Does an ovarian mass affect menstruation?

Does an ovarian mass affect menstruation?

Young women with unilateral benign tumors who want to have children should undergo ovarian cyst removal or oophorectomy on the affected side, and try to preserve normal ovarian tissue and the contralateral normal ovary; even for bilateral benign cysts, efforts should be made to remove the cysts, preserve normal ovarian tissue, and preserve the endocrine and reproductive functions of the ovaries. Like normal ovaries, the retained ovarian tissue may still have pathological changes. Perimenopausal women can undergo unilateral oophorectomy or total hysterectomy and bilateral oophorectomy.

When an ovarian tumor is found in early pregnancy, the nature of the tumor must be determined first. Unilateral, single-room ovarian cysts with a diameter of less than 125px found in early pregnancy are likely to be physiological cysts, and most disappear after 14 weeks of pregnancy. There are also reports that the diameter of lutein cysts during pregnancy can reach 6-250px and last until full term. The benign or malignant nature of the tumor can be inferred based on the tumor shape, cysticity, solidity, whether there are nipples in the cyst, blood flow signals, ascites, and serum tumor marker tests indicated by color Doppler ultrasound.

In early pregnancy, a tumor entering the pelvic cavity may cause miscarriage, and in mid-pregnancy, it is easy to cause pedicle torsion. If the tumor is large in late pregnancy, it may cause abnormal fetal position and tumor rupture during delivery. If the tumor is located low, it may block the birth canal and cause dystocia. Pelvic congestion during pregnancy may rapidly increase the tumor and promote the spread of malignant tumors.

If an ovarian cyst is found in early pregnancy, surgery should be performed after 3 months of pregnancy to avoid inducing miscarriage. If the tumor is found in late pregnancy, it can be treated until full term. After delivery, if the tumor blocks the birth canal, a cesarean section can be performed. At the same time, frozen sections are needed during surgery to eliminate malignancy. If an ovarian malignancy is diagnosed or suspected, surgery should be performed as soon as possible, and the treatment principles are the same as those during non-pregnancy.