Endometrioid cyst - a benign tumor of the ovaries.
In endometriosis ovarian small lesions grow, merge together to form cysts. Endometrial cysts are covered with a dense capsule and often filled with menstrual blood. They may be unilateral or bilateral. Their size may vary from one to ten centimeters in diameter. This pathology is most often diagnosed in women aged 12 to 50 years.
The causes of endometriosis, ovarian cysts
The exact cause of this disease is not fully understood. It is believed that the cyst may be formed as a result of retrograde menstruation. Endometrial cells during this period are transported with the blood. They can settle down in the abdomen in the tissues of the ovaries, the fallopian tubes. Endometrial cells may fall during a therapeutic abortion, dilatation and curettage, gynecological surgery, and when diathermocoagulation cervix.
Some doctors believe that endometrioid ovarian cyst is formed when persistent residues embryonic tissue replacement or as a result of any genetic defects, weakened immune responses. Prove the link between endocrine malfunction and the development of the disease.
Trigger the development of this disease can be emotional stress, prolonged use of intrauterine devices, liver disease, endometritis, obesity, oophoritis and unfavorable ecological situation.
Symptoms of endometriosis, ovarian cysts
The severity of symptoms of the disease depends on the degree of neglect of cysts on the presence of comorbidities, as well as the psychological state of the patient.
Progression of the disease may be associated with prolongation of the menstrual cycle, the advent of spotting before and after the menstrual cycle, symptoms of intoxication (nausea, weakness), fever.
The increase in the size of the cyst can cause scarring and follicular cysts. They interfere with the normal functioning of the ovary and lead to degeneration of the eggs. Untreated endometrial cyst may be the cause of adhesions in the pelvic organs, resulting in dysfunction of the bowel and bladder.
Diagnosis and treatment of endometriosis, ovarian cysts
This pathology can not be detected independently. Often the doctor detects ovarian cyst during a pelvic exam. To clarify the diagnosis is usually appointed by laparoscopy, pelvic ultrasound with magnetic resonance imaging and Doppler.
For the treatment of endometrial cysts can be used conservative methods (pain, nonspecific anti-inflammatory, hormonal therapy, intake of enzymes, vitamins, and immunomodulators), surgical (organ-removal metirioidnoy cyst laparotomy or laparoscopic method) and combined.
Treatment of cysts should be aimed at the elimination of symptoms, and the prevention of its progression.
Tactics of treatment of this disease should be chosen taking into account the patient's age, stage of disease, presence or absence of problems with conception and extragenital and genital disorders.
Removal of endometrial cysts
Surgery for endometriosis cyst is carried out at the ineffectiveness of conservative therapy, large cysts, as well as the risk of complications. Enukleazatsiya heterotrophic entities and ovary resection - the most common surgical methods of treatment of the disease. Most sparing operation for endometrial cyst is considered a laparoscopy. Recovery from laparoscopy comes in a very short time.
Removal of endometrial cysts necessarily carried out in combination with hormone therapy. Your doctor may prescribe low-dose monophasic combined contraceptives derivatives norsteroidov, prolonged medroxyprogesterone acetate, synthetic agonist of gonadotropin-releasing hormone and androgen derivatives.
After surgery to remove endometrial cysts patients prescribed physical therapy to correct the endocrine balance, prevent infiltration and adhesive processes and possible recurrence of cysts.
Endometrial cysts and pregnancy
With the development of cysts is greatly reduced the possibility of pregnancy, since due to inflammation of the follicles are destroyed. Against the background of the disease, and hormonal disorders occur in the ovary, and the hypothalamic-pituitary system. Adhesions in the pelvis can contribute to infertility.
If pregnancy occurs in this disease in the early stages are usually prescribed antispasmodics, hormones and sedatives. With a small amount of endometrial cysts during pregnancy surgery is not required. For large amounts increases the risk of rupture of the cyst or cysts twist her legs, spontaneous abortion.