What should I do if I find ovarian cysts and uterine fibroids after pregnancy?

Not long ago, a pregnant mother asked, what should I do if I found ovarian cysts in 2 months of pregnancy?Is there any influences?So when you encounter ovarian cysts in pregnancy, what should pregnant mothers do when pregnancy encounters uterine fibroids?

Don’t panic, today’s article hopes to give you a reassurance for you.

In fact, the ovaries of women’s ovaries are constantly changing every day. After menstruation, the follicle development period is periodic. After the follicles are mature, the ovulation period is ovulation. After ovulation, there is a luteal formation.

Following bubble cysts, luteum cysts, and large follicles that are under development are normal physiological phenomena, but as soon as the B -ultrasound is shot, it often reports a ovarian cyst. In fact, these small cysts are physiological and not.It needs treatment, and it will disappear naturally after 3 to 6 months.

So what happens when you encounter ovarian cysts?

1. less than 5 cm

The description of ovarian cysts often appears on ultrasound reports. Most of them are small cysts (non -real, non -cyst) within 5cm, and most of them are unilateral.

Most of the ovarian cysts that appear in the early pregnancy are caused by pregnancy, and it is a cyst gradually evolved into a cyst that gradually evolved after ovulation. This is actually a normal pregnancy phenomenon, so don’t worry too much.This ovarian cyst usually disappears naturally within 14 weeks of pregnancy.

For doctors, the ovarian cyst discovered for the first time during pregnancy, if the cyst diameter is <5cm, can be diagnosed as a simple cyst, it can be closely observed until the pregnancy is full, and there is no need to perform special treatment.

2. greater than 5 cm

If ovarian cysts exceed 5cm and gradually increase, they need to be paid attention.Some doctors will recommend that the abortion risk is reduced after entering the middle of pregnancy, mainly to prevent the cysts from turning and rupture.

But more and more doctors are starting to observe conservatively, because the probability of cancerous ovarian cystic lumps is very small. Second, even if the diameter of ovarian cysts> 5cm, the probability of cyst twisting or rupture is relatively small.Under normal circumstances, the total probability does not exceed 1%to 2%.

Even if the surgery is selected, the doctor will treat it according to the nature of the cyst.

Ovarian cysts can be roughly divided into three categories according to the nature: cystic (liquid cysts), cystic solid (liquid parts with liquid, and real parts), solid (lumps are completely substantial, no liquid -free, no liquid, no liquid,part).

The most common ovarian cysts during pregnancy are liquid cysts. According to the incidence, the most common is physiological cysts, followed by chocolate cysts (ovarian endometrial -like cysts), but chocolate cysts often exist before pregnancy, and often accompaniedWith dysmenorrhea, pelvic adhesions are likely to form, which affects infertility, which affects ovulation and fallopian tube peristalsis. Therefore, it is generally found and treated during pregnancy.

For liquid cysts, most doctors choose laparoscopic surgery, because laparoscopic surgery has the advantages of small trauma, small pain, good surgical vision, and fast recovery, but it requires rich experience.

As for the mass or solid mass, the risk of miscarriage in the middle of pregnancy is significantly reduced after the abortion risk is significantly reduced to clarify the nature of the ovarian lumps and prevent cysts from turning and rupture during pregnancy.

The most common of women’s gynecological diseases is uterine fibroids. The incidence of women in 35 years old is 40%~ 60%, and the incidence of women in 50 years is 70%to 80%.Rare, the incidence of pregnancy with uterine fibroids is about 2%to 10%.

Although the probability of 10%to 30%of uterine fibroids with pregnancy will cause stomach pain, and the risk of some complications of some obstetrics also increases, but the incidence of complications is not as high as we think, so pregnancy combined with uterine muscle muscle muscleThe tumor is not so terrible, lying on the bed to protect the fetus without moving.

1. Will uterine fibroids grow up during pregnancy?

After pregnancy, the estrogen hormone has increased significantly, the blood supply to the uterus gradually increases. Theoretically the uterine fibroids should continue to increase, but in fact, only about 22%to 32%of the volume of uterine fibroids will increase, and it usually occurs in the first three of the first three.One month, especially the first 10 weeks of pregnancy.

As high as 60%to 78%of uterine fibroids do not increase during pregnancy, even 8%to 27%of fibroids have shrunk during pregnancy.

From the perspective of fibroids, large fibroids (> 5cm) are easier to increase, and small fibroids are not significantly changed. Therefore, if pregnant mothers only have small fibroids, they don’t have to worry too much.

2. Do uterine fibroids be kept during pregnancy?

Uterine uterine fibroids may affect the bed and implantation of fertilized eggs, causing risk of abortion, but whether the abortion rate in the muscle wall will increase the abortion rate. The specific mechanism is not clear.Under the circumstances of unknown and unknown mechanisms, we do not need to protect the fetus, and we cannot start targeted tires. Therefore, Baoma does not need to rest in bed.3. Does uterine fibroids affect the fetus?

If there are no other pregnancy complications or complications, the growth of the fetus is generally not affected by uterine fibroids.However, if the fibroids are large, the fetus can be compressed and deformation of the uterine cavity and causes fetal malformations, such as some lower mucosal fibroids.4. What should I do if that stomach hurts?

If abdominal pain occurs, doctors will be highly alert to reversing fibroids degenerative or scrifting with fibroids. In addition to regular B -ultrasound follow -up, the control of pain is generally conservative therapy. Considering the treatment of acetaminol (heating and polygami), usually pay attention to rest more restEssence5. Can uterine fibroids still give birth?

If there are no other pregnancy complications or complications, most pregnant women with uterine fibroids can be produced smoothly, but the cesarean section rate is slightly higher than that of pregnant women without uterine fibroids.The main reason is 2 points:

The first is the large multi -uterine fibroids. The fibroids are not only long and large, but also have a large number, which will affect the strength and coordination of the contraction during childbirth and cause difficulty in giving birth.

The other is large fibroids growing in the cervix, which directly blocks the baby’s exit, which will easily occur in obstruction.Of course, these probabilitys are not high, followed by placental peeling, etc., and the probability is relatively small.

There was a joke in the past, saying that there were a few small fibroids in a pregnant woman’s stomach. The doctor comforted the pregnant woman’s way. Your child must be math in the future.After giving birth to a fat boy, the mother and son are all safe!

references

1. Lee H J, NORWITZ E R, Shaw J. Contend Management of Fibroids in Pregnancy [J]. Reviews in obstetrics and gynecology, 2010, 3 (1): 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20. 20.

2.upTodate.pregnation in WOMEN with Uterine Leiomyomas (Fibroids) .https://www.uptodate.com/Contents/pregNANANANANAN- WOMEN- Uterine- Leiomyomas-fibroids. 2017/11/22.

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