The functional activity of the ovaries is under the neurohumoral influence of the hypothalamic-pituitary system of brain, adrenal glands, thyroid gland. In pathology in any of these structures, the ripening process of the egg, the readiness of it to fertilization is violated. As a result of hormonal imbalance in the ovaries are formed hormonal cysts.

Hormonal or functional ovarian cysts are benign formations that are forming at the site of imperfect folliclegenesis or in the absence of a yellow body regression. More than 80% of all cystic ovarian formations belong to the functional cysts. Most often occurs in women of fertile age, as well as girls during the formation of menstruation and women on the eve of Klimaks.

The hormonal ovarian cysts own follicular, lutein and polycystic ovaries. Polycystic ovarian, unlike follicular and luteinova, which often undergo without treatment, are severe chronic illness, leading to persistent structural changes in ovaries. The stromas of ovarian with polycysticity is almost completely replaced by cysts, which is accompanied by a violation of all the processes of the egg development and ultimately the woman comes in infertility.

The follicular hormonal cyst of the ovary is formed into the first phase of the menstrual cycle. Normally, the dominant follicle under the influence of the follicle-sufficient hormone hormone is breaking the shell and the egg cell comes out of the ovary in abdominal cavity - Ovulation is carried out. If ovulation does not occur, the egg is dying, the follicle is filled with exudate. The inner sheath of the follicle is lined up multilayer epitheliumwhich produces estrogen.

The ovarian luteinic cyst is also hormonal formed in the second phase of the menstrual cycle on the site of the bunting dominant follicle. The luteinization phase is established when the yellow body is formed on the site of the follicle (due to yellow pigment). It serves as a temporary endocrine organ, preparing the body of a woman to pregnancy. If the fertilization of the egg is not carried out, after some time the yellow body undergoes the inverse involution - is absorbed. Since during each menstrual cycle, one matures dominant follicle, then the cyst (folicular or lutein) in its place is formed by one.

Causes that increase the likelihood of cyst

• Irregular menstrual cycle.
• Early start by Menarche.
• Drug stimulation of follicleogenesis when infertility.
• Inflammatory diseases of appendages, uterus.
• Operations of the reproductive system.
• Frequent abortions.
• Diseases of endocrine organs (thyroid gland, adrenal glands).
• Side effects of tamoxifen in the treatment of breast cancer.
• Metabolic syndrome.
• Strong psycho-emotional stress.

Symptoms

Minor cysts 3-5 cm do not manifest themselves, they are revealed by chance when accessing a doctor on another occasion. With an increase in the size of up to 8 cm and more - a sense of discomfort, cutting at the bottom of the abdomen, pulling pain after exercise and sexual proximity. With a follicular cyst, an elevated level of estrogen leads to a violation of the menstrual cycle. Menstrual allocations are accompanied by soreness, an increase in the volume of blood secured and often transfers to bleeding. Follicular and luteinic cysts are related to reitive, that is, to self-absorbing as a result of the normalization of the hormonal background.

If a lutein cyst is not exposed to involution for a long time and continues to secrete progesterone, the level of estrogen decreases. In a woman in the intermenstrual period, fashionable bleeding are noted. The cyclicality of menstruation is disturbed, the symptoms of the "false" pregnancy often arise - the absence of menstruation, weakness, nausea, urge to vomiting, swelling of the mammary glands.

Diagnostics

For gynecological inspection In the area of \u200b\u200bappendages, a rounded elastic formation is determined, a little mobile, painless with palpation.

Uzi determines the size, the structure of education. For differential diagnosis ectopic pregnancy, cyst of other origin, malignant tumors carry out diagnostic laparoscopy.

For detail, color doppler is performed, which shows the absence of blood vessels in the neoplasm.

Treatment

Tactics of treatment of hormonal cyst depends on clinical manifestationsconcomitant inflammatory diseases The organs of the small pelvis, the magnitude of cystic education.

When prescribing treatment, the attending physician takes into account the following:

• Type of cystic education.
• Patient age (presence or absence of menstruation).
• Risk of malignant rebirth.
• Preservation of the reproductive ability of the ovaries.
• The probability of complications.

Before appointing hormones - full examination of the patient, so as not to miss ovarian cancer or other neoplasms

In the absence of symptoms on the background of a healthy ovary, observation is shown for 3-4 menstrual cycles with an ultrasound. As a rule, for this period, functional cysts are solved independently. If the intelligent cause of the formation of cyst is the inflammatory ovarian process, the treatment is carried out in order to liquidate it. If the hormone imbalances participating in the reproductive function of the ovaries are diagnosed, oral hormonal contraceptives are prescribed to normalize the hormonal background of a woman.

With the ineffectiveness of conservative therapy, relapses, for the prevention of complications apply surgery. Treat hormonal cysts using surgical methods is advisable in a planned manner to prevent complications. Multinavasive operations are carried out with a laparoscopic way so that the woman keeps the ability to conceive.

Complications

• The gap with the ingress of the contents of the cyst in the abdominal cavity is the occurrence of peritonitis.
• Clear legs - the blood supply is disturbed, which leads to necrosis.
• Malignant transformation of cystic education.

All these complications require immediate surgical intervention. The volume of operation is determined after the revision of the abdominal cavity in the process of laparotomy.

The ovarian cyst is a fairly unpleasant phenomenon in the form of a bubble with a liquid, from which it is necessary to get rid of the faster. For this, doctors resort to medication treatment. It is appointed in the case when the cyst originated from a normal yellow body (functional cyst). For its treatment apply special pill from cysts.

Tablets from cysts: what to choose?

Tablets in the treatment of cysts

To get rid of the functional cyst of the ovary, several types of medicines are used. Each drug is selected only after inspecting the gynecologist and identify the individual characteristics of the patient. These include:

• hormonal tablets from cyst;
• antibiotics and vitamins;
• package preparations and antidepressants.

Tablets from cysts: hormonal therapy

Hormonal tablets for the treatment of cysts, as a rule, belong to progesterone derivatives. With it, you can cure the cyst pills pretty quickly.

This hormone regulates the flow of the second half of menstruation. Using such drugs, the growth of the neoplasm slows down. After stopping the growth of cyst, it begins to gradually decrease until it disappears. Dupsetone is very often used.

Contraceptive pills can be used as hormonal drugs. They are able to slow down the growth of the existing cyst, suppressing estrogen in the body of a woman. If there is no estrogen - no ovulation. Therefore, there is no menstruation. Therefore, cyst and ceases to grow.

It is oral contraceptives that can prevent the emergence of a new education at the same time, which is already treated. As a rule, mono- or two-phase drugs are used:

Anteovine;

Logesta, etc.

What drug is suitable for a specific patient, only a gynecologist solves.

The use of contraceptives has other advantages. For example, preventing accidental pregnancy during treatment. But this is only subject to regular reception according to the scheme.

Antibiotics

In some cases, the cyst is formed against the background of a inflammatory process in gOOD SYSTEM. That is, it is necessary to eliminate the cause in parallel with the treatment of neoplasia. Tablets in this case are complemented by anti-inflammatory, antimicrobial or antifungal drugsas well as standard antibiotics.

However, it is impossible to assign oneself medicinal products Alone. Some pills are not combined with each other, it is impossible to forget about it. Let the prescribing of drugs are engaged in the doctor, the task of the patient is to just take everything in the specified dosage.

Vitamins

Since each disease will definitely reduce immunity, in the process of treatment of cyst pills, it is necessary to support it. At the same time, activating protective mechanisms supported by vitamins are able to help in recovery. And also prevent new problems or complications. For this purpose, vitamin therapy is appointed, which necessarily includes:

• folic;
• vitamin C;
• vitamin E.

The ovarian cyst is a common name for a group of diseases that combines the formation on the surface of the female sex glare (ovary) bubble, that is, cavities inside which liquid content accumulates. The cystic ovarian formations are classified as follows:

• yellow Body Cysta;
• follicular;
• paradise;
• endometrioid;
• dermoid;
• muzzinic.

Yellow Body Cyst and Follicular Ovarian Cyst

Such cystic education They are considered functional, benign. They are associated with the accumulation of liquid content in the cavity of a broken after leaving the eggs of the follicle or the "yellow body" resulting in its place. The age of women who have such education, ranges from 20 to 45 years. From each thousand women during the year, 5 people are examined over this pathology.

The reasons for their education are unknown, however, such factors predispose to development:

• smoking;
• chronic stress;
• viral infections.

The flow is often not accompanied by any manifestations, and only sometimes there is a disruption of the menstrual cycle or pain in a suponic area or in groin. In the case of a complicated flow, the expiration of blood in the abdominal cavity occurs. Another option of complicated flow - twist the legs of cystic education and its death, that is, necrosis.

Clinical manifestations of disease are similar to all diseases described above. A special place occupies pathology as a cause of infertility.

How to cure an ovarian cyst without surgery if it is manifestation of endometriosis? For this purpose, prescribe drugs causing artificial menopause. Under their action stop cyclic changes Endometrial, and cyst ceases to grow or may even decrease in size. Means such as Bususorelin, Zoladex and others are used. After their use for several menstrual cycles, combined oral contraceptives containing estrogens and gestagens are prescribed. Such treatment helps to "run" the operation of the ovary in normal mode. After stopping the use of oral combined drugs, the likelihood of pregnancy increases. However, all these questions, the names of drugs, dosage and the duration of reception should be discussed only with a observing gynecologist.

If the pathology is diagnosed in an unborn woman, it is recommended to conceive a child in faster, so that the cyst small size does not interfere with pregnancy. In this case, hormonal therapy is beginning after the birth of the baby.

With the ineffectiveness of treatment, without carrying out the operation, it is removed by laparoscopic, after which the coursework is carried out by combined estrogen-gestagenic drugs.

Dermoid and mucinous ovarian cysts

These diseases without surgery are not treated. The laparoscopic removal of the part of the ovary or the entire organ is shown.

The ovarian mercine cyst is a benign rapidly increasing education, which is often transformed into cancer. Treatment such a cyst is also only operational. Deletion with the operation when it is necessary leads to severe complications: infertility, malignant transformation, intra-abdominal bleeding, peritonitis and others.

When climax

During the climacteric period, the ovarian function gradually fades, eggs cease to ripen, ovulation ceases. Therefore, the functional cystic education in women at the end of the fertile period does not arise, and those that were disappearing. Endometrioid cysts stop increasing, but under large sizes are not reduced.

In the period of perimenopause, women are more often registered by Muzzo cysts and. These formations are often converted to malignant tumors. Since women in Perimenopausus often have no need to enter the child, the treatment of the ovary cyst without surgery under the menu is inferior to the operational removal of education. Usually used lowraumatic.

Treatment with folk remedies

Consult your doctor before using folk recipes.

Only in some cases folk recipes You can use with full-fledged hormone therapy after consulting with the attending physician. It is allowed to use them with functional cystic formations. More often than others mention:

• tampons with honey and onions;
• mumina;
• kalanchoe and Aloe;
• boring uterus;
• red brush;
• roots of burdock;
• cedar nuts.

Adherents of traditional medicine believe that these tools help reduce the size of cysts, normalize well-being, improve the function of the ovary, help get pregnant. I would like to warn women from the treatment of ovarian cysts exclusively folk remedies. The effectiveness of these methods has not been proven, and their safety has never been studied. Using only national MedicineThe woman puts experiments to himself, losing a precious time.

We mention about such available method Aid with an ovary cyst at home as diet observance. Proper nutrition in any form of ovarian formations is based on a sufficient amount of plant fiber, refusal of spices, salt food, easily digestible carbohydrates (refined sugar) and excitation substances (strong coffee, large quantity of chocolate, alcohol). It is necessary to limit the calorie content of the diet, one should strive to achieve normal weight. In many ways, proper nutrition will help not only restore the function of the ovaries, but also to improve the operation of the pancreas, to normalize arterial pressure, reduce severity and even increase the likelihood of becoming pregnant.

The cyst of the ovary is quite common in our time. According to research this or that type of cyst occurs about 80% of women from around the world..

In the event of a detection of such a disease, it is very important to carefully monitor its dynamics so that in the case of the growth of cyst immediately begin treatment. There are two main ways to treat problems:

• surgical;
• medical.

For treatment, what cyst is suitable for a drug method?

If the disease that has arisen is functional, then the treatment of cysts is medicated. Such types of problems are also called hormonal, so it is possible to get rid of them by correcting the hormonal background of the female organism.

To do this, various drugs and candles can be used, among whom are:

• Metformin;
• Regular;
• Norcut;

Usually, with such treatment, complete recovery occurs after 3 months. In addition to receiving the relevant medicines, the gynecologist also assigns one more tablets - vitamins that contribute to increasing the common protective qualities of the body.

How is the treatment of regular

Medical method using regular button, which is prescribed by a gynecologist with an ovarian cyst, is usually directed to:

1. elimination of inflammatory processes in a small pelvis. For this, anti-inflammatory drugs are prescribed, antibiotics;
2. regulation of hormonal background.

Most often, for this purpose, the reception of hormonal contraceptives is appointed. For example, tablets are regular.

Under the influence of the regulation of the ovaries for a while reduce the activity of their activities: reduces hormone production, no ripening of follicles. Together with this, the recorder reduces all activity that is aimed at developing hormones that stimulate ovaries.

In the case of a regulation in the case of 3-4 menstrual cycles, the cysts most often disappear completely. Together with the use of regular a, the female organism is configured on the natural change of cycles. After completion of the adoption of the Regular, the regularity and duration of the cycle usually normalizes, the painful sensations are reduced.

In the treatment of the regular dosage and the duration of the reception course is mandatory as a doctor.

Candles from cystic formations

One of the drugs that is used for the treatment of cysts are hormonal candles of uremines. The main active part is the hormone progesterone, the disadvantage in the body of which often leads to the development of such a problem.

Using candles in the morning, it is possible to achieve the establishment of a normal level of hormonal background, reducing the walls of education and its size. Besides, treatment by these candles significantly reduces the risk of all sorts of complications., prevents the reservation of cysts.

The urozhastan is produced in the form of capsules that need to be acted. In the treatment of a follicular type of such a disease, as well as normalization menstrual functionThe doctor appoints intravaginal adoption of the drug as a candle.

The duration of treatment, as well as the dosage of the adoption of ureasiastan, is appointed only by a doctor.

It should be remembered that all hormonal drugs have certain contraindications. These include:

• the occurrence of bleeding from sex tract, the cause of which is not installed;
• malignant formations in lactic glands or reproductive system organs;
• various allergic reactions.

The gynecologist may appoint ureminic only on the results of blood test. Often the indication for the use of such candles is not only education follicular cysts, but also a violation of the level of estrogen, which is observed for several months.

Treatment of polycystosis

More complex in treatment is polycystrosis - a disease that affects both ovaries immediately. Drug treatment using Siofore or Meetformmin in this case depends on several factors, including:

• the age of the patient;
• symptoms of the disease, which are pronounced the most bright;
• desire to become pregnant;
• the level of obesity or its complete absence;
• the presence of diabetes.

Often, especially in cases where insulin resistance was also revealed in women with polycystic (the body does not respond to insulin) or diabetesThe basis of treatment is the adoption of the preparation of Siofor or Metformin.

Tablets Metformin and Syoform:

• increase the use of glucose in the cells of the body, leading its level in the blood to a normal state;
• reduce appetite;
• provides the regulation of the menstrual cycle in women suffering from polycystic.

Doses of Siofore and Meetformin for each patient are individual. As a rule, the duration of such a course of treatment is up to 6 months.

Initially, Metformin and Syoform preparations were created for the treatment of diabetes. Impacting the influence of insulin to reduce blood sugar levels and syphorn, and Metformin also helps to reduce the level of testosterone hormone. In addition, as practice has shown, such drugs also contribute to the treatment and polycystic.

At the same time, after several months of consumption of metformin (Siofor), ovulation comes to normal. In addition, the medicine helps:

• lower blood cholesterol levels;
• reduce weight;
• restore hormonal disorders.

As a result of such features, syphorn and metformin are widely used in the treatment of not only the treatment of diabetes, but also of ovarian polycystosis.

Nigolut with an ovarian cyst

In some cases, in the formation of a cyst, the gynecologist prescribes the treatment of gestagenes. Most often, the drug of Norcut is prescribed, which has proven itself as a highly efficient and fairly fast-acting agent.

Norethisterone, which is the main active substance of Norcolut, is valid similar to the gestagenam, which is produced female organism. Basic action medicinal preparation Norcut - reducing the tone of the uterus, as well as blocking the production of hormones by a pituitary, resulting in independent "resorption" of cysts.

Like other hormonal medicines, Nigolut can be taken only by appointment of a doctor. The dosage of norcolut reception is also selected by a gynecologist, depending on the severity and form of the disease, the possible presence of some chronic diseases.

Regardless of the designated duration of the course of treatment, the nigolut cannot be terminated immediately after improving the body's condition - the course in any case should be carried out to the end.

In any case, if the cyst's 3 menstrual cycles did not decrease at all, it is worth thinking about surgical methods of treatment. Although the solution is finally per gynecologist.

The ovarian cyst is an education with liquid content on the surface of one or both ovaries (polycystic) or inside them, has a shape of a bag with dimensions from several millimeters to several centimeters in diameter.

Cysta is not a disease, in most cases it is a normal physiological process in the body and can pass on its own, without giving a woman to know about himself. In some cases, the cyst may hire a threat to break and complications. Therefore, it is important to periodically control its growth. There are several ways of therapy, one of which is the treatment of the cyst of the ovary of medication.

Efficiency of medication therapy

The formation of a cyst is more susceptible to women of reproductive age. During the menopause, the presence of any tumors is a formidable signal. The decision will be only an operational intervention with tissue tissue on the biopsy to eliminate the malignant nature of education. There are the following types of cystic ovarian formations:

• functional (follicular);
• non-functional.

Some types of cystic formations can be treated without surgery. If available, it is necessary to pass ultrasound procedure Every month for 2-3 menstrual cycles. If their resorption occurs over time, this may pass by independently or under the action of medication.

Otherwise, surgical treatment is necessary. Since there may be an exacerbation of the disease in the form of a break, twist or the suppuration of cysts. When breaking cysts arise. In this case, urgent hospitalization is necessary for surgery.

Medicase treatment with eggs of ovaries is aimed at suppressing the ovulatory process, elimination owl syndrome, replacement of hormones, which are produced by ovaries, removal of stress and general strengthening of the body of a woman. The use is shown:

Follicular neoplasms (they are also called) are treated by correction of the hormonal background of a woman. This is achieved through the use of oral contraceptives.

Kista often accompanied inflammatory processes, Therefore, it is necessary to treat the accompanying pathologies. This is achieved by using antibacterial agents, antifungal and anti-inflammatory drugs.

The vitamin complex is appointed as additional therapy to the main treatment. Its use contributes to increasing immune systems organism.

Often the disease is accompanied by. In this case, sedatives are additionally prescribed.

Sometimes the presence of a cyst in the ovaries can manifest itself in moving pain At the bottom of the abdomen. In this case, the doctor may assign painkillers and antispasmodic drugs.

Hormonal therapy involves the use of combined oral contraceptives or gestagens. The effect of kokov in the treatment of cystic follicular neoplasms is aimed at preventing the ripening of an egg. In this case, the follicle and cyst are not formed. The composition of these drugs includes estrogen hormones and progesterone. Among the most popular novelty, Zhanin, Yarina, Logest.

The course of treatment is 3 months. The drug is accepted from 5 to 25 days of the menstrual cycle of 1 tablet 1 time per day. It is important to comply with regular reception of contraceptives for therapeutic and contraceptive effect. Coca can regulate a common hormonal background and menstrual cycle. They are able to reduce the risk of ovarian cancer. At the time of treatment it is important to reduce the activity of sexual contacts and exercise to avoid the cyst break.

Such therapy may have negative moments. In some cases, with multiple localization, neoplasms treatment may be long. Hormonal therapy is not shown not to all due to the intolerance of the components. Incorrectly chosen pills can provoke blood thickening, which causes the development of diseases of the cardiovascular sphere.

Gestagens are female sex hormones, which contains progesterone. Their use in cystic formations is associated with the peculiarity of the process. In the development of functional cyst, the hormone of estrogen and the lack of progesterone takes place. For this purpose, such drugs are prescribed such as urban, hoots.

Take pills 2 times a day from 16 to the 25th day of the monthly cycle. Duration - 3 months.

Antibiotics

Antibacterial agents are prescribed only in the presence of concomitant inflammatory diseases of the small pelvis organs. They are caused by pathogenic microorganisms (herpes virus, chlamydia, human papilloma virus, cytomegalovirus) and conditionally pathogenic microorganisms (staphylococci, streptococci, mycoplasma and ureaplasma).

There are varieties of diseases of the reproductive system, depending on which women's bodies are amazed:

Depending on the causative agent of the disease, antifungal, combined antibacterial and antihistamines. It is necessary to treat at once both partners.

Antibiotics must be prescribed, taking into account the sensitivity to them of the causative agent. Doses and duration of therapy depend on the type and severity of the disease. Treatment of inflammatory diseases of female genital organs should be comprehensive and include intravenous disintellation. This will remove toxins from the body and restore its natural functions.

At endometrite, cephalosporins with aminoglycosides and metronidazole are prescribed. Instead of cephalosporins, semi-synthetic penicillins can be assigned. Physiotherapeutic procedures (laser therapy, UHF, ultrasound) will help reduce inflammation and stimulate the function of the ovaries.

Vitamin complexes

In the treatment of cystic neoplasms, vitamin preparations are included in the course medical treatment Along with hormone complexes and dietherapy.

Compliance proper nutrition Plays a big role in the treatment process. It is recommended to exclude whole milk, semi-finished products, fatty and ostly food. More fresh vegetables and fruits should be consumed, drink plenty of water. These actions help strengthen the immunity and speed up the process of recovery.

For the female reproductive system, vitamins A, B, C and E. liver, chicken yolk contain vitamin A. Carotine with vegetable fats is also converted to Vitamin A. among products containing carotene - carrots, apricot, pumpkin, rowan, red sweet pepper .

Honey, royal milk, bran, citrus, black currant, onions and garlic rejuvenate the body, contribute to sexual activation and increase the likelihood of pregnancy.

Creamy oil, proprieties of wheat, walnuts, asparagus warn infertility.

For greater efficiency, doctors prescribe multivitamin and mineral complexes in tablets.

Package and anti-inflammatory funds

Functional cystic formations most often do not show themselves. But for pulling pain At the bottom of the abdomen, the doctor may appoint a taking painkillers and antispasmodic drugs (but-shpa, paracetamol, spasmoda).

Nonteroidal anti-inflammatory drugs have the kind of rectal or tablets. Diclofenac (candles) are introduced rectally pain symptoms Up to 2 times a day, you should use no more than a week.

Ibuprofen and acetaminophen take, drinking with sufficient water. Ibuprofen drink to meals, acetaminophen - an hour after eating. In addition to the anesthetic effect, these drugs remove inflammation, reduce temperature and swelling.