Dear Alice,
Both me and my husband are at Columbia University. I was recently diagnosed with ovarian functional cysts that are about one inch long each, in both ovaries. We are starting to think about having a baby. Do you think that having those cysts in my ovaries would decrease my chances of becoming pregnant? Thank you very much for your response.
Dear Reader,
If a clinician in Health Services at Columbia gave you this diagnosis, then this person may be the one with whom to talk. This way, you begin building a relationship with someone you trust to answer your questions, someone who already has certain medical info about you.
Ovarian cysts are usually a common and harmless swelling of one or
both ovaries. These cysts most often occur in women who are between
puberty and menopause, when the ovaries are in high gear propelling out
mature eggs. The term "functional" means the cyst is not caused by any underlying disease or disorder, and that it will possibly resolve (shrink and disappear) on its own in a few weeks. Some functional ovarian cysts have no symptoms and are discovered, if at all, during routine pelvic exams. Others can cause symptoms, including:
- changes in the menstrual cycle, including shorter or longer periods, skipped periods, and/or spotting between periods
- pelvic pain or ache, especially during sexual intercourse or at the start or finish of menstruation
- feelings of nausea or queasiness
- breast tenderness
Because these symptoms can also be the sign of a more serious health problem, any changes in menstruation or prolonged abdominal pain need to be checked by a health care provider to rule out conditions that require treatment or further evaluation.
A functional ovarian cyst (or two) probably will not give you and your husband problems conceiving a future member of the Columbia University Class of 2024. If, however, it is recommended that you need surgery to remove a cyst, you can talk about your pregnancy plans with your surgeon, who can help you understand exactly what is to be done, and what the impact might be. A woman can be fertile with only one ovary, or with even one part of an ovary. Referral to a fertility specialist may be in order depending on your own unique situation.
- Alice
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