Endometriosis ovarian cyst
Since the cysts are of different species, then,accordingly, the reasons that cause their appearance are also different. The emergence of some is due to hormonal disorders, while others have been planted since birth. But their development is carried out only under the influence of certain factors.
Endometriosis of the ovary isa disease requiring surgical intervention. Do not need treatment only functional cysts, because they have the property of resolving either alone or after therapy through hormonal drugs.
Cysts are characterized by twisting ortearing, and this is an extremely acute surgical situation. There are also formations that can become malignant. That is why, in the case of exclusion of the functional cyst, which develops as a result of impaired ovarian function, it must necessarily be removed.
It should be noted that there are situations whenFunctional cyst for three months does not resolve. Then it must also be deleted. But all cysts, despite their malignancy, have certain stages of development. And in the earlier stages, removal is not so dangerous.
Thus, the endometriosis ovary cyst has fourstage of its development. The first is characterized by small point endometriotic formations on the surface of the ovaries, as well as in the abdominal cavity of the rectum-uterine space. There are no cystic cavities.
The second stage is characterized by endometriosis cystonly one ovary, whose diameter does not exceed 6 cm. In the peritoneum of the small pelvis - small cystic inclusions. The appendages of the uterus - a minor adhesion process.
The third stage - similar cysts of both ovaries, having a different size. As a rule, on one ovary - formation, diameter exceeding 5 cm, and on the second - an endometrioma, but small.
In the fourth stage, the development of cystsboth ovaries of impressive size (more than 6 cm). In addition, the pathological process passes to neighboring organs, such as the rectum and sigmoid colon, bladder. Adhesive process is very common.
Endometriosis of the ovary isformation, distinguished by a dense capsule, which is filled with dense contents of brown, even chocolate color. That's why it was previously called "chocolate cyst". Often, it is accompanied by an adhesive process, which occurs as a result of microperforations of the cysts during menstruation. Basically, their diameter does not exceed 12 cm.
The main symptoms of this ailment are painin the lower abdomen, there are quite often observed peritoneal phenomena that are associated with the same microperforation of the cysts. During bimanual examination behind or to the side of the uterus, tumoral formations of round or ovoid form are found. Such formations are characterized by a tauto-elastic consistency, limited mobility due to the adhesive process, there are sharp pains during the study itself.
It should also be noted that the data sizesCysts vary depending on certain phases of the menstrual cycle. If the ovarian endometriosis has other foci, the diagnosis is greatly facilitated. In addition, the size of cysts has little effect on the severity of symptoms.
Then, when a large cyst canabsolutely do not cause symptoms and become an accidental finding during the preventive examination, the minimal endometriosis of the peritoneum of the small pelvis, for example, can lead to loss of ability to work.
Therefore, it is so important to monitor your ownhealth and timely preventive examinations. After all, the first stage of treatment of such a disease involves surgery. Just like a two-chamber ovarian cyst, all cysts are to be removed by surgical intervention because of the inability to obtain a full therapeutic effect by other methods, and also because of oncologic alertness.
The most effective is the removal of allcompletely visible foci, resection of the ovary within only healthy tissues. It is also necessary to evaporate the foci along the peritoneum and treat the bed of the cyst with a CO2 laser. For young women of childbearing age, such a surgical intervention has slightly worse consequences than for older women.
Mainly because the endometriosis cystovary involves in the pathological process not only the fallopian tubes, but also adjacent organs (bladder, rectosigmoid part of the intestine and ureters). This all causes significant difficulties, and also increases to a certain extent the risk of complications during the operation.