The treatment of organs performing reproductive functions occupies a special place in medicine. Indeed, many diseases can lead not only to a violation of the rhythm of life, but also to the inability to conceive and give birth to offspring. Especially often representatives of the weaker sex turn to the doctor with various complaints. That is why it is so important to visit a gynecologist twice a year for routine examinations. Such preventive measures make it possible to detect one or another pathology at the very early stage of its development.
This article will tell you about such a problem as an endometrioid cyst of the right ovary. You can find out what kind of disease it is and how it appears. It is also worth talking about what the endometrioid cyst of the right ovary has symptoms. Treatment methods will be discussed separately below.
What is endometriosis?
Before you say what an endometrioid cyst of the right ovary is, it is worth noting that the formation does not appear on its own. It is always the result of a disease called endometriosis. In the early stages, the pathology does not manifest itself in any way. That is why such a disease is called the insidious enemy of women. After all, the progression of pathology leads to very unpleasant and serious consequences.
Endometriosis is a purely female disease. When it occurs, the growth of the internal mucous layer of the uterus - the endometrium. It is worth noting that cells appear where they should not be. During endometriosis, the described tissue affects the ovaries, fallopian tubes, abdominal cavity, intestines. The endometrium can also settle on the kidneys and liver. Less often, overgrowth affects the lungs and organs located above.
Indoor and outdoor
The endometrioid cyst of the right ovary, the photo of which is presented to you, appears solely due to external endometriosis. Many patients confuse it with the inside. To clarify the situation a little, it is worth saying a few words about this pathology.
Internal endometriosis is called endometritis. With the course of this disease, an increase in the uterine mucosa occurs. In this case, the endometrium does not extend beyond the genital area. With the external form, as you already know, the tissues of the abdominal cavity are affected. The cyst of the right ovary (endometrioid) is formed already at the 3-4th stage of the disease.
Why is it right?
The right ovarian cyst endometrioid occurs in 80 percent of cases of such tumors. According to statistics, other tumor processes more often appear on the right side. Why this happens is still unknown to the end.
Scientists tend to assume that the right ovary is filled with a large number of vessels and capillaries. This is where the bulk of the ovarian reserve is laid . That's why various cysts form here. A tumor of the left ovary is not as obvious as on this side. However, it can also form in the representative of the weaker sex in reproductive age.
Cyst of the right ovary endometrioid: symptoms of pathology
As you already know, endometriosis may not manifest itself for a long time. At stage 1-2, the majority of the fairer sex feel fine, they are not bothered by anything. However, with the formation of a tumor, everything changes. It is worth noting that the described neoplasm can increase in size very quickly. What can a woman complain about with such a pathology? Consider the main symptoms of the disease:
- Cycle violation. Menstruation with an endometrioid cyst becomes irregular. Bleeding may begin unexpectedly, in the middle of a cycle, or be absent for several months.
- Long periods. Most women who have a cyst of the right ovary (endometrioid) complain of blood circulation. However, it continues for one or two weeks after menstruation. The color of the discharge is almost black or brown.
- Chocolate menstruation. So many characterize their discharge. During menstruation, a woman discovers not scarlet blood, as is usually the case, but an almost black, viscous substance.
- Painful sensations. Often in the last stages, endometriosis manifests itself precisely as soreness in the lower abdomen. This sensation is exacerbated by sexual contact or a sharp fall on the buttocks. It is worth noting that the larger the cyst, the more pronounced this symptomatology.
- Temperature rise. If endometriosis progresses, and the cyst increases in size, then fever may begin due to the inflammatory process. However, this symptom does not always occur.
- Violation of the stool. If the neoplasm reaches a large size, then it begins to shift neighboring organs, in particular the intestine, from usual places. As a result, a woman often complains of constipation. The fairer sex has to take laxatives, but they are ineffective.
- Infertility. The endometrioid cyst of the right ovary and pregnancy are practically incompatible. This is precisely what young patients often complain of, which are subsequently diagnosed with pathology.
What can a doctor find?
If you encounter one of the above symptoms, then you should go to see a doctor as soon as possible. Remember that delay can threaten the transition of the disease to a later stage. In such a situation, getting rid of the problem becomes almost impossible. In addition to the symptoms that a woman detects, there are other signs of the disease. They can already be noted by a specialist during the diagnosis:
- Increased estrogen levels. In a laboratory study of the hormonal background, a woman with an endometrioid cyst will have a very high level of estrogen. It is because of him that the disease begins to progress.
- The insufficiency of the second phase. After ovulation, normal until the next menstruation occurs from 12 to 14 days. For patients with the described neoplasm, the duration of the second phase is not more than a week. Also often we are talking about anovulatory cycles.
- Enlarged uterus and ovaries. During a gynecological examination, the doctor may, by palpation, detect an increase in the genital organ. In the area of the right ovary, a woman feels pain. The doctor also notes its increased size.
- Fluid in the open space. With an endometrioid cyst, blood is regularly ejected into the abdominal cavity. During an ultrasound examination, the doctor can detect it and even measure volumes.
- Adhesive process. An endometrioid cyst is always accompanied by an adhesion process, since we are talking about a late stage of endometriosis. During the ultrasound examination, the doctor will see on the monitor the displacement of the pelvic organs. The ovaries are usually located closer to the uterus, and the genital organ itself has a bend. According to these data, it is possible to assume the presence of adhesions in the peritoneum.
- Blood in the abdomen. This symptom of an endometrioid cyst is indirect, since it also appears with other pathologies. You can detect it during a puncture, which is performed through the back wall of the vagina.
If endometrioid cyst of the right ovary is confirmed by all signs, treatment should be carried out necessarily. In the absence of correction, a woman may encounter even more unpleasant symptoms and various complications.
Right Ovarian Endometrioid Cyst: Treatment
Correction for women should always be determined by a specialist. Do not rely on the experience of your friends and experienced friends. Those drugs that have been useful to them, you can do even more harm.
Treatment of pathology can be carried out in various ways. Doctors choose a wait-and-see tactic, a medical correction method, and surgery. Also, some women are trying to cope with the problem using folk methods. It is worth noting that gynecologists are very distrustful of those. Doctors warn that some drugs and prescriptions can only aggravate a woman's condition. Consider the main methods of eliminating the neoplasm.
Expectant Method
Doctors use this method in cases where there is no certainty in the correct diagnosis. For several months, the woman is closely monitored. The patient is shown to regularly take tests and undergo an ultrasound examination. If the cyst started to decrease on its own, then the diagnosis is most likely incorrect.
When, in fact, a woman has an endometrioid cyst of the right ovary, the consequences will be as follows. The neoplasm will gradually become larger and acquire a clear outline during ultrasound diagnosis. Also, an experienced specialist with the help of good, modern equipment will be able to examine cameras in a cyst resembling a honeycomb. This will once again confirm the fact of the development of endometriosis and the need for treatment.
Laparoscopy and laparotomy: surgery
If a woman has an endometrioid cyst of the right ovary, surgery is inevitable. Usually, laparoscopy or laparotomy is chosen for this. It is worth noting that the first method of intervention is less traumatic. During the procedure, three punctures are made in the abdominal cavity of a woman. If the cyst is huge, then doctors prefer laparotomy. In the process of this operation, an incision is made in the peritoneum and further removal of the neoplasm.
Both interventions are performed under general anesthesia using a ventilator. Existing foci of endometriosis are cauterized. Also during the operation, the doctor carefully dissects the commissures and produces an abdominal toilet. This is necessary to prevent relapse of the disease. After a laparotomy, the patient should be in the walls of the hospital for up to two weeks. While laparoscopy allows you to go home in a day. Forecasts after the intervention are favorable.
Hormone therapy: artificial menopause
If you have an endometrioid cyst of the right ovary, the causes of this pathology lie in the violation of hormone production. Based on this, it can be concluded that hormonal treatment will give a positive effect. Indeed, such therapy is carried out. However, it does not allow to completely remove the formed cyst. Hormonal correction helps to reduce the volume of pathology. It is often used before surgery. Treatment is carried out after surgery. It can be different. Doctors prescribe more or less strong hormones.
The Zoladex and Buserelin-Depot medicines were very popular in the treatment of endometriosis and cysts. Also sometimes used "Janine", "Diane 35" and other drugs. The purpose of these compounds is to block the work of the ovaries. At the same time, ovulation and menstruation completely stops. The medicine injects a woman into the so-called artificial menopause. The duration of therapy is from several months to a year. It all depends on the stage of the disease and the ultimate goal.
Pregnancy and long-term breastfeeding - an effective treatment
If an endometrioid cyst of the right ovary is detected, is it possible to become pregnant? Doctors in most cases negatively answer this question. Indeed, conception in the later stages of the disease is unlikely. However, it is not excluded. There are women who are pregnant safely. Despite the constant threat of miscarriage throughout the entire period, the weaker sex carry and give birth to offspring.
This method can also be attributed to the treatment of endometriosis. Indeed, during pregnancy, the ovaries do not function, menstruation is absent, and therefore, the existing lesions simply fade away. After giving birth, a woman is advised to maintain prolonged lactation, during which menstruation will also be absent. Upon completion of breastfeeding, be sure to consult a doctor. You may still need cyst treatment.
Alternative methods of healing from an endometrioid cyst
If you have an endometrioid cyst of the right ovary, treatment with folk remedies is not recommended. Often, women use a variety of herbs for correction (boron uterus, red brush, sage). They all have an indirect effect on the hormonal background. However, they cannot cure a tumor.
Representatives of the weaker sex use biologically active additives. These include Indinol and Epigallat. In this combination, the manufacturer promises complete healing from endometriosis. Doctors do not advise trusting such information. The endometrioid cyst cannot resolve itself. Sometimes it only decreases in size. Remember this.
Also, some women testify that coffee helped them recover from the disease. Indeed, caffeine has a beneficial effect on the inner layer of the uterus. However, it is simply impossible to cure endometriosis and ovarian tumor with this product. A variety of tampons, baths and lotions are also powerless. Alternative medicine encourages the use of leeches.
A little summary: a few words about pregnancy
If you have a cyst (endometrioid) of the right ovary, you can get pregnant! However, this is quite difficult to do. Conception does not occur due to a disturbed hormonal background. Even if ovulation is completed and conception occurs, there is a high probability of an ectopic pregnancy. In the abdominal cavity, where the fertilized cell enters, there are a lot of foci of the endometrium, similar to the one located in the genital organ. It is here that the embryo, by mistake, can gain a foothold. It is worth noting that this condition is very dangerous for a woman's life. With an ectopic pregnancy, urgent surgical intervention is required.
That is why when planning pregnancy, you need to undergo a thorough examination and make sure that there is no endometriosis. If it is found, but you managed to conceive a baby, you should make sure as soon as possible that the fetal egg develops in the uterine cavity. Otherwise, daily monitoring is performed using ultrasound. If the embryo is absent for a period of 6 weeks from the last menstruation, then this is a reason to worry and suspect an ectopic pregnancy.