Patient's question:
Doctor: Hello! I am 30 years old, unmarried, and have been experiencing lower abdominal pain for several days recently. I went to the hospital yesterday for a color Doppler ultrasound examination. The ultrasound results showed: a left epididymal cyst and a small amount of fluid in the tunica vaginalis. The doctor suggested surgical treatment, but it may affect future fertility. Since I am still unmarried, I am afraid I might not be able to have children in the future. Therefore, I would like to ask you, how should I be treated to avoid affecting future fertility?Doctor's answer:
Hello, in general, small and asymptomatic cysts usually do not require treatment and will not affect fertility. If the condition progresses and the cyst enlarges, surgical treatment can be considered if there are no fertility requirements, as surgery may damage the epididymal ducts and affect fertility. First, it is important to determine the nature of the head of the epididymis cyst. If the cyst does not cause any discomfort, treatment is generally not necessary. It is recommended to undergo bilateral epididymal head ultrasound at a hospital to check if the mass is simply a cyst. At the same time, observe whether the cyst is showing signs of enlargement, and regular follow-ups can be performed. If the cyst grows significantly during follow-up, surgical treatment may be considered.You can use blood-activating and blood-stasis-reducing Chinese herbal medicine for sitz baths once a day to improve local blood circulation. At the same time, avoid high-calorie foods, get adequate rest, enhance nutrition, and strengthen the body's resistance. Do not worry too much, stay calm, and maintain a positive mindset. Wishing you good health!