea, dyspareunia, infertility, and menstrual disorders. According to your description, your condition is generally not a major issue, as you are currently pregnant. It is recommended that you undergo regular follow-up examinations, pay attention to observation, and take medication if necessary (when taking medication, remind the doctor to protect the fetus). Generally, there should be no problems. Additionally, maintaining a positive mood is beneficial to your recovery. Wishing you all the best, a speedy recovery, a healthy and happy life, and a successful birth of a smart and healthy baby! Wishing you well!