Symptoms of ovarian cysts during pregnancy

Symptoms of ovarian cysts during pregnancy mainly include lower abdominal pain, bloating, frequent urination, constipation, and abnormal vaginal bleeding. Ovarian cysts during pregnancy may be related to factors such as changes in hormone levels, corpus luteum cysts, endometriosis, teratomas or serous cystadenoma, and usually manifest as abdominal pressure, pelvic discomfort and other symptoms.

1. Dull pain in lower abdomen

Ovarian cysts during pregnancy may compress surrounding tissues or twist, causing persistent dull or dull pain in the lower abdomen. The pain is usually located on one side of the cyst and may be aggravated by movement or position changes. If the pain suddenly worsens and is accompanied by nausea and vomiting, you need to be alert to cyst rupture or pedicle torsion and seek medical attention immediately. It is recommended to avoid strenuous exercise on a daily basis. When resting in bed, you can lie on your side to relieve pressure.

2. Abdominal distension

Enlarged ovarian cysts may occupy pelvic space, causing bloating or a feeling of abdominal distension, especially in the second and third trimesters of pregnancy. Abdominal bloating may be mistaken for a normal pregnancy reaction, but if it is accompanied by loss of appetite or difficulty breathing, ultrasound examination is required to confirm the nature of the cyst. Eat small, frequent meals and avoid beans and other gas-producing foods.

3. Frequent urination

Cysts pressing on the bladder may cause frequent urination or difficulty urinating, especially at night. It needs to be distinguished from physiological frequent urination during pregnancy. If it is accompanied by painful urination or hematuria, it may be complicated by urinary tract infection. It is recommended to record urination, drink an appropriate amount of water but reduce fluid intake before going to bed, and use antibiotics such as cefixime granules as directed by your doctor if necessary.

4. Constipation

Compression of the rectum by a cyst or hormonal changes may cause constipation, which may manifest as difficulty or less frequent bowel movements. It can be improved by increasing dietary fiber intake (such as oats, broccoli) and moderate exercise. If symptoms persist, it is necessary to rule out the possibility of intestinal obstruction and avoid using laxatives on your own. You can use lactulose oral solution as directed by your doctor to regulate intestinal function.

5. Abnormal vaginal bleeding

Cyst rupture or hormonal imbalance may cause a small amount of vaginal bleeding, which needs to be differentiated from threatened abortion. Bleeding is often dark red or brown and may be accompanied by abdominal pain. It is recommended to rest in bed immediately and seek medical treatment, evaluate the fetal condition through progesterone testing and ultrasound, and use progesterone capsules for miscarriage treatment if necessary.

Ovarian cysts discovered during pregnancy should undergo regular ultrasound monitoring. Most physiological cysts resolve spontaneously in the second trimester. If the diameter of the cyst exceeds 5 cm or symptoms such as severe abdominal pain and fever occur, obstetricians and gynecologists must jointly evaluate whether surgical intervention is needed. Pay daily attention to avoid abdominal pressure, wear loose clothes, keep your mood stable, supplement high-quality protein and vitamins in a balanced way, and avoid high-sugar and high-fat diets to stimulate the growth of cysts.