How is an ovarian teratoma caused?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on March 19, 2025
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The majority of the causes of ovarian teratomas stem from embryonic development, generally due to congenital factors leading to the formation of ovarian teratomas. A well-developed teratoma forms a complete teratoma, while poor development results in an incomplete teratoma, which typically exhibits a higher degree of malignancy. Most teratomas are benign tumors, with only a very small percentage showing tendencies to become malignant. Therefore, it is crucial for patients with teratomas to seek surgery at a hospital as soon as possible, and post-surgery, the removed tissue should be re-examined pathologically to check for any abnormalities. Hence, patients with ovarian teratomas must actively seek medical treatment at a hospital and, after recovery, prevent recurrence by undergoing regular medical check-ups annually, thus ensuring proactive treatment for those with teratomas.

Other Voices

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Written by Liu Wei Jie
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Is it easy to get pregnant with a teratoma?

First, what is a teratoma? Teratoma is a common ovarian tumor in gynecology, with a very high incidence rate. It is generally benign and the occurrence of teratomas is related to congenital genetic factors. Generally, if a teratoma is found, the first step is to check the size of the teratoma. If it is smaller than five centimeters, tumor series tests are normal, and there is no other discomfort, observation can be initiated. If the teratoma is relatively large, larger than five centimeters, surgical intervention is required. Teratomas themselves are not related to pregnancy, but because teratomas can lead to ovarian cyst torsion, after torsion occurs, one side of the adnexa may need to be removed, which could reduce fertility.

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Written by Yan Qiao
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Does a teratoma that is too large affect fertility?

Ovarian teratoma is a type of commonly seen benign ovarian tumor. Even though it is benign, like in the case of teratomas, it can still potentially affect a woman's fertility. The critical factors are the location and the size of the ovarian tumor. If the tumor originates from the center of the ovary, it is likely to cause significant damage to the ovarian tissue. Additionally, if the tumor is large, it can also cause substantial damage to the normal tissue. These factors can impact a woman’s fertility, leading to a decline or even complete loss of reproductive function. Whether fertility is retained depends on the function of the ovary on the other side.

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Written by Shen Li Wen
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Can ovarian teratomas affect menstruation?

Women with ovarian teratomas, when they are relatively small, usually do not affect the menstrual cycle. However, as they grow larger, they may compress the normal ovarian cortex, leading to abnormal ovulation, abnormal hormone secretion levels, disruption of the menstrual cycle, and can also cause difficulties in getting pregnant. Additionally, ovarian teratomas belong to germ cell tumors, which are multi-layered but can also develop into a single layer. Some teratomas are highly single-layered and can secrete certain hormones that affect women's endocrine system, thereby affecting the menstrual cycle.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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What to do about ovarian teratoma abdominal pain?

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 Li Shun Hua
Obstetrics and Gynecology
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How long after minimally invasive teratoma surgery can one take a bath?

Minimally invasive surgery for teratomas involves laparoscopic surgery, which causes less harm to patients. After the surgery, there are only three to four small incisions on the abdominal wall, which generally heal within three to five days. If you wish to take a bath, it is usually possible to do so after one week. When bathing, it is crucial to maintain cleanliness around the incisions. It is best to apply iodine before and after bathing to disinfect the area, preventing infection at the incision sites. Additionally, during the bath, avoid rubbing the incisions too vigorously to prevent pain.