Ovarian cyst and pregnancy

One of my inner vagina lips is larger

Swollen and painful clitoris

White spots around the clitoris

Why is the neck of my womb swollen?

Question

I've had an ovarian cyst for the last seven months, which was due to be removed. I have since become pregnant and am now 15 weeks.

At my first scan I learnt that the cyst is growing larger. It remained at 5cm for the first five months and is now around 7cm.

Having been seen by a consultant, I have been advised that they will continually monitor it with a view to leave it, rather than operate.

Can you please tell me the risks involved with allowing the cyst to remain during the course of the pregnancy?

I am quite unhappy that it is not being removed.

Answer

I can understand your concerns about this cyst, but I hope I can reassure you.

Your cyst is relatively small at the moment. Although it is likely to increase in size during pregnancy, the vast majority of such cases do extremely well without any major problems.

There are few risks involved, with the main one being of pressure on the womb from a very large cyst. As you are being closely monitored during your pregnancy, any indications for concern will be picked up early and treatment discussed with you accordingly.

You should also consider your delivery options. It may be sensible to have a Caesarean section with removal of the cyst at the same time, since this will prevent further operations being required. Discuss this with your consultant the next time you see them.

Yours sincerely

Dr Roger Henderson, GP

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