Patient's question:
At the age of 12, when she started her menstrual cycle, it was irregular. She often didn't have her period for several months, and when she did, it lasted for 50-60 days with heavy bleeding. Upon the doctor's recommendation, she took progesterone and Guizhi Fuling capsules. Over the years, the results were not significant. Last year, she was diagnosed with a left ovarian cyst, measuring 7.9x7.5, which was a benign cyst.Doctor's answer:
There are various situations involving ovarian cysts. Ovarian cysts can be benign or malignant, and they also vary in size. If a malignant tumor is detected, immediate surgical removal should be performed, followed by chemotherapy and other treatments to save the patient's life, without considering pregnancy. If the tumor is benign, it can be classified as either functional or non-functional. If a benign ovarian tumor is found through examination, its size should be determined, as well as its relationship to the menstrual cycle. If the cyst grows too quickly or becomes too large, early surgical removal or cystectomy should be considered. Some cysts, such as dermoid cysts, can twist on their stalk, causing acute abdominal pain. Additionally, some cysts have thin walls and may rupture spontaneously, also leading to acute abdominal pain. Therefore, it is important to have a pelvic examination before planning pregnancy. If the cyst is larger than 5 centimeters, surgery should be performed before pregnancy. If an ovarian cyst is discovered during pregnancy, regular hospital check-ups should be scheduled. If the cyst gradually grows during pregnancy, it is best to have surgery before the 18th to 20th week of gestation.