I am 36 and am 8 weeks 4 days pregnant and have just discovered through an US after cramping in my left side that my left ovary measures 3.5 x 2.2 x 2.7 cm and attached to this left ovary is a large complex solid and cystic mass in the left adnexa, measuring (5.4 x 2.4 x 5.4 cm) with evidence of a large mural nodularity, the largest of which measures (3.4x2.7x3.0 cm) There is no hypervascularity. The right ovary is unremarkable, measuring 4.7 x 2.4 x 3.2 cm. No free fluid is identified.
I am being referred to a gyn/oncologist because malignancy is suspected.
I am seeking additional advice to support the advice I have already received or explore alternative options for treatment.
I have a follow up ultrasound scheduled in one month to observe the cysts size. If it has shrunk it is likely that it was blood clotting that was showing up on the US and the cyst will continue to shrink making this a functional, albiet unusual cyst.
If there is no size reduction or growth shown through the US I am being advised to have surgery in my second trimester of pregnancy to remove the cyst so that it can be checked for malignancy.
I would like to know what the risks are associated with waiting a few more months to see if the cyst will reduce in size. What are the chances that a cyst will reduce in size? What is the optimal time to have an invasive procedure during gestation and why? Are there any steps I can take to encourage size reduction or elimination naturally? What is indicated by the observation of no free fluid is identified? Is there anything I can do that is non-narcotic for the pain. I am currently taking tylenol every 4 hours.
Are there any contraindications during pregnancy for the use of acupuncture to reduce the size of the cyst?
I appreciate your input and thank you in advance for your time.