Auxiliary examinations for pregnant women with ovarian cysts

After a patient with ovarian cysts becomes pregnant, the cyst itself generally has no direct adverse effect on the growth and development of the fetus. Unless the tumor is too large and occupies most of the abdominal cavity, thus restricting and hindering the growth of the uterus, it may lead to late miscarriage or premature birth. In addition, when the mother is giving birth, if the ovarian cyst is incarcerated in the pelvic cavity, it often hinders the descent of the fetal presenting part, resulting in obstructive dystocia.

Pelvic B-mode ultrasound examination can assist in the examination of ovarian cysts. After an ovarian mass is found, regular B-mode ultrasound follow-up during pregnancy will help further determine the nature of the mass.

Auxiliary examinations for pregnant women with ovarian cysts

Pelvic B-type ultrasound examination: Pelvic B-type ultrasound examination during pregnancy is the most reliable method for diagnosing ovarian cysts. It can often find ovarian tumors that are missed by pelvic examination during pregnancy, thus making up for the shortcomings of pelvic examination. However, it should be noted that when performing B-type ultrasound examination in the late pregnancy, one should not simply focus on observing the fetus, placenta and amniotic fluid and ignore the examination of the uterine appendages, so as to avoid missing the diagnosis of appendage masses.

Type B ultrasound can not only determine the location, size, shape of the tumor and its relationship with the uterus, but also determine whether the contents of the tumor are cystic, solid, or alternating between cystic and solid, whether there are septa, and whether there is fluid accumulation in the pelvic cavity.

Note: CT examination is harmful to the fetus and is contraindicated during pregnancy. Although MRI examination can be used during pregnancy, it is expensive and generally unnecessary after the diagnosis is confirmed by B-ultrasound examination.