Cyst in Right Adnexa and Conception Problems
Q: Hello Doctor, I took my wife to a gynecologist to know about a problem, as to why my wife is not getting pregnant? At that time the doctor took some blood test for both of us and a sperm test for me only.
There is no problem with blood report and my sperm count. Other reports are normal. After that, the doctor took an ultrasound, that reports-
Uterus: enlarged in size -10.2 * 3.2 * 4.2 cm normal outlines and echo texture.
Adnexa: a cyst is seen in the Rt. adnexa, measuring -1.2 * 1.2 cm.
Minimal fluid in POD.
Impression: Bulky uterus.
My question is-
Is it a problem getting pregnant in presence of a cyst? How much time will it take to be normal? Is this a main problem for not getting pregnant?
– By Pankaj Kumar
Prior to getting pregnant, your wife needs to get treated for the gynecological problem she has.
An adnexal cyst may be the cause of infertility. Even if she conceives with the untreated cyst, it would be unsafe to proceed along with this adnexal mass. It may interfere with pregnancy.
What Is an Adnexal Cyst?
The structures on the side of the uterus are called adnexa. This include:
- Fallopian tube
- Ligaments on the sides of the uterus
Any cystic (fluid filled) swelling in any of these structures can be called an adnexal mass.
A right adnexal mass may be a mass in the right ovary, tube or anywhere else in adnexa.
There are a few conditions where a bulky uterus is associated with a cystic mass in adnexa. Infertility may be a symptom.
One such condition is endometriosis.
Uterus is normally lined by a layer of cells called the endometrium. Sometimes, this endometrium grows in areas other than the uterus. This condition is called endometriosis.
It may happen in the ovary to give a cystic swelling.
Symptoms a patient experiences are as follows:
- Pain in the pelvic area
- Disturbed menses, heavy bleeds
- Pain during intercourse
- Weakness and tiredness all the time
Does your wife have any other symptom? Your wife needs further evaluation by a gynecologist to conclude a diagnosis.
There may be other gynecological causes also, of having a cystic swelling with infertility. They include:
- Tumors of the ovary
- Polycystic ovarian disease
She requires a full gynecology checkup. After that, the treatment would begin. The mass in adnexa needs to be treated before getting pregnant.
Mostly, such masses are treated by medicines (various hormones). It may take 3-4 months to treat it. Sometimes, surgical removal of the cyst is required.
She would require a lot of care and compassion from your side throughout the treatment.