Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. Followings are my comments: 1) First of all, your wife is more than 6 weeks pregnant from last date of period (as per given information). Ovarian cyst is seen in some percentage of pregnant women. Most of them are benign in nature. Ovarian cyst usually grows slowly over the time. If previous ultrasound scan (5 months ago) was clear & normal, then presence of 5 cm cyst or rapid growth should be properly evaluated through Color Doppler Trans Vaginal Ultrasound scan. It will helps to determine blood flow and nature of the cyst. Increased blood circulation during pregnancy may be the cause of rapid growth of the cyst. Kindly, consult with Gynecologist for above said investigation. 2) An ovarian cyst normally develops in early pregnancy to help support the pregnancy until the placenta forms. In some cases, the cyst stays on the ovary until later in the pregnancy. Most of them are benign in nature. 3) Nature of the cyst should be evaluated first. Benign cyst doesn't produce as such complication during pregnancy until it is hugely enlarged (more than 10 cm). Torsion, rupture of the cyst, infection, intracystic hemorrhage etc are common complications. Periodic ultrasound scan should be performed. 4) NO, ovarian cyst DOESN'T hamper baby's growth and development either in early or late stage. So, you wouldn't be worried about that. 5) It is better to monitor the ovarian cyst periodically by clinical examination and ultrasound scan. If cyst is enlarged more than 10 cm and produce clinical symptoms like dull aching or severe pain, heaviness etc, then cyst can be removed in the 2nd trimester (best) after consultation with her gynecologist. Otherwise, cyst can be removed during ELECTIVE C-SECTION at the time of delivery of the baby (most cases). 6) Periodic evaluation of the ovarian cyst is must as the pregnancy progresses. Decision should be taken according to the stage of pregnancy & status of cyst. MY SUGGESTION: I suggest to consult with GYNECOLOGIST regarding this and do periodic check up with above said investigation. Don't be panic or worried unnecessarily. She must start to take FOLIC ACID and VITAMIN supplement with protein rich diet, drink plenty of water, avoid heavy work/ long journey and take adequate bed rest. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish her good health and successful motherhood. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer: FOLLOWING TESTS ARE TO BE DONE. Detailed Answer: Hello, Thanks for follow up query. Blood test for Ca-125 and Color Doppler Trans Vaginal Ultrasound scan (for pattern of blood flow) will be helpful to determine the nature of the cyst. Kindly, consult with your Gynecologist or healthcare provider regarding this. Hope, I have answered your query. Kindly, close the discussion. Good luck and all the best. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for additional queries. 1) Do periodic check up with ultrasound scan (USG) to monitor the cyst and overall growth and development of the baby. Most cysts are BENIGN in nature and usually DON'T grow rapidly which needs surgery in the 2nd trimester. 2) Certain fish contain high levels of mercury which can affect your baby's developing nervous system. I suggest to avoid RAW SEAFOOD, Prawn, Squid, Crab, Shellfish etc up to 16 weeks of gestational age. Well cooked fish can be eaten on regular basis. 3) Long journey with uneven road surface should be AVOIDED during the first trimester or up to first 15 weeks because it is the most VULNERABLE period of pregnancy. Chance of miscarriage is quite high at this stage. She must avoid heavy work and take adequate bed rest with protein rich diet. Hope, I have answered your query. Kindly, close the discussion. Good luck and all the best. Regards, Dr Soumen

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