Can women with ovarian teratomas have children?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on November 15, 2024
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Ovarian teratomas, if discovered after pregnancy, do not significantly impact the child; however, it's crucial to confirm that the ovarian teratoma is benign. If detected during pregnancy, close observation is possible, and sudden lower abdominal pain may indicate ovarian torsion, which requires timely surgical intervention. If there are no symptoms, surgery can wait until after the child is born. If an ovarian teratoma is discovered before pregnancy, it is advisable to undergo surgery before becoming pregnant because ovarian teratomas can sometimes be malignant, and torsion may occur during pregnancy, which could affect the child.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do ovarian teratomas hurt?

Ovarian teratomas do not cause abdominal pain under normal conditions. However, if a patient engages in vigorous activities, it can lead to a torsion of the ovarian teratoma. The torsion of the teratoma can drag the ovary to twist along with it, consequently affecting the blood supply to the adnexa on the affected side, leading to ischemic necrosis of the adnexa, and thus causing a sudden onset of severe lower abdominal pain on one side. In such abnormal situations, the ovarian teratoma can indeed cause lower abdominal pain.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Does ovarian teratoma affect menstruation?

Ovarian teratomas include mature teratomas, which are benign tumors. These benign ovarian teratomas do not affect menstruation. However, there are also malignant teratomas, which are immature teratomas. Immature teratomas can secrete hormones, and because they secrete different types of hormones, their impact on menstruation varies. If an ovarian teratoma is diagnosed, immediate surgical treatment is required, because if it is an immature teratoma, it is malignant. Prolonged presence can lead to metastasis. If a teratoma is detected early, early-stage malignant tumors can be cured through surgical treatment.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Is teratoma serious?

Teratomas are one of the most common ovarian tumors in women and are generally benign and not severe. If a teratoma is discovered, regular examinations are necessary. These examinations should assess the endocrine status, as some teratomas have endocrine functions, and also consider the growth rate and specific size of the teratoma. Based on the examination results, it will be decided whether regular follow-up examinations are sufficient or if immediate surgical treatment is needed. Therefore, examinations are very important.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Is medication effective for ovarian teratoma?

The occurrence of ovarian teratomas is often related to congenital factors; it is a solid tumor for which medication is ineffective. It is necessary to check if there are other symptoms when a teratoma is detected. For example, some ovarian teratomas involve endocrine issues, others may have a tendency to become malignant, or some might be large in size, and some can experience torsion, leading to sudden abdominal pain, among other problems. Some require early surgical treatment, while small ovarian teratomas can be periodically monitored and observed.

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Written by Yue Hua
Obstetrics and Gynecology
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Can you keep a pregnancy with a teratoma?

Pregnancy with a teratoma is generally considered safe, as the teratoma is a tumor located on the ovary and, if there is a pregnancy, the embryo develops within the uterus. Typically, the teratoma does not significantly affect the pregnancy, nor does the pregnancy greatly affect the teratoma, because they are not in the same organ. Therefore, it is usually acceptable to continue with the pregnancy in such cases. However, it is essential to undergo ultrasound examinations during pregnancy to monitor the development of the teratoma. If the teratoma increases in size, it is advisable to consider surgical removal after the first three months of pregnancy, as the baby is relatively larger and the surgery is generally safer at this stage.