Medicines for ovarian cysts. Is it possible to treat ovarian cysts without surgery: a review of effective methods and feedback from women

An ovarian cyst is a common disease of the fair sex. It is a benign formation, the place of formation of which is the gonads. The danger of developing a tumor lies in its asymptomatic course and the frequent development of complications. The most dangerous of them are cancer and infertility.

What causes

There are several reasons for the appearance of a cyst. The main one is hormonal imbalance. Among the factors that lead to the onset of the disease, there are:

  • development of diabetes;
  • early onset of menstruation, from the age of 9 years, which indicates a clear violation of the hormonal background;
  • a history of abortions that adversely affect the production of hormones;
  • metabolic pathologies;
  • pathological changes in the process of maturation of follicles;
  • various diseases of the female genital organs.

Varieties of education

The direction of the therapeutic effect is largely determined by the type of tumor. After all, the success of recovery depends on whether the medicine helps or not. Isolate cysts:

  • Functional.

They are divided into two subtypes: follicular and luteal. The specificity of their occurrence lies in the fact that they can independently regress for some time. The main reason for their development is a violation of the ovulation stage, when the formed follicle degenerates into a cyst, and a change in the process of resorption of the corpus luteum (its location becomes the site of the tumor).

  • Endometrioid.

The reason for their appearance is the growth of the endometrium in the tissue of the gonad.

  • Dermoid.

They are thick-walled formations that are filled with other tissues, such as hair or fat cells. Differ in slow and constant growth.

  • True cysts (cystadenomas).

Relate to benign formations.

Of these varieties, almost all are treated with surgery. In addition, the intervention of the surgeon is mandatory in the presence of complications in the form of rupture or necrosis.

Signs of cyst development

Due to the fact that the disease has no clear signs, in most cases women miss First stage cyst formation. Usually, a woman receives news of a diagnosis after a scheduled visit to a gynecologist. As a result, the lack of treatment becomes the cause of undesirable consequences.

Symptoms of an ovarian cyst include:

  • the presence of painful appearances during movements, often in the process of intimacy (due to twisting of the cyst leg or compression of the formation);
  • the appearance of a feeling of tension in the abdominal wall;
  • with a protracted course: the appearance of nausea, vomiting, fever, changes heart rate towards the amplification.

Diagnostic procedures


First of all, timely diagnosis is aimed at a preventive visit to the gynecologist at least twice a year. If the diagnosis was made earlier, then a visit to the doctor should occur every three months. A test is done to rule out pregnancy.

An important diagnostic measure for the detection of ovarian cysts is ultrasound. Its implementation allows you to determine the size of the formation and the place of its growth. In addition, the doctor can send for a study and a tomography procedure.

This will eliminate the malignant nature of the formation and determine the tactics of treatment. A complication of the cyst will require a puncture of the posterior vaginal fornix. This will help to detect the presence of any fluid in the abdominal cavity, including blood.

Possible Complications

Unfortunately, it is not always possible to detect the disease before the development of complications. The most common of these include:

  • miscarriage in the absence of therapy during pregnancy;
  • development into a malignant formation;
  • cyst rupture and further development peritonitis or sepsis;

The occurrence of these conditions requires immediate medical attention.

Directions of therapeutic influence

Treatment of an ovarian cyst is associated with the elimination of its root cause - hormonal imbalance. Assign hormonal drugs that have a beneficial effect on the functioning of the appendages. Depending on the specifics of the disease, the doctor prescribes drugs of one of the following groups:

Gestagens


They belong to the sex hormones, among which the main representative is progesterone. These drugs for the treatment of ovarian cysts normalize the body's performance of its functions and reduce the likelihood of formation of formations.

Most often prescribed Utrozhestan. This contraceptive allows you to normalize menstruation, reduce the size of already formed formations. Utrozhestan is also a prophylaxis against the degeneration of follicles into a cyst. A special place in the group is occupied by drugs - antigonadotropins. They have an overwhelming effect of the pituitary gland on the female sex glands. These include: Danoval, Danazol.

It should be noted that treatment with hormonal pills is individual. A particular patient is prescribed exactly the medicine that will be the most optimal in the treatment process, for example, Yarina or Logest. The use of Norkolut in the treatment of ovarian cysts has shown its effectiveness.

The action of the drug is to increase the secretion of the mucous membrane of the uterus, reducing the tone of its muscle layer. In addition, it normalizes the activity of the pituitary gland, the disruption of which affects the process of cyst formation. Any pharmacy will offer a prescribed remedy in a different price range.

Oral contraceptives


Their use is based on the effect of drugs on the size of the resulting cyst, and the process of formation of new tumors. Contraceptive pills belonging to this group and widely used in the treatment of the disease are Diane-35, Logest.

Regulon with an ovarian cyst is also effective, and therefore it is often prescribed by a doctor. If there are problems with nails and hair, the doctor may prescribe the use of a remedy called Qlaira. It should be noted that the choice of the drug is determined by the gynecologist based on the examination data of the woman.

Hormonal treatment of ovarian cysts, video

In addition to the two main groups, the list of substances prescribed additionally includes:

  • anti-inflammatory drugs that help to cope with inflammatory processes and speed up the recovery of a woman (often, in addition to cysts, other diseases of the female genital area are detected);
  • immunocorrective drugs that are prescribed if a low level of immunity is noted;
  • sedative drugs;
  • multivitamin preparations that help strengthen the defenses in order to cope with the pathology that has arisen;
  • enzymes (longidaza with an ovarian cyst is a widely used drug in this group);
  • antibiotics prescribed when available pathogenic microorganisms(most effective in the complicated course of the disease - Ceftriaxone due to parenteral route administration and rapid absorption by the body);

The treatment in which pills are prescribed for cysts refers to conservative methods. At the same time, the peculiarity of the drug effect on the female body is that it is prescribed for a certain period of time. Usually it is no more than 4 menstrual cycles. It does not matter which of the drugs is prescribed: Janine, Qlaira, Danazol or Yarina.

In the absence of the effect of the therapy, surgical intervention is prescribed. This is due to the fact that cysts are capable of degenerating a malignant formation.

The main goal of the doctor is to prevent the development of complications and maintain the functioning of the appendages.

The diagnosis of the presence of an ovarian cyst is not a sentence. Timely diagnosis and the correct treatment regimen will allow you to cope with the disease before the development of negative consequences. The decision on how to treat the disease with medication is made by the doctor based on data from various analyzes. In this case, a woman, as a rule, is given the opportunity to choose a drug in the price range that is most attractive to her. After all, the treatment of any disease is a significant material cost.

A cyst of the left or right ovary is a benign formation. It is diagnosed in almost half of women of childbearing age.

The tumor develops slowly, sometimes even being in the same state for several years. It does possible treatment without surgery.

Differential Diagnosis

Very often tumor is asymptomatic and discovered by chance during a routine inspection. Sometimes a woman has signs that indicate the presence of a neoplasm.

At the first symptoms, you should consult a doctor to confirm or exclude the diagnosis.

Diagnosis of a cyst requires laboratory and instrumental studies.

Laboratory tests

Standard conduct blood and urine. The cyst may develop into cancer. To exclude suspicions of a malignant process, the patient must be tested for tumor markers:

Instrumental examination

The following methods are used:

  • pelvic organs. This is the most affordable and fairly reliable method. It helps to detect the location of the tumor, its size, and it also helps to track the dynamics of the development of the cyst.
  • CT, . This is a layer-by-layer examination using magnetic waves. They give an accurate answer about the location of the cyst, its structure, contents.
  • posterior fornix of the vagina. Allows you to detect fluid or blood in the abdominal cavity with a complicated formation.

After a complete diagnosis, the issue is resolved on choice of therapy. It does not always make sense, and often, it is simply impossible to perform an operation to remove a cyst.

Contraindications for surgery

In cases not big size cysts, especially, it makes no sense to get rid of through surgery. Tumor regression can be achieved conservative therapy.

Even with a significant amount of education, it is not always possible to resort to surgery.

Contraindications to the operation are:

  • Diseases of the blood.
  • Hypertension.
  • Pathology of the heart.
  • Diseases of the lungs.
  • Diabetes.
  • Pregnancy up to 16 weeks.

In the presence of these conditions, the doctor needs to correctly choose a treatment regimen tumors.

How and what to treat with medication?

When the question of the operation is closed, then for the treatment of neoplasms are used A complex approach. This is a combination of hormonal, contraceptive, anti-inflammatory drugs. Physiotherapy is also used.

Hormonal remedies

The choice of hormonal agents depends on the level of the hormone, the lack or excess of a certain type of it in the woman's body:

Contraceptive drugs

They are used to stop the ovaries from functioning and producing hormones, affecting cyst growth:

  • Janine. Monophasic contraceptive drug. Widely used for cystic formations. Well tolerated by patients.
  • Diana. Monophasic combination drug with antiandrogenic properties. Good for polycystic.
  • Regulon. It also belongs to the group of monophasic combined contraceptives. Restores hormone levels menstrual cycle.
  • Norkolut - refers to gestagens. Tablets interfere with the processes of maturation of follicles and the onset of ovulation.

Anti-inflammatory drugs

To relieve inflammation are used:

Immunomodulators

These drugs are prescribed for increase the body's resistance, to concentrate on the treatment of education:

  • Wobenzym. This is a combined drug of anti-inflammatory and immunomodulatory action. Increases the body's defenses, allowing you to fight tumors. Of the contraindications - individual intolerance. There are no side effects.
  • Timalin. It has a powerful immunostimulating effect. Copes even with purulent processes. Cannot be used in asthma and pregnancy.

Physiotherapy

Physiotherapy is used in complex therapy . They help relieve inflammation, reduce the size of the cyst:

Folk remedies and homeopathy

Funds traditional medicine, as well as homeopathic remedies can be used exclusively as an addition to the main treatment.

As monotherapy, they have too weak therapeutic effect. The most widely used folk remedies:

  • Burdock leaf juice.
  • Peony tincture.
  • Evening primrose oil.
  • Flax oil.

Herbal decoctions are also used, which have anti-inflammatory and soothing effects: valerian, motherwort, plantain, coltsfoot. B vitamins, folic acid complement the treatment.

homeopathic herbal remedy Cyclodinone prevents the violation of the maturation of follicles, ovulation and the formation of the corpus luteum.

Diet for a cyst

Equally important is the organization of nutrition in the fight against formations. With proper nutrition, the exchange of steroids, which are responsible for the production of hormones, is normalized.

Fatty and fried foods, beer increase the level of estrogen, which has effect on cyst growth.

Therefore, nutrition should be balanced, with a predominance of vegetables, fruits and lean meat. Food should contain the necessary vitamins and minerals. It is better to minimize the consumption of sweets, pastries and spicy foods.

Is it possible to play sports?

During the treatment of the cyst, the patient should lead a healthy lifestyle with an adequate amount of physical activity. Exercise has a positive effect on the state of the cardiovascular system, improves metabolism and blood circulation in the pelvis.

However, excessive physical activity is contraindicated due to the high risk of complications (cyst rupture, torsion of the leg). With education prohibited the following types of exercises:

  • fast run;
  • jumping;
  • strength training with weight lifting;
  • press exercises.

But light running, walking, swimming and yoga have a positive effect.

What can't be done?

Exists high risk degeneration of education into a malignant tumor. To prevent this from happening, you need to be careful, preventive measures and abandon some procedures:

  • visits to saunas and baths;
  • a visit to the solarium and a long stay in the open sun;
  • SPA procedures, especially with the use of warm-ups;
  • massage;
  • various cosmetic procedures in the abdomen.

What is better - to treat a cyst or to operate, find out from the video:

An ovarian cyst is a rather unpleasant phenomenon in the form of a bubble with a liquid that needs to be disposed of quickly. To do this, doctors resort to medication. It is prescribed when the cyst originates from a normal corpus luteum (functional cyst). For its treatment, special pills from the cyst are used.

Pills for cysts: which ones to choose?

Tablets for the treatment of cysts

To get rid of a functional ovarian cyst, several types of drugs are used. Each drug is selected only after examination by a gynecologist and identification of the individual characteristics of the patient. These include:

  • hormonal pills for cysts;
  • antibiotics and vitamins;
  • painkillers and antidepressants.

Cyst Pills: Hormone Therapy

Hormonal pills for the treatment of cysts, as a rule, refer to progesterone derivatives. With it, you can cure the cyst with pills quite quickly.

This hormone regulates the course of the second half of menstruation. With the use of such drugs, the growth of the neoplasm slows down. After growth stops, the cyst begins to gradually decrease until it disappears. Very often used Duphaston.

Can be used as hormones birth control pills. They are able to slow down the growth of an existing cyst by suppressing estrogen in a woman's body. If there is no estrogen, there is no ovulation. Therefore, there is no menstruation. Therefore, the cyst stops growing.

It is oral contraceptives that can prevent the appearance of a new formation along with the one that is already being treated. As a rule, mono- or two-phase preparations are used:

Anteovin;

Logest, etc.

Which drug is suitable for a particular patient, only the gynecologist decides.

There are other benefits to using birth control. For example, preventing accidental pregnancy during treatment. But this is only subject to regular intake according to the scheme.

Antibiotics

In some cases, a cyst is formed against the background of some inflammatory process in genitourinary system. That is, it is necessary to eliminate the cause in parallel with the treatment of the neoplasm. Tablets in this case are supplemented with anti-inflammatory, antimicrobial or antifungal drugs, as well as standard antibiotics.

However, you cannot assign medicines on one's own. Some pills are not compatible with each other, we must not forget about it. Let the doctor prescribe drugs, but the patient's task is to simply take everything in the indicated dosage.

vitamins

Since each disease will necessarily reduce immunity, it is necessary to maintain it during the treatment of cysts with pills. At the same time, the activated defense mechanisms, supported by vitamins, can help in recovery. And also to prevent the emergence of new problems or complications. For this, vitamin therapy is prescribed, which necessarily includes:

  • folic;
  • vitamin C;
  • vitamin E

An ovarian cyst is one of the most common female diseases that requires immediate treatment. Among the many causes of the disease is hormonal imbalance, so hormonal contraceptives for ovarian cysts often form the basis of the treatment course.

By itself, it represents a formation filled with liquid. Its growth is accompanied by pain in the lower abdomen, especially during physical exertion and walking. If you do not start timely treatment of the disease, then the woman develops polycystic disease, ovulation stops and infertility occurs. There are, of course, cases when the cyst resolves itself. But most often it can be cured with hormone therapy.

Hormone therapy for cysts

Various hormonal agents, most often contraceptives, are prescribed for an ovarian cyst, unless it is functional in nature - that is, when the cavity is filled with fluid. In other cases, when it is thickened or hard, the patient is offered the option of surgery to take tissue samples and rule out the possibility of developing ovarian cancer.

Hormone therapy is used to treat other forms of the disease, namely, corpus luteum cysts and follicular cysts. As a rule, the attending physician observes the situation for about 2-3 months (the period during which the formation can resolve on its own), and then only prescribes medication.

The course of treatment with birth control pills for ovarian cysts helps to eliminate the main cause of its occurrence - hormonal imbalance. Special synthetic hormones, which contain contraceptives, reduce the size of the cyst, and over time, lead to its complete resorption. To achieve the same result, hormone therapy with contraceptives is prescribed for polycystic disease.

The therapy lasts for several menstrual cycles, during which the woman is observed in the clinic and undergoes several ultrasound scans to monitor the ongoing changes.

Since the disease is associated with an unstable hormonal background, you should also check the work thyroid gland and eliminate excess stress from life that disrupts the activity of the central nervous system, because it is she who regulates the release of hormones.

Pros and cons of contraceptive treatment for ovarian cysts

The undoubted advantage of hormone therapy is its effectiveness. The prescribed contraceptive pills for polycystosis or cysts act directly on the cause of the disease - they restore hormonal balance. Sometimes during therapy, a decrease in the menstrual cycle is observed, and menstruation becomes less intense.

On the other hand, contraceptive treatment for polycystic ovaries and similar diseases is sometimes extended over a long period. And, of course, this therapy has its side effects.

For example, birth control pills for polycystic ovaries or a cyst can not be prescribed to all patients - there are times when taking hormonal drugs has the opposite effect and the cyst begins to grow. During therapy, sudden vaginal bleeding may begin. Incorrectly selected drug can cause "thickening" of the blood and increase

Ovarian cyst is a widespread disease among women. Preparations for the treatment of ovarian cysts are selected individually by a gynecologist.

Ovarian cyst sooner or later appears in almost all women. A cyst, otherwise called a benign neoplasm, is an abnormal growth of ovarian tissue. Most often, the disease is asymptomatic and disappears with the advent of the next menstruation. But in some cases, a small pathology of the vital activity of the female reproductive system can result in a serious illness that threatens not only with health complications, but also with infertility.

There are many reasons why a benign neoplasm of the ovary can develop. Most often, this is a hormonal disorder, which can occur both in a single case and constantly. There are a number of factors that can lead to the appearance of a neoplasm. Among them:

  • the onset of menstruation at an early age (9-10 years);
  • frequent or complicated abortions;
  • disruption of the metabolic and endocrine system (diabetes mellitus);
  • violations in the process of normal maturation of follicles;
  • other diseases of the female reproductive system.

In most cases, a woman does not even suspect that she has this disease. Symptoms of an ovarian neoplasm are not always manifested and do not serve as a reason to consult a doctor. Most often, an ovarian neoplasm is diagnosed during a scheduled visit to a gynecologist or during a general examination of the body. Lack of treatment or its untimely start can lead to undesirable consequences. That is why you should not forget about preventive visits to the doctor at least twice a year. If neoplasms have already occurred before, then a woman should be examined by a gynecologist at least once every three months.

Treatment of a benign neoplasm of the ovary depends on the type of disease, as well as the size of the pathological growth, the cause of the occurrence, its age and general condition women:

  1. Most often, a neoplasm of the corpus luteum occurs. This neoplasm, ranging in size from 2 mm to 6 cm, is successfully treated with hormonal drugs.
  2. Follicular cyst occurs in girls and young women. Usually its dimensions do not exceed 8 cm.
  3. Paraovarian neoplasm occurs in young women under 30 years of age. Rarely shows its symptoms, but can grow up to 20 cm.
  4. Mature teratoma, grows slowly, but can reach large sizes. Is benign tumor, but if left untreated, it can transform into ovarian cancer.
  5. Endometrial neoplasm, has severe symptoms: severe aching pain in the lower abdomen. If left untreated, it can lead not only to infertility, but also to concomitant diseases of the urinary system and intestines. In some cases, it is treated with antibiotics.

Symptoms of ovarian neoplasms:

  • severe or moderate pain during movement, during physical exertion and, especially, sexual intercourse (occurs due to twisting of the cyst leg, if the growth is large, due to pressure of the cyst);
  • feeling of tension in the abdominal wall;
  • with a serious degree of the disease: nausea and vomiting, heat and frequent heartbeat.

Diagnosis of an ovarian cyst

An ovarian cyst is most often discovered during a routine examination by a gynecologist or when dealing with pain and other symptoms. To exclude the possibility of an ectopic pregnancy, it is recommended to immediately do a test.

Confirm the diagnosis of ovarian cyst formation using ultrasound. Ultrasound will help determine the exact size of the growth and its localization.

A benign neoplasm may be confused with or transformed into a malignant neoplasm if left untreated. Therefore, it is recommended to do tests for tumor markers and, if cancer is suspected, undergo a tomography procedure.

With large tumors, it is necessary to conduct blood tests for the possible formation of inflammation and blood loss. With complicated neoplasms, a puncture of the posterior vaginal fornix is ​​performed. This procedure determines whether there is blood or fluid in a woman's abdomen.

Diagnosis and treatment of ovarian neoplasms can be carried out directly during pregnancy. The presence of an ovarian cyst threatens expectant mother miscarriage, pills and surgery may be used in the treatment.

If untreated, a benign neoplasm can grow rapidly, which threatens to transform it into a malignant tumor. Also, the cyst can rupture, which leads to peritonitis, inflammation in the abdominal cavity, and even sepsis. When a cyst ruptures, a woman needs urgent hospitalization and surgery.

Treatment of an ovarian cyst

If a doctor finds an ovarian cyst, treatment depends primarily on its size. If the growth is single, has a small size and does not bother the woman, then special treatment is not carried out. The specialist monitors the condition of the woman and the cyst. In most cases, the cyst simply "washes out" with the next menstruation.

First of all, various hormonal drugs are used to treat ovarian cysts. These may not be special medications, but oral contraceptives. Their function is to suppress ovulation hormones. Thus, new neoplasms do not appear, and the old cyst quickly resolves. Most often, the use of Novinet and Yarina preparations is recommended.

One of the most effective means in the treatment of ovarian cysts is the drug Belara.

It is an oral contraceptive, has an effective function of suppressing the formation of follicles, which reduces the risk of new tumors and the growth of existing ones.

Among non-hormonal drugs Tazalok, plant-based tablets, has proven itself well. The composition of the drug includes extracts of calendula flowers, celery, parsley, meadowsweet, etc. Biologically active substances help to effectively cope with hormonal disorders in the body, normalize the menstrual cycle. The drug relieves the main symptoms of cyst formation in the ovary and acts on its glandular tissue. Due to the plant base, contraindications and side effects Tazalok has practically none. Exception: pregnancy, breastfeeding and age up to 14 years.

In any case, if a neoplasm occurs or a woman is at risk, it is necessary to undergo a mandatory course of vitamin therapy with the inclusion of folic acid (it is she who is responsible for women's health).

In some cases, antibiotics are used in the treatment of ovarian neoplasms. This occurs when there is inflammation in the abdominal cavity and at the risk of rupture of the neoplasm, as well as during surgery. Antibiotics are also prescribed in the event of other inflammatory diseases female reproductive system that appear or are diagnosed during the treatment of ovarian cysts.

If medical treatment fails desired effect or the neoplasm is large, it is removed surgically. This can be done through laparoscopic surgery.

During such a procedure, the surgeon does not make a large incision, but enters the abdominal cavity with a small incision (up to 1.5 cm). A small video camera helps with the operation.

Therapy for hormonal ovarian cysts

Often, diseases of the female genital area are caused by hormonal disruptions. Hormonal cyst ovary - a disease quite frequent. It affects women of all ages.

Despite the fact that the pathology does not pose a direct threat to life, it should not be left unattended because of the risk of complications.

Description of the pathology and its causes

A hormonal cyst is a fluid-filled neoplasm on the surface of the ovary caused by a hormonal imbalance.

female body The system is complex and fragile. Every month, a woman experiences hormonal fluctuations as a result of ongoing natural processes:

  • maturation of follicles;
  • ovulation;
  • menstruation or pregnancy.

If any link in this chain fails, complications may begin, including the appearance of a cyst. The exact reasons for the formation of cysts have not yet been established. They note only factors that can provoke disruptions in the hormonal system, in particular, a violation of estrogen production:

  • abortions, miscarriages;
  • promiscuity;
  • improper use of hormonal contraceptives;
  • venereal diseases;
  • stress;
  • increased physical activity;
  • diets;
  • alcohol and smoking;
  • malfunctions of the thyroid gland;
  • inflammation of the appendages;
  • ovulation hyperstimulation during infertility treatment.

In medical practice, the following types of hormonal formations are distinguished:

  1. Follicular. It is formed in the place of the bursting follicle, passes by itself after menstruation.
  2. Dermoid. This is a formation with thick walls, which contains mucus with particles of hair, cartilage, and skin. The most dangerous type of cyst, occurs more often at a young age. Treated surgically.
  3. Endometrioid. Appears in women of childbearing age on the background of endometriosis. It is a bubble filled with a dark brown liquid. A disease with multiple cysts is called polycystic.

What is polycystic kidney disease read in our article.

  • Periodic pain in the lower abdomen, radiating to the lower back. Strengthen after physical activity, sexual contact, with sudden movements.
  • Violation monthly cycle. Delays may occur, bleeding becomes painful and prolonged.
  • Decreased libido.
  • Infertility.
  • General malaise: weakness, apathy, fever during inflammatory processes.

If these symptoms appear, you should consult a gynecologist.

Usually the diagnosis is not difficult. The cyst can be found during a gynecological examination. The diagnosis is confirmed by ultrasound.

To complete the picture, you need to take a blood test for hormones, the list is as follows:

  • estrogen,
  • luteinizing hormone (LH),
  • testosterone,
  • follicle stimulating hormone (FSH).

An analysis for the detection of a tumor marker is prescribed to exclude the malignant nature of the formation. In particular, the excess of the values ​​of the marker CA-125 indicates cancerous tumors.

The goal of treatment is to stabilize the hormonal background, to establish the menstrual cycle.

Oral contraceptives are usually prescribed, they are able to stop the growth of education, reduce its size and prevent the appearance of new cysts. Duphaston is widely used in medical practice. This is a synthetic analogue of progesterone, prescribed for deficiency of its own hormone.

At the same time, a course of vitamin therapy is prescribed (Vitamins A and E, folic acid tablets). To stabilize the psycho-emotional state, the use of sedatives is indicated. Antibiotics are used to eliminate inflammation. Sometimes immunostimulating agents are indicated.

The course of treatment lasts from several months to one year and takes place under the strict supervision of a physician. If the treatment did not give a positive effect, the size of the cyst did not decrease, the drugs are canceled. In these cases, surgical treatment is indicated. Operations are also carried out in the following cases:

  • too large education;
  • severe pain;
  • polycystic;
  • cyst pressure on other organs;
  • rupture of the cyst.

Currently, the neoplasm is removed laparoscopically (access is through three punctures in the abdominal cavity) or using a laser beam (a laser beam is used instead of a scalpel).

These two methods are minimally traumatic and do not require a long rehabilitation period. Epidural anesthesia is used for these interventions.

If the cyst is large, suppurated, in case of rupture and torsion of the leg, laparotomy is used. This abdominal operation is performed through an incision in the abdomen up to 10 centimeters and under general anesthesia.

During the operation, the ovary is not necessarily removed. At small size Tumors retain the organ or make a partial resection. In difficult cases, especially with oncological tumors, the ovary or the entire uterus and appendages are removed.

  • torsion of the leg, as a result of which the blood supply is disturbed and necrosis appears;
  • rupture of the cyst, dangerous with peritonitis and sepsis;
  • infertility;
  • transformation into cancer.

When diagnosing a cyst during pregnancy, no treatment is prescribed until a period of 16-18 weeks. If the cyst does not disappear before 20 weeks, then laparoscopic removal is used to prevent its rupture and degeneration.

Women who are diagnosed with a cyst cannot get pregnant. Since the work of the ovaries is disrupted and ovulation does not occur. However, with proper treatment, the hormonal background is restored, the ovaries return lost functions, pregnancy is possible.

Hormonal treatment of education, according to the doctor, is the most effective. The disadvantages include a long duration of therapy. To prevent formations, a woman needs to carefully monitor her health, regularly undergo examinations, ultrasound.

Is it possible to prevent the formation of a cyst, we learn from the video:

opochke.com

Types of pills for cysts: what drugs to choose for a good treatment result?

An ovarian cyst is a rather unpleasant phenomenon in the form of a bubble with a liquid that needs to be disposed of quickly. To do this, doctors resort to medication. It is prescribed when the cyst originates from a normal corpus luteum (functional cyst). For its treatment, special pills from the cyst are used.


Pills for cysts: which ones to choose?

To get rid of a functional ovarian cyst, several types of drugs are used. Each drug is selected only after examination by a gynecologist and identification of the individual characteristics of the patient. These include:

  • hormonal pills for cysts;
  • antibiotics and vitamins;
  • painkillers and antidepressants.

Hormonal pills for the treatment of cysts, as a rule, refer to progesterone derivatives. With it, you can cure the cyst with pills quite quickly.

This hormone regulates the course of the second half of menstruation. With the use of such drugs, the growth of the neoplasm slows down. After growth stops, the cyst begins to gradually decrease until it disappears. Very often used Duphaston.

Contraceptive pills can be used as hormonal drugs. They are able to slow down the growth of an existing cyst by suppressing estrogen in a woman's body. If there is no estrogen, there is no ovulation. Therefore, there is no menstruation. Therefore, the cyst stops growing.

It is oral contraceptives that can prevent the appearance of a new formation along with the one that is already being treated. As a rule, mono- or two-phase preparations are used:

Anteovin;

Logest, etc.

Which drug is suitable for a particular patient, only the gynecologist decides.

There are other benefits to using birth control. For example, preventing accidental pregnancy during treatment. But this is only subject to regular intake according to the scheme.

In some cases, a cyst is formed against the background of any inflammatory process in the genitourinary system. That is, it is necessary to eliminate the cause in parallel with the treatment of the neoplasm. Tablets in this case are supplemented with anti-inflammatory, antimicrobial or antifungal drugs, as well as standard antibiotics.

However, you can not prescribe medicines for yourself. Some pills are not compatible with each other, we must not forget about it. Let the doctor prescribe drugs, but the patient's task is to simply take everything in the indicated dosage.

Since each disease will necessarily reduce immunity, it is necessary to maintain it during the treatment of cysts with pills. At the same time, the activated defense mechanisms, supported by vitamins, can help in recovery. And also to prevent the emergence of new problems or complications. For this, vitamin therapy is prescribed, which necessarily includes:

  • folic;
  • vitamin C;
  • vitamin E

Cyst pills are best supplemented with vitamins

These drugs are not always prescribed. Only when it is necessary to get rid of related problems. They appear in rare cases, but such an outcome is also possible.

Painkillers, for example:

1. Ibuprofen.

2. Paracetamol, etc.

This reduces the resulting pain syndrome in a woman. Usually the cyst proceeds without pain, but its occurrence is quite possible.

Antidepressants are used if, against the background of illness or hormone therapy, the patient develops despondency, depression, or other disorders that need to be stopped. Both herbal sedatives and antidepressants are used for this.

Remember that in no case should you violate the dosage or regimen. Otherwise, you can cause additional harm to yourself.

www.wday.ru

Advantages of conservative treatment of ovarian cysts

An ovarian cyst is a benign neoplasm that appears inside the body of the ovary or on its surface. It looks like a hollow tissue bag filled with liquid or various semi-liquid contents. Capsules come in different sizes, sometimes significantly increase the parameters of the ovary. They are divided into functional, capable of resolving on their own in three monthly cycles, and pathological, requiring treatment or removal. The appearance is associated with:

  • hormonal disorders
  • overweight
  • endometriosis
  • inflammatory gynecological diseases
  • violation of the cycle of menstruation

A functional cyst can dissolve on its own in 3 months.

It is diagnosed on the occasion of other examinations. Education does not bother the patient, does not cause pain. The age of a woman with the disease varies from childhood to adulthood. The cyst found during the examination does not always require surgical removal, sometimes it is enough conservative therapy, observation, taking pills. Acute symptoms are manifested by torsion of the leg, rupture of the capsule and outflow of cystic fluid into the peritoneum. In this situation, urgent removal of the formation is required.

Types of ovarian cysts

Divided by variety:

  • follicular;
  • yellow body;
  • steam variant;
  • dermoid;
  • endometrioid;
  • polycystic ovaries.

Follicular cyst, appears if there is inflammation of the appendages or hormonal disbalance, with an imbalance of estrogen and progesterone in the body of a woman or girl. The capsule is formed if ovulation has not occurred.

This functional neoplasm, if it does not disappear on its own within three monthly cycles, is well treated with medications.

A corpus luteum cyst is formed when the corpus luteum malfunctions, with difficult outflow of fluid from the follicle, exudate accumulates and a cyst is formed. It is observed against the background of inflammatory diseases of the internal genital organs, hormonal disorders. Happens during pregnancy.


Follicular cyst may occur during pregnancy

An endometrioid cyst occurs in women with endometriosis. Sites of germination of endometriosis in the ovary are subject to cyclicity, as in the body of the uterus. Endometrial foci grow, are rejected, are excreted with blood. Since removal from the ovary is impossible, cysts with brown contents are formed. Carry out surgical removal. A dermoid cyst or teratoma is a benign, tumor-like formation containing various tissues, cartilage, sebaceous glands, and hair in its cavity.

Education is associated with impairments in embryonic development. These cysts are large and have a long stalk that is prone to twisting. Treatment is surgical removal.

Polycystic ovaries are many cystic formations on the surface of the ovary. An endocrine disease that leads to infertility. Can be treated with drugs, with ineffective treatment, surgery is performed. A parovarian cyst is not formed on the body of the ovary, it is localized on the mesentery near it and the fallopian tube. It is referred to as an ovarian cyst due to its proximity. It is motionless, torsion is rare, but it is recruited to a large size and puts pressure on neighboring organs. She is hormonally inactive. Treatment is surgical removal.


Scheme of polycystic ovary

Symptoms and Diagnosis

Ovarian cysts capable of self-resolving are detected on occasion, in other studies of the body. They are clearly visible on ultrasound. computed tomography. With large sizes, inflammation and suppuration, they show manifestations:

  • pain, distension in the lower abdomen;
  • irregular, painful periods;
  • frequent urination;
  • pain on examination;
  • pain during sexual intercourse.

Signs of an "acute abdomen" with torsion, necrotization of the cyst leg, violation of the integrity of the capsule and the threat of peritonitis, these are emergency indications, removal, surgery is required.

Diagnosis, in addition to accidental detection, during the examination, a specialist gynecologist can detect an increase, soreness of the ovary. Appoint ultrasound examination very indicative of this disease. Modern, transvaginal ultrasound recognizes the cyst without any problems. Hormone tests are ordered. Are taken gynecological swabs to detect inflammation.

In complicated cases, laparoscopic diagnostics is used. Appointed general analyzes blood and urine to exclude inflammation of the appendages.


To exclude inflammation of the appendages, you need to take a blood test

Treatment of an ovarian cyst

An ovarian cyst can be cured with a conservative, medical way. Not everyone needs surgery. Uncomplicated diseases are treated with oral contraceptives. Contraceptives inhibit the growth of new formations, promote their resorption. Vitamin therapy is used vitamins A, E, groups B, C). Diet modification for overweight. At drug treatment follicular and cysts of the corpus luteum, observation tactics are used. If it does not go away in three monthly cycles, conservative hormone therapy (progesterone preparations, birth control pills) is started.

If there is no effect after a three-month treatment with tablets, as a result of which it did not disappear, and the size of the formation during the initial examination is more than 8 cm, these are indications for surgery.

In addition to treatment with gestagens and oral contraceptives, anti-inflammatory, antibacterial treatment is prescribed. Hormonal drugs align the disturbed background of the woman's body. The appointment of contraceptives, has a therapeutic and prophylactic effect. Reduce the likelihood of new cysts forming oncological diseases.


Hormonal contraceptives are prescribed for the treatment of ovarian cysts

Reproductive function does not suffer with conservative treatment, the hormonal background normalizes, and a woman can conceive and bear a child. Mothers of girls should not worry that their children are prescribed such “adult”, hormonal pills. Conservative treatment of ovarian cysts will help cure the child without surgery and harm to health. But if surgery is necessary, drug therapy and rehabilitation will be required in the postoperative period.

vrachlady.ru

2018 Women's Health Blog.