Can homeopathy cure dysfunctional uterine bleeding
Ovarian cyst - Usually completely harmless
Cysts are fluid-filled cavities that are surrounded by a capsule of connective tissue. They often arise when the body changes its hormonal balance - for example during puberty or menopause.
A cyst is usually only a few centimeters in size and usually does not cause any symptoms - and it often resolves on its own.
- If, contrary to expectations, it grows stronger, it occasionally causes dull pain in the lower abdomen.
- Some cysts also release hormones and thus stimulate the growth of the uterine lining: This can disrupt the cycle and cause so-called spotting, for example.
- If a small cyst bursts: This causes sudden, stabbing pain - but is usually not a cause for concern. Check with your gynecologist to be sure.
- In individual cases, very large cysts press on the surrounding abdominal organs such as the intestines or the bladder: They cause digestive problems or urination.
- A feeling of pressure in the lower abdomen and pain during sexual intercourse can also indicate a cyst: Have such symptoms clarified by your gynecologist.
Emergency: handle rotation
Very large cysts put a lot of pressure on the ovary and in rare cases can even twist it. This leads to sudden, violent pain, because the ovary is cut off from the blood supply when the stem is rotated. This is an emergency that needs urgent surgery: dial 112 and call emergency services.
Your gynecologist will first inquire about any pain, your monthly cycle and, if necessary, about an unfulfilled desire to have children. If the suspicion of a cyst is confirmed, he will examine your ovaries using a so-called transvaginal ultrasound: This will give him the most accurate images of the organ possible.
This type of cyst is hormone-related and mostly occurs during puberty or menopause. It usually resolves on its own and can have various causes:
- The Follicular or vesicle cyst can occur when ovulation fails due to hormones and the egg cell remains in the ovary. Their protective layer, the so-called follicle, continues to produce fluid there and develop into a cyst.
- The Corpus luteum or corpus luteum cyst forms after ovulation: While the egg cell migrates to the uterus via the fallopian tubes, the follicle remains in the ovary. It becomes the so-called corpus luteum and produces hormones that maintain a possible pregnancy. At this point, a cyst can develop if there is bleeding into the corpus luteum.
- A Lutein cyst can form when there is too much of the pregnancy hormone hCG in the body. This can happen, for example, as part of an hCG fertility treatment. However, too much of this hormone can also be triggered by various types of cancer, including ovarian cancer.
- So-called Chocolate cysts are a symptom of endometriosis. In this disease, the tissue of the lining of the uterus settles in the surrounding organs: This is how cysts are formed that contain dark, chocolate-colored blood components. This type of cyst does not regress on its own.
- Polycystic ovaries also represent their own clinical picture within the functional cysts. The capsule of the ovary is so thickened due to hormones that ovulation cannot take place. As a result, many small cysts form and the ovary grows to many times its actual size. This change does not heal on its own either.
This type of cyst is usually congenital and does not regress on its own: it is usually a benign new tissue formation that is caused by incorrectly developed germ cells. It can, for example, contain hair, teeth, sebum or bone tissue. Important to know: about one to two percent of these cysts can develop into cancer.
Unremarkable functional cysts are very common: Your gynecologist can check their development with regular ultrasound examinations if necessary. Usually they do not require any further treatment and resolve on their own.
If the cyst does not dissolve or causes you symptoms, a laparoscopy can be useful: Your gynecologist can examine and remove the cyst in a minimally invasive manner. In this way, he also clarifies any suspicion of endometriosis or polycystic ovaries and, if necessary, recommends subsequent treatment with special hormones.
During the procedure, the surgeon's ultimate goal is to completely remove the cyst while protecting the ovary as much as possible. In very rare cases it is overgrown: It may then be necessary to remove the affected ovary as well.
Important to know
If both ovaries have to be removed, pregnancy is no longer possible: Menopause starts immediately after the procedure. Of course, your doctor will explain all the chances and risks to you before the operation - this way you can familiarize yourself with all the possible consequences and make a well-considered decision.
A cyst can potentially increase the risk of ovarian cancer: In some cases, the cyst cells degenerate and a tumor develops. If your gynecologist suspects a tumor, he can only secure or exclude this through an operation. In addition to the ovaries, he examines the entire abdominal cavity extremely carefully for any new growths - these can often be removed in the same operation. It may also be necessary to remove the ovaries, fallopian tubes and uterus. The same applies here: Your gynecologist will explain to you in detail about such far-reaching measures in advance of the procedure and discuss all important aspects with you.
Fallopian tube cyst and desire to have children
After diagnosing a fallopian tube cyst, see your gynecologist with all of your questions. He will advise you individually - especially on the subject of having children and family planning. Only in very rare cases is it necessary to remove both fallopian tubes: most cysts will not get in the way of your plans.
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