PREGNANCY-BIRTH Messages for August, 2000: Re: Surgery: Ovarian Cyst in Pregnancy

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Re: Surgery: Ovarian Cyst in Pregnancy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 Aug 2000 15:37:15 -0500 (CDT)

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Previous message: Lynn D. Montgomery, MD: "Re: Help regarding IUGR??"
In reply to: D.O'Brien: "Surgery: Ovarian Cyst in Pregnancy"

At Wed, 30 Aug 2000, D.O'Brien wrote: >
>I've been diagnosed with having a benign ovarian cyst (corpus luteum,
>9cm+) and I am 10 weeks pregnant. My doctor feels that it should be
>removed at 16-20 weeks, after the placenta has taken over...HOWEVER, I'm
>finding it difficult to glean any further information from him than
>' We'll chop you open and snip it out- You'll be fine.'
>Which, as you can imagine, is none too reassuring....
>I'm worried silly about this operation-
>There are no other 'complications', and I'm a healthy 23 year old with 2
>other children. Could you PLEASE send me some information on laparotomy
>etc. during pregnancy, and outline the risks to the
>a) my baby
>b) myself and
>c) my fertility
>following this surgical procedure.
>I would truly appreciate any help you could give me by way of
>information - especially the risk it in relation to miscarriage,
>premature labour or caesarean section labour.
>PLEASE reply, as I have tried many sources- and yours seems the most
>professional and my best chance of getting the information I so greatly
>need.
>Thanking you sincerely in advance,
>D.O'Brien.

D.O., Seeing as how the corpus luteum will become unneccesary from this point, if this is a corpus luteum, it will begin to decrease in size. If that happens and the cyst begins to get smaller, even if it doesn't completely resolve, it can be followed closely and not surgically addressed. If it remains the same size, it should be surgically addressed-If so, I truly hope they don't "chop" you open.

The "chopping" should best occur in the second trimester if required. This is the safest time for you and most importantly the baby. The risk of the anesthetics, preterm labor, etc. are lowest at this time... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Ann: "3 hour GTT (glucose tolerance test)"
Previous message: Lynn D. Montgomery, MD: "Re: Help regarding IUGR??"
In reply to: D.O'Brien: "Surgery: Ovarian Cyst in Pregnancy"

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