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Bilateral Dermoid Cysts and Pregnant!

I am a 29 year old female, pregnant after 3 years for the second time. This pregnancy, though unplanned, is a blessing in disguise. Because I was high-risk with my first daughter I was sent for an ultrasound at 7 weeks to verify a viable pregnancy, and it was. At which time the tech found 1 large(12cm) mass on my right ovary. During a subsequent US at the doctors office their tech found yet another smaller 6cm mass, this one on the left ovary. After waiting a month to further the pregnancy along and another US, where there was no change with the masses, I was sent for an MRI and then to the Karmanos center for evaluation. All of the docs agree that I have bilateral cysts of the dermoid persuasion that will be monitored monthly via Ultrasound for size change and interference with the babies development.

This is all well and good and certainly could be worse but I am still very confused about some things. What makes cysts turn on themselves (torsion)? Are they more likely to torse being on the ovaries? My activities are restricted to minimal, no exercise or intercourse(which is not going well with the husband)and I understand they could rupture at any time?

Any answers, suggestions or advice would be greatly appreciated.
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Avatar universal
Anne D...... I have not been pregnant at the age of 28 and I am still worried about pregnancy and how my body will be effected by pregnancy.  I had my ovarian cyst removed in Dec. 2006  and I am having a tough time with the sex issue as well as a baby.  I know all the risks I am a high risk pregnancy thats for sure these days I have a lot of concerns in general.


Some body any body help!!!! I am going a little bit crazy with all that has been going on
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Avatar universal

I copied and pasted this for you.  Hope it helps.


Background: Ovarian torsion (adnexal torsion) is an infrequent but significant cause of acute lower abdominal pain in women. The clinical findings are nonspecific, and delays in diagnosis and surgical management are common.


Pathophysiology: Ovarian torsion can occur in normal or pathologically enlarged ovaries, fallopian tubes, or both. It is usually unilateral.

Causes:

It is believed that the increase in the weight and the size of the ovary may alter the anatomy of the fallopian tube and cause twisting.
Often, cysts that are a normal occurrence with ovulation may cause ovarian enlargement and predisposition to torsion.
Congenitally malformed fallopian tube
Excessive tortuosity of the veins of the mesosalpinx
Neoplasms
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