A benign formation on the surface of the ovary, filled with semi-liquid content, is called a cyst. It is able to grow on the background of fluctuations of a hormonal background. The tumor is characterized by asymptomatic course of the disease, but if there is pain, a woman may choose one of the options of treatment.
What is endometriotic cyst
Pathology looks like benign cavitary formation of liquid brown. Endometriotic ovarian cysts (chocolate cyst) – a common gynecological disease. A cavity is formed inside the ovary or on the surface. Merging with the cavity of the body happens with the help of restrictive walls of the cysts.
In diameter the size of the entities does not exceed 12 cm more common, the volume of 2-5 cm At risk women of reproductive age. If time does not go to the doctor, it is possible to break the wall, throwing the brown fluid in the abdominal cavity and peritonitis.
Endometriotic cyst left ovary
Gynecologists call this education endometriomas. Depending on the localization, pathology has its own characteristics. Endometrioma left ovary appears not as often as right. Its hallmark is that it can occur after surgery in the colon or diseases.
The sizes of the abnormalities may vary from 5 mm to 13 cm with Symptoms such as left lower abdominal pain, heavy and painful menstruation, fever, discomfort after sexual intercourse and pain when urinating.
Endometriotic cyst right ovary
More often than the left, appears endometrioma right ovary. Pathology can long time does not manifest itself and be asymptomatic. Among the reasons for the formation of release: surgery in the region of the peritoneum, appendectomy. The physician diagnoses the severe stage of the disease, if along with endometriomas the right ovary revealed a tumor on the left side. Symptoms: problems with bladder and bowel problems, pain in right abdomen, irregular menstruation.
Endometrioid cyst of the cervix
Endometrial cells grows to the cervix, and formed the tumor. Endometriosis of the vaginal part of the neck and obstruction of the glands – two main reasons why there are endometriotic cysts of the cervix. When factor in the emergence of endometrioma acts as a blockage in the glands, the pathology is asymptomatic, so it is extremely difficult to detect.
However, do not exclude cases of malignancy have the form of cystic cavities in the cervical canal. Pathology of cervical erosion are found near, but inflammation is not the cause of the disease, and only the background pathology. For the detection of tumors is carried out cytological examination (smear from the cervix), colposcopy, hysteroscopy.
Endometriotic cyst in pregnancy
During pregnancy small endometrioma may not harm the child, so if women found this pathology, the pregnancy is not interrupted. To get pregnant with endometriosis cyst is possible, if it does not reach large sizes. Many doctors when planning a pregnancy recommended removal, but you must understand that the cauterization (coagulation) of the bed of the cyst may adversely affect the functions and tissues of the ovary. Complication after surgery can be adhesions, which threatens obstruction of the fallopian tubes and infertility.
Endometrioid cyst — causes
Reliable causes of pathology are not installed, there is only speculation. The main of them is heredity, genetic predisposition to polycystic. The next possible cause is modern life: a large number of frequent stress and the inability to get pregnant due to some social reasons.
Nature has given woman a certain number of cycles, the rest of the time the body needs to carry the baby or nurse him. If this program fails, then there are hormone-dependent disease. Other causes of endometriotic cyst of the ovary:
- the presence of harmful habits;
- bad ecology;
- the liver;
- surgery of the reproductive system: abortion, curettage;
- frequent stress;
- hormonal disturbances: problems of the adrenal cortex and thyroid, elevated prolactin, decreased progesterone;
- prolonged use of intrauterine device (IUD).
Endometrial ovarian cyst symptoms
On the first and subsequent share symptoms signs endometrial cysts of the ovary. To what extent is the disease, how long ago, there was a cyst, what are its dimensions, whether treatment – these factors depend on the symptoms symptoms. For accurate diagnosis of the type of cyst (there are about 5), the necessary consultation and examination gynecologist.
The following symptoms are characteristic also for other types of pathologies, therefore, need to be able to differentiate between them. Tumors can does not manifest itself, and then reflected by infertility. The first signs of tumors:
- when adhesions occur voiding and bowel problems;
- aching pain in the abdomen;
- the appearance of blood between periods;
- the profusion of the month;
- irregular cycle;
- before and after menstruation a slight highlight to dark colors.
Subsequent signs are seen if treatment is not carried out:
- strengthening of pain in the abdomen;
- nausea, dizziness, weakness;
- no pregnancy;
- increased body temperature;
- menstruation more than a week.
As a rapidly growing endometrial cyst of the ovary
The speed of tumor development is influenced by several factors, so can’t say for sure how fast growing cyst endometrium is not possible. In some cases, growth is slowing for several years, the tumor gradually increased in size. Others grow quickly or stop growing at all. It all depends on the hormones: when the level of estrogen increased, and the tumor rapidly increases in size. If the content of sex steroids is normal, then the tumor is slow growing and asymptomatic.
How to treat endometriotic cyst
For the diagnosis of the disease requires a blood test of the patient and conducting transvaginal ultrasound and MRI. Treatment of endometriotic cysts depends on the results obtained and can be of three types: conservative, surgical and combined. When large entities are assigned the removal of endometriotic lesions surgically (laparoscopy), and long-term therapy with hormones.
Is laparoscopy can be used to delete the contents of the tumor – puncture is forbidden for pregnant women and during lactation. Before the procedure to take the tests: coagulation, urinalysis, ultrasound diagnostics, the test for tumor markers. There are options for how to cure endometrial the ovarian cyst without surgery: treatment with hormones, painkillers and anti-inflammatory drugs, immunomodulators, enzymes and vitamins.
Endometriotic ovarian cyst treatment without surgery
When the tumor is small, then the doctor prescribes hormonal treatment of endometriotic cysts without surgery. If, during therapy, and before the hormones, may feel sick, then is shown taking sedatives, non-steroidal anti-inflammatory, antispasmodic drugs. A course of hormone therapy is drugs:
- prolonged medroxyprogesterone acetate (MPA);
- derivatives of androgens and nonsteroidal;
- low-dose monophasic combination contraceptives;
- agonists gonadotropin-releasing hormone.
Laparoscopy endometriotic ovarian cysts
According to numerous reviews, effective operational method to remove tumors is laparoscopic endometriotic cysts. The patient enters into a state of anesthesia, surgeons make three incisions in the lower abdomen. In the holes, inserted the laser, which performs a complete uninstall. The main advantage of laparoscopic surgery is «cosmetic effect» after surgery: no scars, small cuts heal quickly. The risk of bleeding is absent. The patient can return to normal life after 14 days.
Treatment of endometriotic ovarian cyst with folk remedies
Under the supervision of a physician and with a small tumor size may popular treatment of endometriotic ovarian cyst. Judging by the reviews, these are suitable plants: celandine, clover, cranberry, peppermint, tansy, celandine, mother and stepmother, chamomile, other herbs. You can prepare a decoction of clover, brewed 4 sprigs in 1 liter of water. Leave to infuse for half a day and the next day to drink in small SIPS. The duration of treatment is 2 months. Freshly squeezed juice of burdock, take 35 ml 3 times a day. In 0.5 liters of vodka to put 100 g of acacia and drink 40 ml three times a day.
Pregnancy after removal of endometrial cysts of the ovary
In medicine the concept of «endometriotic cyst and pregnancy» compatible, but what if I had to do the surgery? Women have two ovaries. If you remove one, the second will still be able to produce eggs. When laparoscopy is minimal intervention in the organism, which rarely leads to serious consequences. After the surgery the woman needs to go to prevent the formation of adhesions. Then fertility is not disturbed, and the patient will be able to plan pregnancy.
Video: The threat of endometriotic cyst of the ovary
Violetta, 26 years
Came to the gynecologist discovered I have a degree, but said that should disappear. About a month later I had pain in right side like appendicitis. I immediately realized that the cyst is not gone. Taken to surgery, was given a certificate that the ovary was removed, infertility, and even IVF will help. I saved the left ovary, growing daughter.
Natasha, 32 years
I was diagnosed with «endometrial tumor» the size 3 see no Pain was not, showed up on checkups. The doctor said I need surgery. I decided to go to another clinic, where they prescribed hormonal contraceptives Janine. After 2 months, education became both ovaries in place. Don’t be afraid to contact other professionals.