What to do about ovarian teratoma abdominal pain?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on December 27, 2024

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If a patient has an ovarian teratoma and also has abdominal pain, they should immediately visit a local hospital for a gynecological examination and a gynecological ultrasound. The main purpose is to confirm whether there is torsion of the ovarian teratoma. Once torsion of the ovarian teratoma occurs, it can cause ischemic necrosis of the ipsilateral fallopian tube and ovary, leading to severe consequences. Therefore, once an ovarian teratoma is detected, it is not advisable for the patient to continue observation treatment. Prompt surgery is key to avoiding pathological changes and complications.

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Written by Liu Wei Jie

Obstetrics

1min 7sec

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Does ovarian teratoma affect pregnancy?

In gynecology, teratomas are a very common type of ovarian cyst. If a teratoma is discovered during the pre-pregnancy period, its size should be considered. If the teratoma is larger than five centimeters in diameter and is accompanied by abnormalities on a CT scan, it is recommended to undergo surgery before attempting to conceive. If the teratoma is very small, such as two to three centimeters in diameter, it does not affect future pregnancy. If a teratoma is discovered during early pregnancy, opinions vary. Some recommend surgical treatment after the first trimester, while others suggest a pregnancy observation plan. Teratomas during pregnancy are prone to complications such as ovarian cyst torsion, which can cause abdominal pain. Therefore, if you have a teratoma and successfully conceive, be mindful of any pain.

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Written by Liu Jian Wei

Obstetrics and Gynecology

37sec

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Is surgery necessary for a teratoma?

Once the presence of a teratoma is considered, surgical treatment is recommended. Surgery serves two purposes: first, to remove ovarian cysts for disease treatment; and second, the removed ovarian cysts require routine postoperative pathology to confirm the diagnosis of ovarian teratoma. Without a pathological diagnosis, it cannot be definitively diagnosed as an ovarian teratoma; the diagnosis must be supported by pathological results.

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Written by Li Lin

Obstetrics and Gynecology

40sec

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Can ovarian teratomas become cancerous?

Ovarian teratomas are mostly benign tumors, and it is usually sufficient to undergo tumor excision or unilateral oophorectomy. However, ovarian teratomas can become malignant, and in such cases, corresponding chemotherapy treatment should be used after surgery based on the condition. Even after chemotherapy, malignant teratomas may recur. If the malignant teratoma recurs, further surgeries can be performed. Each surgery can reduce the malignancy of the teratoma, so surgery combined with chemotherapy is very effective for the treatment of malignant teratomas.

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Written by Xu Xiao Ming

Obstetrics and Gynecology

38sec

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How is a teratoma diagnosed?

Teratomas are mostly diagnosed through symptoms, such as abdominal pain or bloating, and are identified with an ultrasound examination. Generally, these two tests are used. Additionally, blood tests may be conducted, but there are no very specific tumor markers that will be revealed. The primary means of diagnosis still rely on ultrasound and gynecological palpation. If a woman of childbearing age experiences unexplained abdominal pain, feels bloated, or notices occasional increases in abdomen size, it is recommended to undergo a gynecological ultrasound examination at a hospital.

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Written by Yan Qiao

Obstetrics and Gynecology

54sec

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How long after laparoscopic surgery for a teratoma can one have sexual intercourse?

Teratomas are predominantly benign tumors, mainly located in the ovaries, although in some patients with unique physical constitutions, ovarian tissues may also ectopically end up in the pelvic area, forming a pelvic teratoma. Whether it is an ovarian teratoma or a pelvic teratoma, the scope of the surgery is typically medium-sized. If the surgery is an open operation, it is classified as a second-level surgery, and if it is performed using laparoscopy, it should be classified as a third-level surgery. Both second and third-level surgeries fall under the medium-sized category, and patients usually recover quite quickly after the operation. Typically, we advise patients to refrain from sexual intercourse, pelvic baths, and to avoid heavy physical labor within a month post-operation.