What to do if there is a cyst in the uterus during pregnancy

Many women may find that there are certain problems with their bodies after they become pregnant. This makes people feel worried. After all, it is not easy to treat when there is a fetus in the belly. For example, some women may find cysts in their uterus after they become pregnant. This disease is already quite common. It not only affects women's health, but may also lead to miscarriage. What should I do if there is a cyst in the uterus during pregnancy?

It is possible to get pregnant while suffering from uterine cysts, but the chance of miscarriage during this period is relatively high. Therefore, it is recommended that patients consider having children after the uterine cysts are cured. However, if you are already pregnant during the illness, you need to undergo a comprehensive examination and special care. People with uterine cysts must first adjust their mentality.

The incidence of spontaneous abortion due to cysts in pregnancy is about . Cysts affect the implantation of fertilized eggs and the development of the placenta, leading to placenta previa, placental abruption and placental adhesion. If the cyst restricts the movement of the fetus in the uterus, it will cause abnormal fetal position; if the cyst hinders the connection of the fetal presenting part, it can cause premature rupture of the membranes. The incidence of antepartum hemorrhage is high when the cyst is located in the placenta.

Experts point out that whether cysts affect conception depends on the location, size and number of the cysts. For example, cervical cysts can affect the entry of sperm into the uterine cavity, submucosal cysts can easily cause endometrial infection and be detrimental to the implantation of fertilized eggs, and giant multiple uterine cysts can easily squeeze the interstitial part of the fallopian tube and hinder the passage of sperm. In addition, uterine cysts can cause congestion and dilation of the muscle wall or endometrial veins, leading to changes in the intrauterine environment that are not conducive to implantation of the fertilized egg; or insufficient blood supply to the developing embryo, leading to miscarriage. The incidence of miscarriage is 2 to 3 times that of non-cystic pregnant women, and is often incomplete.

Large intramyometrial cysts or submucosal cysts can hinder fetal movement in the uterus, causing malposition of the fetus, such as transverse presentation, breech presentation, etc., and increase the number of cesarean sections. During the delivery process, the cyst may affect the normal contraction of the uterus and prolong the delivery process; the cyst incarcerated in the pelvic cavity may block the birth canal and cause dystocia. Cysts can also affect postpartum uterine contraction, causing postpartum hemorrhage or poor uterine involution. If the uterine cavity drainage is affected or ulcers occur on the surface of the cyst, infection is likely to occur.

Pregnancy also has a certain impact on cysts. After pregnancy, the uterine cyst tissue becomes edematous and the smooth muscle cells hypertrophy, so the cysts often increase in size along with the uterus. Because the cysts increase rapidly during pregnancy and lack blood supply, degenerative changes occur, among which red changes are the most common. Patients may experience acute abdominal symptoms such as fever, headache, vomiting, local tenderness, and increased white blood cell count.