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First-trimester ovarian cysts often resolve. (Few Require Intervention).

OB GYN News

| February 01, 2003 | Boschert, Sherry | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW YORK -- Ovarian cysts spotted when pregnant women undergo first-trimester ultrasounds usually resolve spontaneously, and only a few require intervention, Dr. G. Condous reported.

He and his associates prospectively checked the ovaries in 3,000 women who had ultrasound exams before 14 weeks' gestation. Five percent of the women had either a complex ovarian cyst or a simple cyst that was 25 mm in diameter or smaller, Dr. Condous reported in a poster presentation at the 12th World Congress on Ultrasound in Obstetrics and Gynecology.

Only 6 women (0.2%), or 2 of every 1,000 women, required intervention because of ovarian cysts.

"Examining the ovaries in the first trimester is of limited value," said Dr. Condous of St. George's Hospital Medical School, London.

The investigators repeated ultrasound scans on women with ovarian cysts every 4-6 weeks until the cyst resolved, intervention was required, or the pregnancy was terminated. If a cyst persisted at 20 weeks, they rescanned the patient at 6 weeks' post partum. They used transvaginal ultrasound up to 14 weeks' ...

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