Endometriotic cyst – Is it OK to Get Pregnant?
Q: Sir, I am 38 years old married woman. My right adnexa shows a cystic lesion of size 3.2*2.5 cm with internal echoes, adjacent to right ovary. There are no solid elements, septation or abnormal increased vascularity. There is suspected endometriotic cyst. Urinary bladder is distended. No calculus or wall thickening was seen. Uterus is retroverted, measuring 6.0*4.0*4.0 cm. There is no myometrial or endometrial focal lesion. Thickness is 6mm. Cervix shows nabothian cyst. Left ovary appears normal. No free fluid was noted in POD. Sir we need a child. Can this problem affect my pregnancy? Do I need any surgery? Please inform me doctor.
It would be essential to first confirm the diagnosis. Is the cystic lesion in your right adnexa an endometrial cyst?
What is an Endometrial Cyst?
An endometriotic cyst is a result of a condition called endometriosis. Here, the tissue lining the uterus from inside (endometrium) is found growing in abnormal locations outside the uterus like, ovaries or around the uterus.
During each menses, this abnormal tissue also secretes like the uterine lining. Since there is no place for this internal blood to go, cysts are formed in the adnexa. These cysts are filled with this blood shed during menses.
Due to the dark color of blood, these cysts are also called chocolate cysts.
Endometriosis Interferes With Conception
It is difficult for women with this condition to get pregnant. This is because this condition interferes with the normal process of ovulation and egg movement.
This may happen in any of the following ways:
- Due to menstrual bleeds, blood spots are spilled all over the pelvis. This may lead to inflammation of internal organs present there.
- As a result of inflammation, scar tissues are formed over the ovary or fallopian tubes. The tube may stick to nearby structures or even get blocked.
- Due to scarring, the ovulation from the ovary may get affected.
- Also, endometriosis has a tendency to spread. It may reach the ovary to produce cyst inside it. This can also inhibit ovulation.
Without proper ovulation and movement of egg through the tube, pregnancy would be difficult.
It is suggested that you first get yourself treated.
Find out what that cystic lesion is. Your doctor may like to do a laproscopy for this purpose.
Safe tablets and injection are available for treatment. These include danazol and other birth control pills.
Cysts bigger than 5 cm require surgical removal. Since your cyst is pretty big, it would be recommended to get it removed surgically.
There is nothing to worry. The procedure is simple and usually done laproscopically. Once treated, you may safely plan your pregnancy.