Should I Remove a 9cm Spleen Cyst Before Trying IVF?

9 cm splenic cyst?

Today, it was found that I have a 9 cm splenic cyst (I had a laparoscopic drainage of an 11 cm cyst three years ago).
I have been trying to get pregnant but have experienced multiple miscarriages.
I am considering in vitro fertilization, but due to the size of the cyst, should I have my spleen removed before attempting to conceive? What should I do? Please advise, thank you.

vivi, 40~49 year old female. Ask Date: 2020/10/07

Dr. Xu Kaixi reply Surgery

If a splenic cyst has been drained three years ago and has recurred postoperatively, consideration can be given to repeat drainage or splenectomy.
Regarding whether a splenic cyst affects in vitro fertilization, it is recommended to seek evaluation from an obstetrician.
Theoretically, a splenic cyst is not directly related to pregnancy unless the cyst is large enough to restrict intra-abdominal space, which requires assessment by an obstetrician.

Reply Date: 2020/10/07

More Info

When considering whether to remove a 9cm spleen cyst before attempting in vitro fertilization (IVF), several factors must be taken into account. The primary concern is whether the cyst poses any risk to your health or the success of the IVF process.
Spleen cysts, particularly those that are asymptomatic and not causing any complications, can often be monitored rather than surgically removed. However, in your case, the cyst has grown to 9cm, which is significant. Large cysts can potentially cause discomfort, pain, or complications such as rupture or infection. Additionally, if the cyst is causing any abdominal pressure or discomfort, it could interfere with your overall health and well-being, which is crucial when preparing for IVF.

The relationship between a spleen cyst and fertility is not direct. Generally, spleen cysts do not affect the reproductive organs or the process of conception. However, if the cyst is large enough to cause abdominal discomfort or other systemic issues, it may indirectly affect your ability to undergo IVF successfully. For instance, if you are experiencing pain or other symptoms, it could impact your overall health and readiness for the IVF process.

Given your history of miscarriages and your desire to conceive, it is essential to ensure that you are in optimal health before proceeding with IVF. Consulting with both a gynecologist and a surgeon specializing in abdominal or spleen surgeries would be beneficial. They can provide a comprehensive evaluation of the cyst, including imaging studies to assess its nature (whether it is simple or complex) and any potential risks associated with it.

If the cyst is determined to be benign and not causing any significant issues, your healthcare provider may recommend monitoring it while you proceed with IVF. However, if there are concerns about the cyst's size, potential complications, or if it is symptomatic, surgical intervention might be warranted before attempting IVF.
In summary, while a spleen cyst does not directly affect fertility, its size and potential complications could impact your overall health and readiness for IVF. It is crucial to have a thorough discussion with your healthcare providers to weigh the risks and benefits of surgery versus monitoring the cyst while preparing for IVF. This collaborative approach will help ensure that you make an informed decision that prioritizes your health and your goal of becoming pregnant.

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