Ovarian apoplexy: causes and symptoms
Rupture of the surface of the skin and tissues of the ovary sometimes occurs with extensive bleeding into the peritoneum is called apoplexy. Similar pathology is found mainly in the age group of 20-40 years, while in medical practice, describes cases of such manifestations in 14 years.
Peculiarities of apoplexy
Long-term observations show that apoplexy appears in certain periods, for example, it is often found during menstruation, and the occurrence of ovulation. Often there is a rupture of the tissues and also blood vessels of the ovary.
There are cases when sudden apoplexy comes at a time when the woman is asleep. It should be noted that, according to statistics, the bleeding right ovary occurs more frequently, due to peculiarities of the structure of the reproductive female organs. The power of the right ovary carries the largest artery, extending from the main abdominal aorta, while the left fits an offshoot of the renal artery having a smaller transverse dimensions.
The development of the disease
In the ovaries there is a preparation for a possible pregnancy with the stretching of the follicles in which the egg Matures. In the initial stage of menstruation the follicle increases, reaching maximum sizes of ≈ 20 mm. the Ripened egg is released through bursting the sheath of the follicle. In its place formed a yellow body that produce the hormones needed for female body, so that he could prepare for pregnancy.
If the tissue or membranes of the ovary there are changes in sclerotic or degenerative nature, the process of ovulation is disrupted. It is fraught with internal bleeding, as well as breakouts cysts formed earlier.
Forms of apoplexy
Analyzing the causes of the disease, it can be concluded that apoplexy can exist in 3 forms, showing the amount of blood loss:
- < 150 ml – mild;
- 150-500 ml is the most common average blood loss;
- > 500 ml severe complicated apoplexy.
The catalyst apoplexy of the ovary — is taken for a long time anticoagulant drugs anticoagulants. The list of risk factors includes horse riding. In the medical reference books reflected the common reasons due to which apoplexy occurs:
- stimulation with the help of medication of ovulation;
- varicose processes in the veins of the ovary;
Stimulation of ovulation
If the formation of healthy follicles no pregnancy occurs, then the method consists in stimulation of ovulation with drugs. This helps resolve positively the situation, if prolonged time, there is irregular ovulation.
Significant disadvantages of this scheme include a number of side effects:
- the cyst in the ovary;
- altered hormonal profile.
Inflammation of the ovary
Oophoritis inflammatory or infectious disease in a number of pathologies of the pelvis is the first place. It occurs as unilateral and bilateral. It is rarely localized in only one sector and captures in parallel with the ovary, the fallopian tubes, causing salpingitis. The total capture by the inflammation of appendages is called adnexitis.
Be the root cause of the sexually transmitted diseases gonorrhea, chlamydia, often in a number of pathogens are Mycoplasma, Trichomonas. If the immune system is weakened, to cause oophoritis capable of streptococci, staphylococci. At risk are women infected with Candida or E. coli.
There are several factors leading to disease:
- endocrine disruptions;
- pathology of the urinary system;
- uncontrolled sex;
- the weakened body;
- nicotine addiction;
- nervous breakdowns.
Varicose processes in the veins of the ovary
Violation of the outflow of blood occurs as a consequence of changes in the connective tissue of the venous walls. This is due to several factors:
- a static posture for extended periods of time – standing, sitting, inclined;
- pregnancy, especially repeated;
- endometriosis – abnormal growth of cells in the inner lining of the uterus;
- ovarian tumor;
- hyperestrogenia – enhanced synthesis of estrogen, becoming often the result of malignant neoplasms in the ovary;
- illiterate selected hormonal contraception.
Obvious causes of polycystic not been established, although studies in this area indicate the genetic nature of the disease. Moreover, the resulting cysts are not the impetus for the disease but its consequence. The ovaries themselves may not be considered in the role of causes of development of polycystic disease, because the symptoms may remain even after their removal.
When the complexity of establishing the root causes, you can talk about the impact on the development of cysts of several factors:
- The need for the pancreas to secrete excess insulin because of irregularities in its functioning, which negatively affects the ovaries, causing them to produce excessive amounts of androgens. This leads to a reduction and even complete disappearance of the capacity for ovulation
- Nonspecific inflammation, provocateurs whom are staphylococci, Pseudomonas or Escherichia coli, Streptococcus
The consequence of polycystic may be a growth of stroma and increase of ovary — sometimes 6 times. In severe polycystic there is a large number of cystic follicles atleticheskaja, which are gradually replaced by connective tissue. If the cysts are sufficiently large in size, the process of reorganization is the destruction of the walls, and develops apoplexy accompanied with extravasation of blood.
It is not always the apoplexy has the expressed clinical picture. Suspect possible bleeding due to the rupture of the cysts or tissues of the ovary can be based on several factors:
- pain in the pubic area;
- the pressure reduction;
- frequent urination;
- rapid pulse;
- failures during the menstrual cycle.
The main causes of destruction of the cyst associated with heavy loads, injuries, chronic inflammation that occurs in the area of the pelvis. Symptoms are similar to those manifestations which shows a typical apoplexy, and they too require an urgent response, since any running process is fraught with serious complications. If the problem concerns only the right — most vulnerable of the ovary, sharp pain attacks are often similar in nature with appendicitis, since the pain sensation is tested in the same area as the inflammation of the Appendix.