Management of ovarian cysts during pregnancy

Management of Simple Ovarian Cysts

“…Ultrasound remains the preferred imaging modality; however, if malignancy cannot be confidently excluded, further imaging with MRI is recommended. 31,32 Asymptomatic simple ovarian cysts can be managed expectantly in early pregnancy with interval surveillance. The majority of these simple ovarian cysts are functional and will spontaneously resolve; one study demonstrated that 76% of simple cysts less than 5 cm resolved by 18 to 20 weeks of gestation.…”

“…Although rare, ovarian cysts in pregnancy can cause complications including adnexal torsion, hemorrhage, rupture, fetal malpresentation, and obstruction of labor. 31,35 Persistent cysts or those that are larger than 6 cm should be reevaluated at 6 to 8 weeks postpartum. 31 Patients Going Through IVF Therapy One of the known side effects of gonadotropin-releasing hormone agonists (GnRHa), commonly used in vitro fertilization (IVF) treatment, is the development of functional ovarian cysts.…”

“…31,35 Persistent cysts or those that are larger than 6 cm should be reevaluated at 6 to 8 weeks postpartum. 31 Patients Going Through IVF Therapy One of the known side effects of gonadotropin-releasing hormone agonists (GnRHa), commonly used in vitro fertilization (IVF) treatment, is the development of functional ovarian cysts. The incidence of GnRHa-induced functional cysts is 9.3% to 9.74%.…”

“…Similar to nonpregnant patients, the majority of ovarian cysts are asymptomatic, and are an incidental finding during routine prenatal ultrasound examinations. Ultrasound remains the preferred imaging modality; however, if malignancy cannot be confidently excluded, further imaging with MRI is recommended 31,32…”

“…Although rare, ovarian cysts in pregnancy can cause complications including adnexal torsion, hemorrhage, rupture, fetal malpresentation, and obstruction of labor 31,35. Persistent cysts or those that are larger than 6 cm should be reevaluated at 6 to 8 weeks postpartum 31…”