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Endocrinology2 papers

Cyst of ovary in pregnancy

Last edited: 4/10/2026

Overview

Ovarian cysts are fluid-filled sacs that can develop on the ovary. While many are asymptomatic and resolve spontaneously, some may cause complications during pregnancy.

Diagnosis

  • Diagnosis is typically made via pelvic ultrasound 1.
  • Functional cysts (follicular and corpus luteum cysts) are the most common type in pregnancy 1.

    • Management

  • Most asymptomatic ovarian cysts discovered during pregnancy are managed expectantly and resolve spontaneously 1.
  • Surgical intervention may be considered for symptomatic cysts (e.g., those causing pain, torsion, or rupture) or for cysts that persist or grow significantly after the first trimester 1.
  • Laparoscopic cystectomy is the preferred surgical approach when indicated 1.

    • Special Populations

  • Pregnancy: Management strategies are tailored to gestational age and cyst characteristics, with a focus on conservative management for most cases 1.

    • Key Recommendations

  • Most asymptomatic ovarian cysts identified during pregnancy can be managed expectantly, as they often resolve spontaneously 1. (Evidence: Expert opinion)
  • Surgical intervention for ovarian cysts in pregnancy should be reserved for symptomatic cases or those that persist or enlarge after the first trimester 1. (Evidence: Expert opinion)
  • Laparoscopic cystectomy is the surgical method of choice for ovarian cysts requiring intervention during pregnancy 1. (Evidence: Expert opinion)

    • References

    1 . Obesity in Pregnancy: ACOG Practice Bulletin, Number 230. Obstetrics and gynecology 2021. link

    Original source

    1. [1]
      Obesity in Pregnancy: ACOG Practice Bulletin, Number 230. Obstetrics and gynecology (2021)
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