Ovarian Hemorrhagic Cyst and Pregnancy

Q: I had an ultrasound which showed an ovarian cyst. The report said “right ovary: to the right is a well defined fluid part echogenic lesion with septa measuring 42 x 41 x 39 mm? hemorrhagic cyst? Other, the right ovary was not seen separately but presumably ovarian in origin.”
What does this mean; should I be concerned? I am also 7 weeks pregnant. Thank you.
-By Ab

Reply:

May be you had an ovarian cyst earlier, which has now become hemorrhagic.

What Is a Hemorrhagic Cyst?

A hemorrhagic cyst is formed when any tiny blood vessel present on the wall of the ovarian cyst gets ruptured. Blood fills up the cyst cavity, forming a hemorrhagic cyst.

Since it is your 7th month already, we are late to consider any operation on the cyst. You have to move on now with your pregnancy very carefully.

Usually, such cysts don’t interfere with pregnancy. There are chances that it stays as such or even regress on its own.

However, sometimes such cysts may complicate. So, you and your doctor need to monitor it closely.

Possible Complications

  • It may rupture and interfere with pregnancy.
  • It may give you pain due to stretching of the ovarian wall
  • May get infected.
  • May cause a crampy pain, suggesting  that it is leaking out, such a situation may lead to preterm labor.
  • It may twist.

In all above conditions, medical intervention would be required.

You have to be watchful for any of the above events. For that, monitor the cyst closely by U/S. Also, if you feel any pain, leaking blood from down there, or cramps, report to your doctor immediately.

Let the strategy be such that you complete your pregnancy weeks as many as possible without disturbing the cyst. For that, you need to take a lot of bed rest. Do not lift any heavy object or strain yourself at work. Keep a close eye on the cyst.

Take Care,

Buddy M.D.

Medical Advice (Q&As) on “Managing Hemorrhagic Cyst During Pregnancy

  1. radhika

    I’m pregnant less than 5 weeks. I have got spotting 3-4 Times. But my HCG levels are increasing day by day. I’m getting all healthy symptoms of pregnancy. My recent TVS USG report say that I’ve intrauterine gestational sac of less than 5 weeks measuring around 8 mm but no embryonic pole. I’ve two ovarian hemorrhagic cysts also in my left ovary. I’m scared to see all this. This scene has turned up all my emotions into dark. Kindly guide me. What are consequences?

    Reply
    1. Buddy M.D. Post author

      As you can read above, these cysts don’t usually interfere with pregnancy. There are pretty good chances that they remain as such or even regress with time, as the pregnancy progresses. This is so because, these cysts are hormone sensitive.

      They grow during the initial phase of pregnancy, when there is a continuous hormonal supply from the ovaries. As the placenta takes over, as the supplier of hormones, the cysts start reducing in size. Placental hormones don’t support the growth of these cysts.

      However, it is advisable that your pregnancy be monitored closely. Repeated U/S to assess both, baby’s growth and the status of the two cysts is imperative.

      Reply
  2. Asmaah

    I am 30 yrs old and I’m married. I have done my pelvic ultrasound which says, there are two more obvious complicated cysts in the right ovary 2.8×2.5×1.7 and 2.1×1.9×1.4 cm. Appearances are suggestive of hemorrhagic cysts with a simple 2.7×2.4×1.4 cm query a follicle. No prominent free fluid.
    Opinion: There appears to be a couple of hemorrhagic cysts in the right ovary.
    This is what my ultrasound reports says I want to know how it happens and does it affect my health and how I can I treat it and does it affect my married life and I’m trying to conceive. Can it might be problem because of this cysts.

    Reply
    1. Buddy M.D. Post author

      Both the cysts are small in size and are likely to regress on their own with time. If you don’t have any symptom, nothing needs to be done.

      However, if you have pain in abdomen or any menstrual problem, medical intervention is required.

      Read more on the topic above.

      Reply
  3. Tani

    Hi,
    I am 8.5 weeks pregnant and in my Ultrasound report, it says that I have a thick walled unilocular cyst measuring 48x43x54mm in the right ovary with echogenic contents within peripheral solid area without vascularity noted along the wall. There is also a small cyst with fine internal septations measuring 20x12mm in the left ovary. The final impression says ‘complex cysts described as likely to be endometriotic/hemorrhagic in nature.
    Do I have cause for worry? I’ve had these cysts for a while now.

    Reply
    1. Buddy M.D. Post author

      Don’t worry, but get the cysts treated. They cannot be left as such. They may get infected or get twisted.

      Reply
    1. Buddy M.D. Post author

      As you may read above, we can’t treat the cyst now. Pregnancy is the first thing to be attended. Just keep a close watch over the cyst to watch for any complications.

      In most cases, the cyst stays like that and doesn’t interfere with pregnancy.

      Reply