What is hemorrhagic ovarian cyst: how to treat important symptoms

Anatomically hemorrhagic ovarian cyst is filled with blood or blood clots hollow education. This cavity can be either functional or cyst of yellow body. So, if the walls of the bubble excessive stretching, straining, any hemorrhagic cyst takes on the appearance since its lumen is pouring out blood.

Treatment involves resolving and hormonal therapy

Causes

Many authors indicate the primary nature of formation of hemorrhagic cysts: when aging or the release of an egg possible rupture of the vessel due to a hematoma of the corpus luteum or follicle hemorrhagic cyst. Sudden bleeding into the ovary combined with the violation of the integrity of tissues and even their absolute rupture, which causes internal bleeding. This pathology is mostly seen in women, aged from 20 to 35 years.

Hemorrhagic cyst is formed most often in the right ovary, due to the power of its blood supply (it is connected with the Central aorta directly), and the left ovary through the renal artery supplied blood more slowly .

Hemorrhagic cyst is formed mainly in the middle of the cycle and its development is associated with rupture of the follicle. Less dangerous is the limited hemorrhage into the cavity of the cyst. Dangerous hemorrhage diffuse, typically arising from congestion. It is worth noting that diffuse hemorrhage in the region of the peritoneum provoke fibromyoma, lifting heavy objects, excessive physical activity, active sexual intercourse.

Что такое геморрагическая киста яичника: как лечить, важные симптомы

Hemorrhagic cyst is formed mainly in the middle of the cycle and its development is associated with rupture of the follicle

The main symptoms

Hemorrhagic cysts are not a disease, but manifestation of it. Usually the symptoms are the following:

  • pain in the lower abdomen (depending on the location of the cyst);
  • painful or heavy menstruation;
  • sensation in the suprapubic region of gravity.
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The probability of rupture of such education is increased in women with irregular menstrual cycles, primary or secondary infertility, and obesity. Regardless, broken or not, these cystic masses, they cause the pelvis burning sensation, as usually dripping with blood.

History in hemorrhagic ovarian cyst

Most often detected in patients with hemorrhagic cystic lesion of the ovary, a history was noted:

  • acute respiratory viral infections, the treatment of which was carried out by medicines containing aspirin (antipyretics);
  • hypothermia;
  • lifting weights, physical exercise and stress;
  • intense aching pain in the lower abdomen, which began to disturb on day 19-23 of the menstrual cycle;
  • the loss of strength.

Что такое геморрагическая киста яичника: как лечить, важные симптомы

Most often detected in patients with hemorrhagic cystic lesion of the ovary, a history marked prostration

Effective methods of diagnosis

To diagnose hemorrhagic cyst with a view to its further treatment in the following cases:

  • During gynecological examination. By palpation of the suprapubic and iliac regions are defined by nearaverage pain, recorded mild symptoms of peritoneal irritation. The appendages are enlarged and usually painful. Unlike parasailing and follicular cysts, in which the duration, frequency and intensity of pain varies and does not practically depend on their sizes, in hemorrhagic formation with diameter more than 50 mm long are observed, severe abdominal pain. The patients complain of dragging pain in the abdomen, nausea.
  • When using ultrasound examination. Hemorrhagic cystic formation on the projection of the ovary visually defined as anechoic mass with a thick capsule from 2 to 4 mm, and internal walls and uneven structure. In the works of famous English specialists Bisset R. A. L. and Khan, A. N. picture ultrasound hemorrhagic Ciliophora more precisely:
  • «Sonographic picture is very varied and depends on the state of the blood in the lumen of the cyst. Fresh blood is anechoic, but when folding, it becomes echogenicity. The cyst may appear anechoic, solid, combination, multi, and can also determine the border between the contents of different density».

    Что такое геморрагическая киста яичника: как лечить, важные симптомы

    Hemorrhagic cystic formation on the projection of the ovary visually defined as anechoic mass with a thick capsule from 2 to 4 mm

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  • When using magnetic resonance imaging – a highly effective method of diagnosis of hemorrhagic cystic formations, for which the Mr signal is more intense in comparison with the signals for other cystic formations. So, on T1-weighted images of hemorrhagic cysts lighter and on T2-weighted images they are either Hypo, or as simple cysts, hyperintense. Besides, the method allows to investigate the dynamics of the hemorrhage. At various stages of hemorrhage characteristic of a typical MP-picture.
  • When using laparoscopic examination. On examination, the ovaries are usually bumpy, sometimes shines through their content. If cystic formation combined with the inflammatory process, there is deposition of fibrin around the ovaries.
  • In some cases, treatment is required?

    The choice of tactics of treatment of hemorrhagic cysts depends on the severity of the condition. Doctors in most cases try to solve the problem without surgery. The reason is that hemorrhagic of education are subject to unannounced disappearance for 1-3 months.

    However, in pediatric gynecology cannot be practiced exclusively dynamic observation, as it is fraught with complications:

    • torsion;
    • the possibility of breaks due to physiological and anatomical features of an organism of the child.

    Therefore, treatment of children immediately.

    Treatments

    The patient must comply with bed rest, on the lower abdomen apply cold compresses. Appointed also treated with antibacterial and anti-inflammatory drugs. Treatment involves resolving and hormonal therapy. If the regression of the lesion is delayed or develop complications (bleeding in the ovary or abdominal cavity), surgical treatment: within normal tissue are removed hardened shell.

    Что такое геморрагическая киста яичника: как лечить, важные симптомы

    If the regression of the lesion is delayed or develop complications, surgical treatment

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    To eliminate the possibility of tumor histological study of tissues. When rupture of the cyst in young, nulliparous women, treatment with the use of laparoscopic adnexectomy with the aim of maximum preservation of intact ovarian tissue and reproductive function of the patient.

    The older women have already given birth of a child, appendages removed. Recovery of patients after treatment is fast enough. Due to the other ovary to get pregnant remains (in the absence of a history of ectopic pregnancy in that tube, and other complications). After surgery it is treatment with combined oral contraceptives that normalizes a hormonal background of women.

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