Ovarian Cyst Or Pregnancy: How To Tell The Difference


There are circumstances wherein women might be confused whether they’re having an ovarian cyst or pregnancy.  It may be hard to imagine how an ovarian cyst can be mistaken for pregnancy; these are to completely different things.  However, there are rare cases that ovarian cysts can resemble pregnancy especially when the cysts are able to manifest these symptoms:
  1.  Produce human chorionic gonadotropin. Human chorionic gonadotropin or hCG is a hormone that the body produces during the early stages of pregnancy.  It’s also the substance that home pregnancy tests detect to diagnose pregnancy.  When an ovarian cyst produces hCG, it can produce a false positive in pregnancy tests.
  2.  Delayed and irregular menstrual periods.  Ovarian cysts can affect a woman’s hormone levels which can alter her menstrual period.  Missed periods caused by ovarian cysts can be mistaken as a pregnancy symptom.
  3.  Produces pregnancy symptoms.  The presence of hCG and changes in estrogen and progesterone levels due to ovarian cysts can also produce pregnancy like symptoms such as dizziness, lethargy, headaches, nausea and vomiting.
  4.  Bloated abdomen.  Ovarian cysts can grow in size to the point where it can produce a bloated abdomen.  The swelling of the abdomen can be mistaken for a baby bump, especially if he woman also has the symptoms listed above.

An ovarian cyst disguised as a pregnancy is often diagnosed right away, as early as the first “prenatal” check-up.  Doctors can easily distinguish between an ovarian cyst and pregnancy using blood pregnancy tests and an ultrasound.

The circumstances wherein an ovarian cyst resembling a pregnancy may be rare, but ovarian cysts are actually more common than most women think. Ovarian cysts are fluid-filled sacs that grow in the ovaries of women. They can be as small as a pea or can grow larger than an orange.   Most cysts don’t cause any symptoms and go away on their own.  And since most cysts don’t produce any symptoms, they’re usually diagnosed accidentally, though routine check-ups or while undergoing an ultrasound for other conditions.

Ovarian Cyst Symptoms
When an ovarian cyst starts to produce pregnancy symptoms or other symptoms like abdominal discomfort, it can be a cause for concern.  Other symptoms you have to watch out for include:
  1.  Pelvic pain – a steady or staggered mild to severe pain in the lower back area and may extend down the thighs
  2.  Pain on the lower abdomen, pain arises when the bowel is in pressure or in movement.
  3.  Dyspareunia – (pain during intercourse) specifically on the pelvic area
  4.  Feeling of fullness or heaviness in the abdominal and/or pelvic area.
  5.  Pressure on the bladder that can cause frequent urinating, and difficulties emptying the bladder
  6.  Nausea and vomiting
  7.  Vaginal pain or vaginal spotting.
  8.  Infertility

Large ovarian cysts are prone to rupturing, bleeding, or pain.  It can produce complications like sepsis and infertility if left undiagnosed and untreated.

Ignoring ovarian cyst symptoms can be dangerous and potentially lead to serious complications.  You’ll need to see a doctor right away, especially if you have ovarian cysts with symptoms and you’re also experiencing:
  1.  Severe pain in the abdomen, pelvic or lower back area
  2.  Pain accompanied by fever or vomiting.
  3.  Extreme discomforts that becomes disruptive to everyday activities

These symptoms usually indicate a ruptured cyst and would require immediate medical attention.

Ovarian cysts can also happen during pregnancy.  In most cases these cysts are harmless and would disappear on their own in a few weeks without treatment.  There are some cysts that do persist and have to be treated with medication or surgery in order to save the pregnancy.  Worst case scenario, the pregnancy may have to be terminated in order to save the mother’s life.

Regardless of whether you have just an ovarian cyst or pregnancy, it’s best to have yourself regularly checked by your doctor.  Treating an ovarian cyst early and taking care of yourself during your pregnancy are the best ways to stay healthy and prevent serious health complications in the future.