What is a pelvic cystic mass?

The pelvic cavity mainly refers to the area covered by the pelvic bone in the lower abdomen. For women, there are very important reproductive organs in the pelvic cavity, including the uterus and ovaries, so problems with the pelvic cavity mean that these two important organs are affected. For example, some female friends were told that there was a cystic mass in the pelvis during a checkup at the hospital. So what exactly is the disease of a cystic mass in the pelvis?

What is a pelvic mass? Pelvic mass is a common symptom of gynecological diseases and is often found during a gynecological examination or a B-ultrasound examination of the pelvis. Depending on the nature of the mass, it is divided into cystic and solid.

Cystic masses are mostly benign lesions, such as bladder distension, ovarian cysts, fallopian tube and ovarian tumors, hydrosalpinx, etc.

Except for benign solid masses such as pregnant uterus, uterine fibroids, ovarian fibroids, and pelvic inflammatory masses, other solid masses should be considered as malignant tumors first.

Common pelvic lesions include the following:

1. Uterine fibroids: the most common benign gynecological tumor in women of childbearing age. The symptoms of uterine fibroids include abnormal menstruation, irregular vaginal bleeding, abdominal pain, frequent urination, etc., which are related to the location, size and growth rate of the fibroids.

2. Ovarian cyst: It is a common gynecological tumor, most of which are benign. Because the ovaries are relatively small organs in the human body and are hidden deep in the pelvic cavity, early cysts are generally difficult to detect and are often discovered accidentally during B-ultrasound examinations.

3. Hydrosalpinx: It can manifest as dysmenorrhea, irregular menstruation, abdominal pain, most of which are hidden discomforts. The fallopian tubes are damaged to a certain extent, which further causes obstruction of the fallopian tubes and thus causes infertility.

Can I get pregnant with a pelvic mass?

Can you get pregnant with a pelvic mass? It depends on the location, size, and number of the masses. Different sizes of lumps have different effects on conception. Generally speaking, tumors with a diameter of less than 5 cm and no obvious symptoms generally do not affect fertility.

Taking uterine fibroids as an example, the uterine cavity is divided into the mucosal layer, muscle layer and serosa layer from the inside to the outside. Generally speaking, subserosal fibroids have little effect on conception, while fibroids growing under the uterine mucosa have the greatest impact on conception and have the highest incidence of infertility. This is because the submucosal fibroids will directly hinder the implantation of the fertilized egg, or because the fibroids occur at the entrance of the fallopian tube, pulling or twisting the fallopian tube, preventing sperm from entering the fallopian tube. Clinically, infertility is rarely caused by fibroids themselves. It is usually uterine fibroids accompanied by ovarian dysfunction that cause infertility.