How Do I Choose the Best Treatment for Ovarian Cysts?

It is because the dysfunction of the hypothalamus-pituitary-ovarian axis destroys the mutual dependence and regulation, so the ovary cannot ovulate for a long time, which is a syndrome. Some ovarian cysts that contain endocrine functions can produce certain corresponding hormones due to the different tumor tissue components they contain, which interferes with the normal secretion and ovulation of ovarian hormones, causing symptoms such as amenorrhea, uterine bleeding, hairyness and infertility. Some malignant or huge tumors of the ovaries cause the destruction of most ovarian tissues, ovarian dysfunction, anovulation, adhesion to surrounding tissues, and obstruction of the fallopian tubes can occur, which can cause infertility. ^[1]

Polyovarian cyst

Overview of multiple ovarian cysts

Multiple ovarian cyst harm

1. The ovary is the place where the egg develops, matures, and is expelled. If a cyst occurs in the ovary, the diseased part loses the function of making the egg develop, mature, and expel, leading to infertility.

2. Some ovarian cysts containing endocrine function can produce certain corresponding hormones, interfere with the normal secretion and ovulation of ovarian hormones, and appear infertility.

3. The occurrence of ovarian cysts is related to high-cholesterol diet, ionizing radiation, and chemical substances. These adverse factors are also factors that cause infertility. Patients can have two symptoms under the same attack.

4. Larger ovarian cysts have a higher proportion of infertility, and bilateral cysts have a higher proportion of infertility. It is considered that due to more and larger ovarian lesions, it has lost the ability to effectively develop follicles and ovulate. Features.

Multiple ovarian cyst examination

I. Ultrasound examination . Ultrasound examination of ovarian cysts can detect the location, size, shape and nature of the mass, suggesting that the tumor is cystic or solid, benign or malignant, and it is distinguished from other diseases. The coincidence rate of clinical diagnosis of ultrasonography was 90%. However, solid tumors with a diameter of 1 to 2 cm are difficult to detect.

Second, cervical mucus examination and vaginal cell examination , estrogen makes cervical mucus thin, long drawing, and the appearance of fern-like crystals, the more obvious and thicker fern-like crystals, suggesting that the effect of estrogen is more significant. If rows of ellipsoids are seen on the smear, it indicates that on the basis of estrogen action, it has been affected by progestin. Look at the percentage of cells in the table, middle, and bottom. The higher the percentage of cells in the surface, the higher the level of estrogen.

3. Basal body temperature detection . Basal body temperature refers to the body temperature measured when the body has not performed any activity after waking up for a long time. It is the body temperature when maintaining the basic life activity state. Because the body temperature center is extremely sensitive to progesterone, the corpus luteum forms after ovulation. Generally, the body temperature rises 2-3 days after ovulation, and a few rise on the day of ovulation. If there is no ovulation, the body temperature will continue to be basal body temperature.

4. Radiological diagnosis . Radiological diagnosis is assisted by plain abdominal radiography, intravenous pyelography, barium swallow examination, and lymphography.

5. Cytological examination . Through fornix puncture and aspiration of ascites for cytological examination, during laparoscopy or laparotomy, fluid can be examined at the same time in the uterine rectal depression, which has a higher accuracy rate for the diagnosis of malignant ovarian cysts. ^[2]

Postoperative precautions for multiple ovarian cysts

1. Avoid eating greasy food. Because fat can build up, the wound can't heal quickly, and the ability to resist bacteria is weakened.

2. Eat the right amount of vegetables and fruits. Vegetables and fruits are rich in minerals and vitamins, which can improve their resistance and help wounds heal quickly.

3, more hydration after ovarian cysts. As the saying goes, drinking more water can cure everything.

4. Increase protein intake after ovarian cysts. Protein can help wounds heal quickly and increase strength. You can choose fish, because fish is easier to digest and absorb than pride.

5. Don't eat food that is prone to flatulence after ovarian cysts. Such as onions, soy products and cabbage. ^[3]

Multiple Ovarian Cysts Treatment

I. Expectation Therapy:

Fibroids are small, asymptomatic, without complications and degeneration, and have no effect on health. Perimenopausal patients have no clinical symptoms, considering that fibroids may shrink or shrink after hypoovarian function. The above conditions can be treated with anticipatory therapy, that is, regular follow-up observations in clinical and imaging studies (once every 3 to 6 months). Re-determine its treatment based on the review.

Drug treatment:

There are many new developments in drug treatment.

3. Surgical treatment:

In patients with fibroids, the age of uterine appendectomy was previously determined to be 45 years or older. It now appears that, from the actual point of view, especially according to the progress of gynecological endocrinology, the age of ovarian retention is generally 50 years old (the average age of menopause is 49.5 years), that is, those who are less than 50 years old should be retained. Or the normal ovaries of menopause after the age of 50 should also be retained, not lined with age.

Fourth, radiation therapy:

It is used for those who are ineffective in drug treatment and have contraindications or refused surgery, but there are certain contraindications. ^[4]

Multiple ovarian cyst symptoms

The main symptoms of polyovarian cysts are menstrual disorders, hairiness, and obesity. Most of the patients are young women, most commonly 22-31 years old. Polyovarian cysts can be manifested as thin menstruation, functional uterine bleeding, anovulatory menstruation, but the basic disorder is ovulation disorder.

It is mainly reflected in the following aspects:

1. Menstrual disorders

One ovary or even two ovarian cysts do not cause menstrual disorders because they do not destroy all normal ovarian tissues. Some uterine bleeding is not endocrine, or caused by ovarian cysts that change the distribution of blood vessels in the pelvic cavity, causing endometrial congestion; or due to the direct transfer of ovarian cysts to the endometrium. Menstrual disorders due to endocrine tumors are often combined with other secretory effects.

2. Symptoms of oppression

Large ovarian cysts can cause dyspnea and palpitations due to compression of the diaphragm. People with ovarian cysts and a large amount of ascites can also cause this kind of symptoms; however, some patients with ovarian cysts have difficulty breathing due to one or both pleural effusions. And often incorporate ascites.

3, abdominal circumference thickened, abdominal mass

This is the most common phenomenon in patients. The patient noticed that his clothes or waistband seemed tight, only then he noticed that the abdomen was enlarged, or he happened to notice it in the morning, so he found that there was a mass in the abdomen by pressing the abdomen, and the bloating was uncomfortable.

4. Abdominal pain

If the tumor has no complications, it is rarely painful. Therefore, patients with ovarian tumors feel abdominal pain, especially in those who suddenly occur. The pedicles of multiple tumors are twisted, sometimes caused by rupture of the cyst, bleeding or infection. In addition, malignant cysts often cause abdominal pain and leg pain. Pain often causes patients to seek emergency treatment. ^[5]

Note for multiple ovarian cysts

1. The patient's diet should be light and rich in sufficient nutrients to correct partial eclipse and abnormal eating habits. Do not eat irritants, seafood, etc. Avoid spicy and irritating diets. Avoid sweets. Mung beans, crabs, and persimmons are best avoided.

2. Secondly, choose low-glycemic index foods: low-glycemic index <; 55 carbohydrates, so that blood sugar will not rise too quickly. The main principle is to try to eat non-refined foods, such as granulated oats; brown rice and grain rice are better than white rice, and white rice is better than porridge.

3. Relax your mood, build confidence in treatment, and patiently treat. Young women who have this disease without treatment have a high chance of developing type 2 diabetes in the middle and old age. The untreated disease is considered a progressive syndrome and, once it occurs, it persists for life.

4, to avoid high tension and mental stimulation, maintain optimism and adequate sleep, reduce external emotional interference, which also ovulation is more important for patients with polycystic ovary syndrome ^[6] .

Multi-ovarian cyst treatment

1. Traditional Chinese Medicine Treatment: Although traditional Chinese medicine has achieved some breakthroughs in the treatment of ovarian cysts, most common liquid cysts can be controlled or relieved after a period of traditional Chinese medicine treatment. However, the efficacy of traditional Chinese medicine in treating ovarian cysts is mostly at the level of relieving symptoms. Difficult to treat radically.

2. Surgical treatment: one-sided salpingo-oophorectomy; bilateral ovarian cystectomy; accessories and total hysterectomy. The tumor will relapse and grow again after the operation, so except for patients who have undergone organ resection, most patients undergoing ovarian cystectomy will still have the possibility of recurrence, and the operation will be traumatic and the patient will be more painful. There may be complications.

3. Drug treatment: For the diagnosis of mixed mass in the ovary, you can conservatively treat for one or two courses according to the situation, and double-check the B ultrasound. If there is a reduction, you can not operate, if there is no change or even grow up You must have surgery. The efficacy of drug therapy for ovarian cysts is only at the level of relieving symptoms.

4. Ultrasound Intervention Therapy: ^[7] This is one of the more advanced methods for treating ovarian cysts. This treatment not only does not require surgery, but also has recurrence and minimal trauma after treatment. There are no side effects. The most important thing is to treat patients. There will be no impact on future fertility.