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Pregnant. Having ovarian cyst. Has nausea and vomiting. Prescribed folic acid. Concerned. Treatment?

Mar 2013
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My wife is 9 weeks 2 days pregnant. I had ultrasound done today. The heartbeat is 178 beats/minute. But she is having ovarian cyst measuring 1.7 cm x 1.2 cm. rest everything is normal. She is having cyst in left ovary. Her right ovary is normal. Also she does not like any food. Her weight is decreased by 1 kg during pregnancy. She also has nausea and vomiting. My gynaecologist has given her folic acid, gestin daily and nidagen every 4 days. I wanted to know more about ovarian cyst. Is it any cause of concern and what is treatment.
Posted Thu, 6 Jun 2013 in Pregnancy
Answered by Dr. Aarti Abraham 58 minutes later
Thanks for your query.
Women almost always have normal ovaries on scan during the 1st trimester. If however an ovarian cyst is present, it is usually a normal finding of early pregnancy.

An ovarian cyst is an enlargement of the ovary that appears to be filled with fluid. The vast majority of ovarian cysts diagnosed in early pregnancy represent a physiological cyst known as the corpus luteum (cystic or haemorrhagic). This is a normal finding in early pregnancy. The corpus luteum supports the lining of the womb and in turn the pregnancy itself. The corpus luteum does this by producing the pregnancy hormone progesterone which helps nurture the pregnancy. Once the pregnancy gets beyond the 1st trimester, the corpus luteum is no longer needed and therefore this resolves spontaneously, not causing any harm whatsoever to the mother or baby.

Most ovarian cysts diagnosed in early pregnancy do not cause any symptoms. They tend to be an incidental finding and women are unaware of their presence. However, if an ovarian cyst ruptures, twists or if there is bleeding into the middle of the cyst, then lower abdominal pain on the side of the ovarian cyst occurs. Most ovarian cysts diagnosed in early pregnancy do not represent ovarian cancer; in fact the risk of ovarian cancer in pregnancy is extremely rare indeed (1 in 15,000 to 1 in 32,000 pregnancies).

If an ovarian cyst is found in the first trimester, an interval scan will be arranged 6 weeks after the baby is delivered.

Given the size of the cyst, it is too small to be significant according to me, and would regress with time.
Please do not worry, and proceed with the treatment as advised.
take care, and feel free to discuss further.

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