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Treatment of paraovarial ovarian cyst on the left and right

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Distinctive features of a paraovarial ovarian cyst are its location and the principle of formation. It is a single-layer capsule between the leaves of the uterine ligament at the paraovarium. This body does not perform any useful function in the body of a woman, so changes in its structure are quite safe. Moreover, the paraovarial cyst does not undergo malignant degeneration.

Laparoscopic image of a large paraovarial cyst

The accumulation of serous fluid is formed between the epididymis sheets. In some cases, this pathology is innate, as the pockets are formed during the period of embryonic development. The walls of the formation are thin, in contrast to the true cysts, and their cells are not able to divide further. The increase in the capsule is due to its stretching. Cyst growth is slow, and therefore it does not cause any special problems.

Causes

Not all cysts of this kind are congenital. Some arise due to secondary influence. In addition, certain factors can trigger an increase in neoplasm.

The following causes of paraovarial ovarian cysts can be distinguished:

  • injuries of the abdomen and organs of the reproductive system,
  • repeated abortions,
  • inflammatory processes in the pelvic region,
  • sexually transmitted infections
  • miscarriages
  • incorrect use of hormonal drugs,
  • endocrine diseases, diabetes,
  • obesity or underweight,
  • chronic menstrual dysfunction,
  • significant thermal effects on the organs of the pelvic region.

Paraovarian cysts of various localization

Most often, these factors cause a direct increase in an existing cyst. However, each organism reacts to them in its own way.

Note. After slowing down the hormonal activity in women, that is, after 45-50 years, paraovarian cysts practically do not occur, provided they are absent earlier.

Neoplasms of this type are asymptomatic, since their sizes rarely exceed 5 cm. Small inclusions of 5–20 mm are usually diagnosed. Nevertheless, there are gigantic formations, up to 20 cm in diameter. Upon reaching a large size cyst begins to squeeze the adjacent tissues and organs.

Large neoplasm can cause discomfort and can be felt outside the abdomen

The walls of the capsule have a thickness of 1-2 mm, and therefore are translucent. As the serous fluid accumulates, the cyst begins to separate, its leg is formed. The latter is a part of the tissues of the uterine tube or ovarian ligament. In some cases, this implies a violation of the menstrual function.

Important! Signs of a developed pathology can be pain in the lumbar-pelvic region and lower abdomen, as well as palpable elastic formations.

Consequences and risks

In the absence of active growth cysts complications are quite rare. To prevent them, it is necessary to consult a gynecologist in time and decide whether to remove a paraovarial cyst. In the presence of tumors larger than 5 cm in diameter, it is worth thinking about the operation. Otherwise, you may encounter problems such as:

  • suppuration of serous contents,
  • torsion cyst legs,
  • capsule rupture
  • clamping of the uterine tube,
  • violations of the work of neighboring organs
  • peritonitis and sepsis,
  • necrotic tissue changes due to torsion.

The main risk - torsion cyst legs

If torsion of the cyst leg, capsule suppuration or rupture of the cyst occurs, it is difficult not to notice the symptoms of the complication:

  • acute abdominal syndrome, severe pain,
  • pallor of the skin,
  • significant increase in body temperature
  • signs of intoxication,
  • lowering blood pressure
  • sticky sweat
  • fainting or loss of consciousness.

Important! In this case, you should immediately call an ambulance, while the consequences of the problem can be eliminated. Otherwise, you can provoke the development of infertility or even death.

Paraovarial cyst and pregnancy

If we specifically consider a paraovarial cyst and pregnancy, it turns out that such tumors, due to the specifics of their location and slow benign growth, are not capable of provoking the development of infertility. Thus, there are no obstacles to conceiving and carrying a child.

In most cases, the presence of tumors does not affect the course of pregnancy.

The situation is somewhat different with large entities. Since they have a leg, which can provoke torsion, and also because of pressure on the adjacent tissues, pregnancy can proceed with complications. To prevent problems, it is recommended to undergo a diagnosis and eliminate all detected pathologies that may affect pregnancy and fetal development.

Pathology diagnosis

Most often, a paraovarial cyst is found by chance, during a routine examination with a gynecologist or during an ultrasound diagnosis. It is ultrasound that allows you to get more accurate information about the tumor. In the picture, the doctor-diagnostician can clearly distinguish the location of the cyst, its size, wall thickness and other characteristics. Different echogenicity areas indicate the type of contents of the capsule.

Ultrasound scan of a left-handed paraovarial ovarian cyst

Additionally, laparoscopy may be prescribed. Thanks to this procedure, it is possible to examine in more detail the condition of the ovary and its appendages, as well as to simultaneously eliminate the existing problems. If a large paraovarial cyst is detected, laparoscopy can also be performed in order to perform puncture for pumping a part of the liquid from the capsule and analyzing it on the microflora.

Treatment method

With a paraovarial ovarian cyst, treatment without surgery is quite possible, but only if the size of the formation is small. In this case, requires constant monitoring of the development of the disease. In addition, the attending physician may prescribe hormonal drugs aimed at restoring balance in the body and stopping the growth of cysts.

If the capsule continues to grow and gives the patient discomfort, or if there are significant risks of complications, it is worthwhile to turn to more radical methods of getting rid of the disease.

Note. The operation to remove a paraovarial cyst is a very common procedure in gynecology, and thanks to modern techniques, it is absolutely safe.

It is necessary to analyze in more detail how a paraovarial cyst is removed. The procedure is performed laparoscopically, that is, through small punctures in the abdominal wall using special tools, and mainly under local anesthesia.

To ensure a more accurate work of the surgeon, carbon dioxide is injected into the abdominal cavity.

During the operation, the cyst is separated from the adjacent tissues and is expelled. In the future, it will be necessary to conduct a course of antibiotic therapy to prevent the development of infection.

Important! To remove large cysts, an open operation is performed.

Treatment of folk remedies

With the approval of the attending physician, you can try out the treatment of a paraovarial ovarian cyst with folk remedies. Various decoctions and tinctures will help slow the growth of education, and in some cases may even contribute to its self-resorption. However, in the event of any suspicious reactions, as well as symptoms of complications, it is impossible to delay in contacting the medical institution.

Use of folk remedies is possible only under medical supervision.

The most popular home recipes for treating ovarian cysts:

  • Ointment. Heat unrefined sunflower or linseed oil on the steam bath, gently add egg yolk, and add beeswax to emulsify the mixture. After cooling it is necessary to apply a small amount of ointment on a gauze pad and insert it into the vagina.
  • Tincture. The basis is vodka or diluted alcohol. On the steam bath it is necessary to brew wormwood, yarrow and St. John's wort. Broth defend and mix with the same amount of alcohol base. Next, add aloe juice and honey. Take the medicine you need every day before meals for 1 tablespoon.
  • Decoction. Brew or insist in a thermos dogrose and yarrow. Drink half a glass every day before meals.

What it is?

Paraovarian cyst of the ovary is characterized by abdominal formation of the appendage of the ovary, within which there is fluid. This formation consists of a single chamber. It is located in the area between the gonads and fallopian tube.

The structure of a paraovarial cyst usually has a smooth surface and round outlines. Inside this formation there is a liquid, which has in its composition a high level of protein compounds and mucin.

Cyst growth is caused by an increase in the amount of fluid contained within. The parameters of the cyst can increase up to 15 cm. The structure of the capsule shell is quite thin, it includes a high level of epithelial cells.

This form of cyst can not be reborn and go into a state of cancer. But it can cause torsion, breaks, which in the end can cause severe pain.

Paraovarial ovarian cyst may occur due to various factors. Sometimes this pathology may occur due to the negative impact of drugs, cigarette smoking, which are tested at the prenatal stage of development.

In addition to these causes, there are also provoking factors that cause the appearance of this form of cyst:

  • The presence of inflammatory pathologies of the reproductive organs,
  • Pathological process of the thyroid gland, as well as other endocrine disorders,
  • If abortions were performed in the past, then in the future the probability of the appearance of a paraovarial ovarian cyst increases,
  • If there is chronic stress,
  • Frequent infections of the reproductive organs and other internal organs of the body.

Important! According to the above factors that cause the appearance of this pathology, it can be concluded that the formation of formation occurs as a result of an imbalance of the hormonal balance in the body. Therefore, this form of cyst can appear during the transitional age, during the child's bearing, during menopause, when the body has a natural change in the concentration of substances.

If the formation of a paraovarial type was manifested during pregnancy, then in general it does not affect the development of the fetus. However, if it is large, then in these cases the risk of its rupture or torsion increases.

During these periods, a woman may experience a deterioration due to the fact that she has to wear a double weight. Possible deterioration, discomfort, pain when urinating, constipation.

With a large education during childbirth it is worth being especially careful, any sudden movement can cause cyst rupture and further complications. It is best to treat a cyst after childbirth, but on condition that you do not need to resort to emergency care.

Regardless of which side the formation appeared, its symptoms are almost the same. At the initial stage, it usually has very small dimensions and does not manifest in any way.

Therefore, in this period, it is impossible to determine its existence by any means. This pathology can be identified by chance during a screening examination, namely during an ultrasound scan of the reproductive system.

Once a paraovarial ovarian cyst reaches 4-5 cm in diameter, it can be characterized by a number of symptoms:

  1. The occurrence of pain in the lower abdomen, which are not associated with the peculiarities of the menstrual cycle. In this case, increased pain is noted with increased physical exertion,
  2. The manifestation of frequent urination and defecation. These symptoms are associated with an increase in the capsule, which presses on the region of the pelvic organs,
  3. Menstrual disorder,
  4. When the dimensions of the cyst reach 8-10 cm, the size of the abdomen begins to increase.

Types of cysts

As a rule, a capsule with a liquid appears on one of the gonads. However, sometimes they may appear on both. Depending on the area of ​​location, there are some distinctive features in the state of health and further consequences:

  • The paraovarian cyst on the right occurs quite often, it is mainly in the diagnosis that this type of cyst localization is detected. This is due to the fact that the right ovary has an increased circulatory activity. In this form, the wall may sometimes grow into the uterine tissue. The capsule on the right grows faster in size, often has a leg. When complications occur, the process of suppuration occurs, there may be a gap in the walls,
  • Paraovarian cyst of the left ovary has mild symptoms. The capsule has a wide base, so its ruptures rarely occur.

Features of the survey

If the cyst has large volumes, then during the examination the doctor can detect it while palpating the abdominal area with his hands.

Important! In most cases, a paraovarial cyst is found by ultrasound. Rarely, the presence of education is determined during a bimanual gynecological examination on a chair.

When performing ultrasound, you can usually fully see the structure of the abdominal mass, its size and condition.

A verified survey method can also be performed using diagnostic laparoscopy of a paraovarial ovarian cyst. During this method of examination, a laparoscope (telescopic tube) is inserted into the area of ​​the abdominal cavity and the presence of a cyst, its size, and location are detected.

Treatment methods

Unfortunately, there are no medical methods for the treatment of paraovarial cysts that cause its resorption. The main treatment for this pathology is complete removal with the help of surgical interventions.

The method of treatment depends on the size and shape of the cyst:

  1. If it has a small size, the method of therapeutic laparoscopy is performed. During this method of treatment, a telescopic tube and small tools of manipulators are inserted through small incisions in the area of ​​the abdominal cavity. Removal of cysts is carried out under the control of the camera. This method of removal is easily tolerated, after it there is no injury to the ovary, no complications occur. The duration of rehabilitation is small, only 3-5 days,
  2. If it has large dimensions, then in these cases the method of its removal is applied - median laparotomy. In this operation, it is performed along the midline of the abdominal area, then a cyst is removed. This surgical intervention is traumatic, often during it it is necessary to remove the ovary. The rehabilitation period is usually delayed up to 10 days.

Traditional methods of treatment

When a cyst is detected at its early stage, it is possible to dispense with the use of operations. Of course, these methods do not always help, but sometimes their use causes cessation of cyst growth and leads to its further resorption.

The following natural remedies can be used as traditional methods of treatment:

  • Tincture of aloe, yarrow, hypericum, wormwood. In a thermos need to pour 50 grams of dry collection of all herbs and pour 3 liters of boiling water. Infused during the day. Next, pour 500 ml of alcohol and add 500 grams of honey. Ready tincture should be taken before meals and 1 tablespoon three times a day,
  • Ointment of olive oil, boiled yolk and beeswax. 200 grams of olive oil should be poured into the pan and heated, then 50 grams of beeswax is added to it and melted. After that, crushed yolk is added to the mixture. As soon as the mixture starts to foam, remove the container from the fire and cool it. Then it also warms up again twice. After this cooled mixture is obtained, a cotton swab is moistened and inserted deep into the vagina. The tampon should be kept there for 6-8 hours.

Folk recipes really help eliminate the paraovarial cyst. But before applying them for treatment, all the same it is necessary to undergo appropriate treatment by a doctor.

It is necessary to apply home methods only at the initial stage of this pathology, if the education is already large, their application will not help to eliminate it.



Description of the disease

A paraovarial cyst is a safe ovoid neoplasm that never develops into a malignant tumor. It begins to appear during prenatal development due to various disorders, it is detected in women aged 20-40 years, in adolescent girls - rarely.

The cyst is paraovarial localized above the ovary or in front of it, has thin smooth walls and a cavity filled with serous fluid. Larger formations are characterized by the presence of a leg, formed by the tissue of the ligaments of the uterus, sometimes by the tissue of the ovary and the fallopian tube. The cyst feeds on the account of the mesenteric vessels, the fallopian tube and its own capillaries, its development proceeds slowly, sometimes over several years.

Cystic tumor increases due to the accumulation of cavity fluid, stretching the capsule wall. When the paraovarial formation reaches the size of 8-10 cm, the first symptoms appear.

Classification

At the place of localization, education can be located:

  • The paraovarial cyst on the right is the most common location, since from this side there is more blood circulation. This arrangement is more susceptible to complications, as the cyst develops more actively.
  • The left paraovarian cyst is a rarer occurrence, often proceeding imperceptibly. Due to the flat base does not occur torsion of the legs and necrosis.
  • On both sides - is extremely rare.

Depending on the size of the cyst is:

  • small - reaches a size less than 2.5 centimeters,
  • medium - the size of the formation is in the range of 2.5 - 5 centimeters,
  • gigantic - its size goes beyond 5 centimeters, most often it has a leg, which is its danger.

According to the degree of mobility a paraovarial tumor can be:

    mobile - moves under pressure, because it has a thin leg,

Symptoms of a paraovarial cyst

Small neoplasms do not appear and do not bring discomfort when they grow to medium and gigantic sizes, there is a pronounced symptomatology. The following symptoms appear:

  • intermittent aching pain in the lower abdomen from the location of the pathology, they appear and pass spontaneously, give to the lower back and sacrum,
  • frequent and painful urination,
  • problems with defecation,
  • painful accompanying sexual intercourse,
  • an increase in the size of the abdomen on the part of cystic formation, a feeling of heaviness and bloating,
  • irregular menstrual cycle
  • the ability to test the tumor yourself,
  • acute abdominal syndrome - a phenomenon indicating complications.

Causes of pathology

It is not always possible to identify all the causes of a paraovarial cyst.

Sometimes the appearance of a neoplasm can be influenced by the lifestyle of the mother during pregnancy (bad habits, treatment with unresolved drugs, unhealthy diet). As a result of impaired intrauterine development of the embryo, the canaliculi of the appendages (paraovaria) remain underdeveloped, the excretory ducts may be completely absent, due to which secreted fluids, having no outlet, accumulate.

Although the formation of a paraovarial cyst occurs even at the stage of embryogenesis, experts identify the following basic causes of the appearance of cystic formation:

  • chronic stress
  • improper follicle formation,
  • endocrine dysfunction, thyroid disease, tumor-like processes,
  • puberty at an early age (up to 11 years),
  • abortion and other surgery on the pelvic organs,
  • taking anabolic steroids and
  • pregnancy, unstable hormones,
  • medication for treating breast tumors (Tamoxifen)
  • genital infections

  • solarium abuse or excessive exposure to the sun,
  • environmental factors, polluted environment,
  • inflammation of the reproductive system,
  • appendage diseases,
  • hormonal contraceptive use,
  • local overheating (hot tubs, baths, saunas).

Dangers and complications

Important! Lack of timely treatment can lead to complications and cause irreparable harm to women's health.

When performing active physical exercises, excessive enthusiasm for tanning, hot baths, a cyst can have the following complications:

  • Torsion of the legs - squeezing of the veins, nerve endings located on the leg of the cyst, leading to necrosis of the tumor, which is expressed by sharp pains like contractions, tachycardia, and increased sweating.
  • Suppuration of the cyst is a process caused by the drift of infections, accompanied by acute cutting pains in the abdomen, nausea and vomiting, fever. Purulent masses, spreading, disrupt the work of neighboring organs.
  • The rupture of the capsule is the most severe consequence, characterized by the release of the contents of the cyst into the pelvic cavity, which causes a loss of consciousness associated with pain shock.

Complications of paraovarial cyst require urgent medical intervention, otherwise you can provoke the development of infertility or even death.

Can I get pregnant after surgery?

The question of whether it is possible to become pregnant after the removal of a paraovarial tumor concerns many women. Of course, first you need consultation and observation with a doctor, after which he will give the necessary recommendations.

The performed operation is not an obstacle for the planning of pregnancy, you just need to wait until the body is fully restored.

After removal, the paraovarian cyst will not reappear, since the tissues of which it was composed are removed entirely. For early rehabilitation, it is important to follow all the instructions of the doctor and in the first months to follow a diet, to refuse fatty and spicy foods, to balance the diet with plenty of fruits and vegetables. Conception is possible not earlier than 3-4 months after surgery.

Thus, a paraovarial tumor is a serious formation, but not so much as to lead to infertility or a cancerous tumor. The main thing is to treat your health responsibly and not to delay treatment.

Characteristics of the pathology on which ovary (on the right or on the left) most often found education

Paraovarial cyst is a single-chamber cavity formation, which resembles a tumor.. It has an elastic smooth capsule. It can be oval or rounded. The cyst is characterized by transparent thin walls (up to 2 mm). This formation is filled with liquid contents.

The tumor is located between the sheets of the wide ligament of the uterus, between the tube and the ovary (it is not attached to the latter).

Depending on the location emit:

  • right-sided cyst - the tumor is most often diagnosed to the right,
  • left side.

Pathology is usually found in women 20–40 years old. A paraovarial cyst is diagnosed in practically 8–16% of patients.

Features of a parovarial cyst

Paraovarian cyst is not able to dissolve! It belongs to those formations, which can be eliminated only in an operational way.

This pathology is not a tumor, it is just like it. Therefore, the cyst is not able to degenerate into malignant. The growth of such a formation does not occur as a result of cell division (which is typical of real tumors), but due to stretching of the walls during the filling of the capsule.

The speed of development of education is unpredictable. Usually such a cyst grows slowly. Most often its size is 80–100 mm in diameter. Under the influence of certain factors, education can begin to progress rapidly. In this case, it can "grow" up to 300 mm in diameter.

Pathology and pregnancy

Paraovarian cyst does not affect the ability of a woman to conceive, safely carry and give birth to a baby.

If the formation of small size, it may not bother a woman. Such cysts usually do not have legs and do not complicate the pregnancy if they do not begin to increase in size.

Large tumors pose a threat. These cysts are usually localized on the leg. During pregnancy, an abdominal compression of the organs occurs in the abdominal cavity. Against the background of such changes, torsion of a cyst can occur. Pathology causes severe pain discomfort and requires immediate surgical intervention.

Given the risks of complications, gynecologists recommend that women who are planning a pregnancy should remove a large-sized paraovarial cyst in advance, before conceiving a child.

Provoking factors

Most often, the formation of a cyst or the growth of an already formed pathology occurs under the influence of the following factors:

    The impact on the body of high temperatures. The cyst can form after warming up, prolonged exposure to the sun, frequent visits to the solarium. Education is often detected in women who like to bathe in the sauna, steam bath or hot baths.

Paraovarian cyst does not have a genetic predisposition and is not capable of being inherited.

Characteristic symptoms

The formation of a small size for a long time may be asymptomatic. Unpleasant sensations in the lower abdomen appear with an increase in cysts. Discomfort is dictated by squeezing the organs located in the small pelvis (bladder, rectum, uterus).

A large cyst can provoke the following symptoms in a woman:

  1. Pain of pulling, bursting or whining character. Discomfort can be felt in the lower abdomen, right or left (depending on the location of the pathology) or in the region of the sacrum.
  2. Pain usually has no connection with the menstrual cycle and the process of ovulation.

Therapy methods: are medical and folk remedies effective?

Tactics of treatment depends on many factors:

  • the size of education
  • the presence of symptoms
  • state of a woman.

If a small cyst is found that does not cause negative sensations in a woman, the doctor will recommend monitoring the pathology. The patient must come every 5-6 months for a routine examination.

For large sizes or a tendency to education to increase, it is recommended to resort to surgical intervention.

Since the paraovarial cyst is not able to dissolve, treatment with drugs or folk remedies will not bring the desired result. Such tactics will delay the operation and may provoke a number of serious complications.

Lifestyle

Owners of small formations who are not offered surgical intervention need to reconsider their lifestyle.

Doctors are advised to adhere to the following rules:

  1. Adequate physical activity. It is not desirable intensive classes. It is recommended to exclude exercises associated with drastic changes in the body or strains (flip-flops, rotational movements, falls, jumps). Sports activities must be coordinated with your doctor.
  2. Elimination of thermal events. A woman is advised not to take hot baths (water should not exceed 38 ° C). You should not visit the baths, saunas.
  3. Limiting exposure to ultraviolet radiation. It is not advisable for a patient with a paraovarial cyst to sunbathe excessively in the sun. A visit to the solarium will not be helpful.
  4. During sex, you must choose a comfortable posture that does not cause a woman pain.

Paraovarian cyst is not a contraindication to the establishment of the intrauterine device.

Indications for surgery

The main indications for surgical removal of a paraovarial cyst are the following states:

  1. The appearance of a woman's pain and discomfort, provoked by the large size of education.
  2. The rapid increase in cysts in size.
  3. The occurrence of complications (torsion of the legs, suppuration, rupture of the capsule).

Types of surgical interventions

The operation is carried out (depending on the presence of complications, the size of the formation) in two ways:

    Laparoscopy. Such an operation is possible with small cyst sizes. In this case, an instrument and a special telescopic tube are inserted into the peritoneum through small punctures. Carefully controlling all manipulations using the camera, the surgeon excised the cyst. The ovary during surgery is not affected. This is a low-impact intervention. The woman after it is quickly restored (within 3-5 days).

Reviews of women on cyst removal

In the spring there was nothing noticed on the ultrasound, but in the autumn pain appeared and again she went to the ultrasound and diagnosed a cyst of 7 cm. They prescribed hormonal pills - it didn't help. sent to lapara. very hysterical at first, but as a result, three small scars (where the ovaries are, and next to the navel) look like cat scratches and are almost invisible)). only after the operation, it turned out that I have a paraovarial cyst, which is really removed only by surgery, and when it is removed, the ovary is not affected! the doctor even said that I was lucky that it was this type of cyst)))

a guest

http://www.woman.ru/health/woman-health/thread/3995956/

I also found a paraovarial cyst size 29 by 18, my gynecologist first prescribed hormonal pills for me, nothing helped ((now the question is about removal, but for now I will be monitored and there is no conversation about urgent surgery. This type of cyst does not dissolve. My friend I went for 3 years with a stale cyst, did laparoscopy and has been walking quite content as 2 years already. This operation is considered to be benign, and you can get pregnant later.

Olga

http://www.woman.ru/health/woman-health/thread/3995956

I did lapar to remove steam cyst 03.02.2012 .... She did not bother me at all and found her in my back in 2006. But since I am planning a pregnancy, I was offered to remove it, because it is not known how it will behave during pregnancy (it can twist and burst) ... Almost 3 months have passed, but after the operation pains in the area of ​​the ovaries bother me. On May 5, I will go to the gynecologist, who sent me to lapar, and I will consult on these pains ((((... ... And so I decided on the operation only because I want a healthy baby and a pregnancy without problems .......

Victoria

http://www.woman.ru/health/woman-health/thread/3995956/

I had a paraovarial cyst a few years ago ... doing laparascopy. went to the hospital for 3 days: 1st day - prepare, 2nd - operation (3 punctures in the abdomen), 3rd day - inspection and send home. not scary! only a cyst was removed, everything else (in the sense of being female) is in place ...

after some time I gave birth to 2 children.

Alanta

http://eka-mama.ru/forum/part16/topic208372/message4690807/?PAGEN_1=2

I found this cyst 5 cm at 6 weeks of pregnancy, the doctor said nothing terrible. It doesn’t affect pregnancy, aside, it can be formed due to fluid accumulation in places of adhesions. During the COP, a cyst was cut out, I was shown. similar to any fat deposits. but it is not liquid. but as a sponge ..

5 years later, with the second ultrasound, they found the same one, but from the other side. I don't plan to cut out a special one.

Nataletochka

http://www.babyplan.ru/blog/17238/entry-66452paraovarialnaya-kista-vo-vremya-beremennosti/#ixzz4PsbQaKXB

Treatment prognosis

Paraovarian cyst does not belong to dangerous formations. She is not able to transform into oncology and may not give the woman any discomfort. This pathology does not interfere with a normal lifestyle. It does not affect the ability to conceive a child.

If surgery is carried out in a timely manner, in most cases it is possible to preserve the ovary. In this case, the pathology does not adversely affect the woman's body. A few months after the surgery, you can plan a successful pregnancy.

Twisting the tumor

A large formation is attached to the ligaments with a leg. Any sudden movements are capable of provoking its displacement. The cyst is twisted and clamps the vessels. Tissue neoplasms begin to die off. Necrosis is diagnosed.

The characteristic symptoms of torsion are:

  • sharp acute pain appeared after physical exertion,
  • discomfort does not go away even after taking analgesics,
  • pain is cramping,

A woman needs emergency surgery. During median laparotomy, the neoplasm is removed along with the ovary.

Cyst rupture

This complication occurs most often when the tension of the muscle tissue of the abdomen or straining. When you break the contents of the formation enters the peritoneum and causes an inflammatory process in the cavity - peritonitis.

For pathology is characteristic:

  • discomfort occurs after a certain physical exertion,
  • the pain is dagger-like,
  • the abdominal muscles are tense,
  • possible profuse bleeding
  • symptoms of intoxication (fever, weakness, vomiting, rapid heartbeat) develop rapidly.

Without emergency care, hemorrhagic shock may occur. During a laparotomy, a cyst with an ovary is removed and the abdominal cavity is washed.

Suppuration or infection education

Such a complication is dictated by the penetration of a bacterial infection into the neoplasm with the flow of blood and lymph. The cyst becomes purulent.

Pathology is manifested by the following symptoms:

  • the appearance of pain in the lower abdomen is not associated with physical exertion,
  • the discomfort is intense but not harsh,
  • temperature gradually increases
  • fever occurs
  • nausea, vomiting may occur.

In this condition, both the cyst and the ovary are removed. A woman is prescribed antibacterial treatment.

Preventive actions

Prevention is based on simple and accessible recommendations:

  1. To timely diagnose and treat any inflammatory, infectious diseases of the pelvic organs.
  2. Strictly follow the rules of hygiene.
  3. Avoid frequent visits to the tanning bed. Not recommended for a long stay in the sun.
  4. Exclude casual intimate connections or use a condom.
  5. Regularly visit (2 times a year) gynecologist.

Paraovarian cyst does not threaten a woman in terms of oncology. However, it can be a source of serious consequences. That is why it is necessary to be constantly monitored by a gynecologist and strictly follow all his recommendations. This will allow timely operation in which the ovary will be saved.A condition that threatens the health and life of the patient, just will not arise.

Prognosis and prevention

The prognosis for this disease is extremely favorable. In order to prevent the situation from worsening, you should take care of the health of the reproductive system. Be sure to follow the recommendations of the doctor, lead a healthy lifestyle, protect your sex life, follow the rules of hygiene. It is also important to treat in time diseases of other systems, especially those related to changes in hormonal levels.

You must follow the rules of personal hygiene and regularly visit a gynecologist.

With proper treatment, the tumor does not bother the patient. In rare cases, a paraovarial cyst is absorbed, but if there is evidence, it is still necessary to resort to its removal.

Coauthor: Galina Vasnetsova, endocrinologist

Paraovarian cyst of the ovary - symptoms, causes, treatment without surgery

A paraovarial ovarian cyst is a single-chamber capsule that is filled with fluid. It appears between the ovary and fallopian tube. The amount of fluid in the cyst gradually increases, because of which it begins to grow. This pathology is usually diagnosed in women whose body is ready to conceive and bear a child. Also this problem may affect adolescent girls.

Pathology description

Paraovarian cyst begins to form during fetal development. It is worth noting that its appearance is not explained by hereditary or genetic factors. A distinctive feature of the tumor is its slow growth.

As long as the paraovarian cyst of the right ovary does not grow up to 3 cm, it does not bother the woman. When she reaches this size, the patient appears complaints of malaise and pain in the relevant area.

  • In most cases, only one organ is diagnosed. So the doctor can only reveal a paraovarial cyst of the left ovary or a tumor that is located only on the right side. However, one should not exclude the possibility of the formation of a benign neoplasm in two organs at once.
  • Paraovarian cyst on the left side is diagnosed with the same frequency as the right. Although doctors have repeatedly said that the formation of this type of tumor on the right is a more frequent phenomenon. This is because the appendage from this side is constantly supplied with enough blood.

The specificity of the blood supply to the organs of the female reproductive system explains why the right ovary is more susceptible to the formation of a cyst. In addition, it is prone to increase and form a kind of leg, with the help of which the tumor attaches to the affected area. Therefore, complications are most often observed in patients with problematic right ovary.

Experts divide the paraovarial cyst into two groups:

  1. The first includes movable formations that have cavity walls and a thin leg. They can move and twist easily. This phenomenon is often observed when a woman makes sudden movements.
  2. The second group includes immobile tumors, which are distinguished by a wide base and absence of a leg. They are not as dangerous as mobile cysts. However, these tumors can grow into the tissues of the gland and fallopian tube, which is fraught with serious consequences for women's health.

It will be possible to determine which group the cyst belongs to only during the examination of the patient in the doctor’s office.

Causes of the development of a cystic tumor of the paraovarial type

There are many factors that provoke the emergence of a paraovarial cyst from the tissues of the ovary appendages. Often the cause of the disease is the influence of tobacco smoke, which the woman was exposed to even during the prenatal period. Also consider the following causes of the development of pathology:

  1. Inflammatory processes that affect the organs of the reproductive system. Salpignophoritis and adnexitis are the most dangerous.
  2. Disorders in the functioning of the thyroid gland and the endocrine system as a whole.
  3. Experienced abortion.
  4. Chronic stress and depression.
  5. Frequent cases of infection with infectious diseases that affect the reproductive system.

The above prerequisites make it clear that such a cyst accompanies hormonal imbalance. That is why it most often appears during adolescence or during pregnancy. Also, this pathology can be diagnosed in women experiencing menopause. During all these periods there is a serious change in the concentration of substances in the body. Therefore, they provoke the development of benign tumors in the ovary.

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Symptoms of pathology

Any woman who knows about the symptoms of a paraovarial tumor can suspect her development in her body. The presence of pathology is indicated by such characteristic signs:

  1. Pains that have a pulling character. They are felt in the abdominal cavity. The pain often goes into the lower back.
  2. Discomfort in the anus. The occurrence of a numb feeling in the rectum is also not excluded.
  3. Constant urging to the toilet. This phenomenon is due to the fact that the tumor is pressing on the bladder. The urination itself may be accompanied by a slight pain.
  4. False need for defecation, prolonged constipation. That's because the cyst squeezes the rectum.
  5. The increase in the volume of the abdomen due to the growth inside it. Asymmetry caused by the development of a cyst in only one ovary is not excluded.
  6. Problems with the conception of the child and the failure of the menstrual cycle.

Symptomatology of the disease manifests itself only if the tumor begins to grow strongly. Until she reaches 3 cm, the woman does not even know about her existence, unless she visits the gynecologist for the purpose of a routine examination. The main signs of pathology reveal themselves when a cyst grows to 6 cm.

The pains caused by the cyst are periodic. This means that they themselves arise and also disappear. Their intensity especially increases when a woman experiences physical exertion or has sex.

It is worth noting that a paraovarial cyst rarely affects the menstrual cycle.

Complications of a paraovarial tumor

Cystic neoplasm can cause the following complications:

  1. Twisting the tumor on the leg. Most often this occurs during sudden movements. This complication occurs due to excessive physical exertion, for example, sports or sex. All this causes displacement of the cyst and its twisting. As a result of this action, a leg is formed. At its edge is a tumorous bubble with fluid. In the place where torsion is observed, the vessels are clamped, due to which tissue necrosis occurs.

  2. Tumor neoplasm. This complication is caused by strong tension of the abdominal muscles. Because of this, the fluid in the cyst enters the abdominal cavity. This phenomenon is accompanied by inflammatory processes.

  3. Inflammation and infection of the tumor. This happens as a result of the release of pathogens into the affected area of ​​the reproductive system. Because of them, the cyst is filled with purulent masses, which increase its size.

It is impossible to ignore the signs indicating complications of cystic ovarian formation. They are easily recognized by persistent severe lower abdominal pain, unnatural abdominal tension, fever, nausea and vomiting. Tachycardia and significant pressure drop may also occur. If the woman does not provide timely assistance, she may lose consciousness.

Other complications of cyst of the organ of the female reproductive system are also distinguished. These include:

  1. Growing tumor in the tissue of the uterus or ovary. If this happens, the neoplasm severely damages the internal organs of the woman and disrupts their work. As a result of such exposure, the patient may experience problems with the successful conception of a child.
  2. Squeezing the organs that are near the cyst. The fallopian tube, intestine, uterus and bladder are affected. Vessels are also affected. If they do not cope with their direct responsibilities, then the inflammatory and purulent process begins. Behind it is the expansion of the veins located in the lower extremities and the abdominal cavity.

The fallopian tube suffers most from a paraovarial cyst. Because of the pathology arises its obstruction, which adversely affects the possibility of conception.

Diagnosis of the disease

An experienced doctor will immediately be able to recognize a large cyst in the body of a patient who has come to see him. To do this, it is enough for him to feel the belly. Pathology detection is difficult if it is small enough. In such cases, the diagnosis requires the use of special equipment.

  • Ultrasound examination helps to identify the paraovarial cyst. During the procedure, the doctor will be able to see on the monitor of the apparatus the abdominal structure of the tumor.
  • Often, gynecologists refer patients to a biopsy to examine a tumor. This procedure helps to determine the malignancy of the cyst at an early stage.

The effect of pathology on pregnancy

Pregnancy due to its effect on hormones can accelerate the growth and development of a paraovarial tumor. Closer to the second trimester increases the likelihood of complications of the disease.

Even after removing a paraovarial cyst with one ovary, a woman can still become pregnant. After all, the second body will continue to function normally.

Laparotomy

The laparotomic procedure has to be done due to the lack of equipment in the clinic for the most benign intervention. In addition, it has fewer contraindications. Sparing methods are not suitable for patients with a very large cyst or, if they have malignant tumors, adhesions and hernia. Obesity also falls into the list of contraindications.

How do laparoscopy:

Treatment of a paraovarial ovarian cyst without surgery - symptoms of pathology

In gynecological practice, various cystic formations are among the most common diseases of the female reproductive system.

Causes are hormonal disorders, inflammation or impaired development of the ovary appendages in the embryonic period.

Among all benign tumors of the female genitalia, about 10% are paraovarian cysts of the ovary. The disease occurs mainly in women aged 20–40 years, less frequently in adolescents.

What is paraovarial cyst

Paraovarian cyst of the ovary is a benign neoplasm formed from the appendages of the ovary (paraovarium). The tumor is located on the uterine ligament, between the ovary and fallopian tube.

The tumor has one chamber and develops as a result of accumulation of fluid in the paraovarium, which, in turn, consists of small non-functional tubules, gathering in one large duct.

Unlike other types of cysts, paraovarial has a thin capsule of increased elasticity and strength, increases with the accumulation of large amounts of fluid, is characterized by slow growth.

It can occur on both sides or on one side, with a considerable size (more than 8-9 cm) exerts increased pressure on the pelvic organs, as a result of which a pronounced clinical picture develops.

The danger of such a neoplasm is the possible rupture of the capsule, the development of a purulent process, and also the twisting of the leg.

The left paraovarian cyst is quite rare, does not provoke the development of a symptomatic complex and is practically not prone to growth.

Such tumors are detected only during the passage of a prophylactic examination, including ultrasound of the pelvic organs. The paraovarian cyst of the left ovary may increase slightly, but never grows to a dangerous size.

The paraovarial cyst of the right ovary is found in most patients, which is connected with the peculiarities of the blood supply system and innervation of the right organ.

The paraovarian cyst on the right is a tumor formation characterized by slow growth, however, if left untreated, it may eventually become large and exert pressure on the surrounding organs. Tumor of the epididymis of the ovary to grow into the tissue of the uterus.

Causes of neoplasm

The main reason for the formation of single-chamber formation from the paraovarium is a violation of the formation of tubules of the epididymis of the ovaries during the period of intrauterine development of the fetus.

As a result, there are no ducts in the tubules; therefore, the excreted fluid accumulates in the appendages. This leads to the formation of a single-chamber paratubar cyst.

The following risk factors can provoke the formation of a paraovarial cyst located near the fallopian tube:

  • hormonal disorders, in particular diseases of the endocrine system (hyperthyroidism),
  • abortion
  • follicle development disorder,
  • premature puberty.

Signs of neoplasia

The first signs and symptoms of a paraovarian cyst manifest as follows:

  • there is a periodic pain in the side of the arching or aching nature,
  • discomfort and pain in the sacrum,
  • urination disorders,
  • frequent urge to defecate or inability to empty the bowel,
  • a significant increase in the increase in the abdomen from its location,
  • violation of menstruation.

With the development of complications in the form of rupture of the walls of the capsule or twist its legs, the clinical picture of acute abdomen develops. With a large tumor without treatment, infertility occurs.

Laparoscopy

Laparotomy

The laparotomic procedure has to be done due to the lack of equipment in the clinic for the most benign intervention. In addition, it has fewer contraindications. Sparing methods are not suitable for patients with a very large cyst or, if they have malignant tumors, adhesions and hernia. Obesity also falls into the list of contraindications.

How do laparoscopy:

Other treatments for cystic tumors

Patients diagnosed with a paraovarial ovarian tumor should adopt the following popular recipes.

Infusion based on Hypericum, wormwood, aloe and yarrow

To prepare a therapeutic drink, you must take each of the listed ingredients 50 g each. The resulting mixture should be poured with 0.5 liters of alcohol. You also need to add the same amount of liquid honey.

  • Before you use the herbal collection, it is recommended to insist the whole day in a thermos in 3 liters of hot water.
  • The finished product must be taken before you sit at the dining table, a tablespoon.

Means from vegetable oil, beeswax and egg yolk

Before cooking, the first ingredient is preferably slightly heated. Melted wax and boiled egg yolk are added to it. The mixture is kept on fire until foam is formed in it. After cooling, the product must be reheated. This procedure is repeated twice.

These methods have been tested by more than one generation. Before you start using folk remedies during cyst treatment, it is necessary to discuss their inclusion in general therapy with your doctor.

Only a specialist, after studying the results of tests and research, will be able to tell the patient whether she will be able to do without surgical intervention or not. He will also find out if the chosen methods of non-traditional treatment will be effective in her case or they will not bring any special benefit.

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Treatment of a paraovarial ovarian cyst without surgery - symptoms of pathology

In gynecological practice, various cystic formations are among the most common diseases of the female reproductive system.

Causes are hormonal disorders, inflammation or impaired development of the ovary appendages in the embryonic period.

Among all benign tumors of the female genitalia, about 10% are paraovarian cysts of the ovary. The disease occurs mainly in women aged 20–40 years, less frequently in adolescents.

What is paraovarial cyst

Paraovarian cyst of the ovary is a benign neoplasm formed from the appendages of the ovary (paraovarium). The tumor is located on the uterine ligament, between the ovary and fallopian tube.

The tumor has one chamber and develops as a result of accumulation of fluid in the paraovarium, which, in turn, consists of small non-functional tubules, gathering in one large duct.

Unlike other types of cysts, paraovarial has a thin capsule of increased elasticity and strength, increases with the accumulation of large amounts of fluid, is characterized by slow growth.

It can occur on both sides or on one side, with a considerable size (more than 8-9 cm) exerts increased pressure on the pelvic organs, as a result of which a pronounced clinical picture develops.

The danger of such a neoplasm is the possible rupture of the capsule, the development of a purulent process, and also the twisting of the leg.

The left paraovarian cyst is quite rare, does not provoke the development of a symptomatic complex and is practically not prone to growth.

Such tumors are detected only during the passage of a prophylactic examination, including ultrasound of the pelvic organs. The paraovarian cyst of the left ovary may increase slightly, but never grows to a dangerous size.

The paraovarial cyst of the right ovary is found in most patients, which is connected with the peculiarities of the blood supply system and innervation of the right organ.

The paraovarian cyst on the right is a tumor formation characterized by slow growth, however, if left untreated, it may eventually become large and exert pressure on the surrounding organs. Tumor of the epididymis of the ovary to grow into the tissue of the uterus.

Causes of neoplasm

The main reason for the formation of single-chamber formation from the paraovarium is a violation of the formation of tubules of the epididymis of the ovaries during the period of intrauterine development of the fetus.

As a result, there are no ducts in the tubules; therefore, the excreted fluid accumulates in the appendages. This leads to the formation of a single-chamber paratubar cyst.

The following risk factors can provoke the formation of a paraovarial cyst located near the fallopian tube:

  • hormonal disorders, in particular diseases of the endocrine system (hyperthyroidism),
  • abortion
  • follicle development disorder,
  • premature puberty.

Classification

Cyst of the fallopian tube is of several varieties:

  • movable paratubar cyst - this species is distinguished by a thin leg, a less robust capsule, reaches a huge size and moves with ease,
  • fixed formations - these serous formations are less inclined to grow compared to mobile ones, but they can also reach large sizes and provoke the development of a symptomatic complex.

Paraovarial formations of small size (up to 2.5-3 cm) do not cause symptoms. When a large amount of fluid accumulates, the tumors increase and, reaching more than 5 cm in diameter, they put pressure on nearby organs, provoking the development of the clinical picture.

Symptoms manifest as painful sensations in the side and lumbosacral region, which are independent of the menstrual cycle.

Signs of neoplasia

The first signs and symptoms of a paraovarian cyst manifest as follows:

  • there is a periodic pain in the side of the arching or aching nature,
  • discomfort and pain in the sacrum,
  • urination disorders,
  • frequent urge to defecate or inability to empty the bowel,
  • a significant increase in the increase in the abdomen from its location,
  • violation of menstruation.

With the development of complications in the form of rupture of the walls of the capsule or twist its legs, the clinical picture of acute abdomen develops. With a large tumor without treatment, infertility occurs.

Diagnostics

Paratubar cyst of a large size is detected at the reception of the gynecologist during palpation of the lower abdomen.

Further, instrumental diagnostics is carried out, which allows to detect a tumor in the uterus tube, determine its size, exact location and differentiate with other types of tumors.

The main diagnostic methods include:

  • ultrasound (visualized on the monitor cyst near the ovary),
  • laparoscopy (during the procedure, a special tube is inserted through the front wall of the peritoneum, with which an image is displayed on the screen, a biopsy is performed to exclude malignancy).

Paraovarial ovarian cyst of minor size without clinical manifestations does not require treatment, the patients are under the close supervision of a gynecologist.

These types of cystic formations are not prone to self-resorption, therefore, when symptoms appear and the tumor grows in size, surgery is performed.

Drug treatment is ineffective and is used to normalize hormonal levels or to treat concomitant pathologies. Operational removal is required before IVF planning and conception.

Laparoscopy

Laparoscopy is a low-impact modern method that allows the removal of a paraovarian cyst with minimal risk. The operation is as follows:

  • three small incisions are made in the lower abdomen (no more than 5 mm),
  • tools for image visualization are inserted through incisions; they are also used to remove paraovarial ovarian formation,
  • barely visible scars after surgery,
  • risks of complications such as infection and bleeding are minor,
  • surgery to remove the tumor is performed under general anesthesia.

Drug treatment

The treatment of a paraovarial cyst is carried out mainly by surgery. However, in some cases, it requires the use of drugs to normalize the hormonal system, eliminate inflammatory processes (Ibuprofen, Voltaren) and kill microbes.

Medicines are used in the development of the clinic of the disease in order to eliminate it and prevent complications.

Folk remedies

Treatment of ovarian cysts without surgery involves the use of recipes for traditional medicine that improve the functioning of the urogenital organs of a woman, eliminate inflammation and help slow the progression of the tumor in size.

Traditional recipes are used only with the permission of the attending physician.

For diseases of the reproductive organs, it is recommended to take decoctions from dandelion root, grass of the uterus, red brush and wintergreen.

Dried and shredded plants are poured with hot water and kept in a water bath for up to 15 minutes, after which they insist under the lid for another half hour. Take broths several times a day, 1/3 cup for 20 minutes before meals.

Homeopathy

The effectiveness of homeopathic remedies to date has not been proven, but such drugs consist of biologically active substances and are used to treat many diseases.

The choice of a particular tool depends on the individual characteristics of the organism, the size of the tumor, the severity of symptoms. Homeopathy is prescribed by a qualified specialist in order to avoid the development of allergic reactions and complications.

For severe pains, Berberis 3 is prescribed, which contains alkaloids. Apis is used to treat hormonal imbalances in the female body.

Prevention and prognosis

A paraovarial ovarian cyst does not pose a danger to a woman; she is not prone to malignancy (the growth of healthy cells into malignant cells). Tumors of small size do not cause discomfort and do not affect the reproductive system.

After removal of the neoplasms, the prognosis is favorable, as a rule, there are no complications, the woman returns to her usual lifestyle. Reproductive function is preserved, and pregnancy planning is possible in the future.

Prevention of the disease is a regular visit to the gynecologist to undergo a routine examination: at least once a year.

Features of pathology during pregnancy and during menopause

During pregnancy, the paratubular cyst does not adversely affect the fetus, but as the embryo develops, the uterus increases, which begins to compress the tumor.

As a result, the risk of torsion of the leg with the subsequent development of severe pain in the lower abdomen increases. This situation requires urgent surgical intervention.

In women during the period of menopause, the formation of a paraovarium often develops on the background of hormonal restructuring of the body or as a result of previously transferred infectious processes of the urinary organs. Pathological process can aggravate climacteric symptoms.

Tactics of treatment depends on the size of the tumor, the individual characteristics of the woman’s body and associated diseases.

The effect of pathology on the possibility of becoming pregnant

These serous formations do not affect the functioning of the female reproductive system, so the ability to conceive and carry a healthy baby remains.

Despite the benignness of a paraovarial tumor, the accumulation of a large amount of fluid contributes to its growth, which subsequently causes unpleasant symptoms, and without therapeutic measures can cause serious complications.

Regular visits to the gynecologist will allow timely detection of the pathology and the necessary treatment.

Ovarian cyst paraovarial: symptoms, diagnosis and treatment methods

One of the most common diseases in women of reproductive age is an ovarian cyst. Less often, the disease is diagnosed in girls of puberty - puberty. It is characterized by the formation of a chamber in the structure of the ovary filled with a homogeneous fluid. Functional cysts are amenable to conservative (medical) treatment, and also very often decrease by themselves.

Ovarian cyst paraovarial does not belong to the functional. Among all cystic formations of the ovaries, the paraovarial cyst occurs in approximately 10-15% of cases. A cyst is formed not from the ovary itself, but from a ligament connecting the uterus and ovaries.

The reason for its appearance is a violation of tissue differentiation at the time of the formation of the urogenital system of the embryo. The wall of education does not exceed 3 mm., And has a pronounced vascular pattern. The inner shell is covered with flat and cylindrical epithelium. As part of the secret is protein and mucin. Education does not have the property of rebirth, and under no circumstances does it degenerate into a malignant tumor.

Since the paraofron has no excretory ducts, fluid accumulates inside, stretching the cyst wall, due to which the growth of education occurs. The shape is round or oval. The growth of cancer is due to cell division and further mutation.

Paraovarian cyst of the right ovary is found more often, this is due to the feature of the blood flow. Sometimes the walls of the cyst grow into uterine tissue. In right-sided education, growth is more intense, the risk of complications is higher. Paraovarian cyst of the left ovary also has a tendency to grow, the development of complications, but to a lesser extent.

Risk factors

The risk factors for the formation of a paraovarial cyst of both the right and left ovary include:

  1. Pregnancy.
  2. Hormone therapy.
  3. Abortions in history.
  4. Early puberty.
  5. Thyroid disease (hypothyroidism).
  6. Disorders in the process of maturation of follicles.

The aggravating factors are: inflammatory diseases of the pelvic organs, STDs, sudden "jumps" in weight. Excessive insolation can stimulate enhanced growth of education, both in the sun and in the solarium. Reception of hot baths, visits to baths and saunas. The disease does not apply to hereditary.

The disease proceeds without symptoms, until the moment when the formation will outgrow the boundaries of 4-5 cm. When these dimensions are reached, the following symptoms appear:

  • Pain in the lower abdomen, not associated with menstruation and ovulation. Increased during physical exertion. Irradiating pain in the lower back.
  • Discomfort during intercourse.
  • Feeling of fullness or pressure in the lower abdomen.
  • False desire to "go to the toilet," caused by the pressure of cysts on neighboring organs (intestines, bladder).
  • Failure of the menstrual cycle.

Paraovarial ovarian cyst - what is it?

Paraovarian cyst of the ovary is formed in a space that is limited to the ligaments of the uterus, ovary and fallopian tube. It affects not only the reproductive gland, but also the uterine appendages. The cyst itself is a thin-walled formation of an oval, less commonly rounded, taut consistency. It is located directly above the uterus or on the side of the genital organ. The thickness of the transparent walls of the cyst does not exceed 1–2 mm.

Inside the cyst is a smooth-wall homogeneous structure filled with a watery fluid. It contains a large amount of protein and some mucin. Education is characterized by low mobility, slow growth. The increase in size occurs as a result of the accumulation of the contents of the cyst, stretching its walls. Paraovarian cyst in diameter can reach 10–15 cm. Such formations are not predisposed to malignancy (degeneration into cancer).

Paraovarial ovarian cyst - causes

The main cause of paraovarial cysts, as well as other similar formations, is hormonal disruption in the body. However, in practice, when examining and establishing the cause, doctors encounter a situation where the cyst is of multifactorial origin (developed under the influence of several causes). In gynecology, it is common to distinguish the following provoking factors, the presence of which increases the risk of cyst formation:

  • violation of the process of maturation of follicles,
  • early on menarche
  • irregular menstrual cycle
  • history of abortion
  • treatment with anticancer drugs (Tamoxifen for breast cancer),
  • infections and inflammations of the reproductive system (endometritis, oophoritis, parametritis),
  • frequent stressful situations and experiences.

Left ovarian paraovarial cyst

The left paraovarian cyst develops for the same reasons as listed above. A feature of the pathology is the localization of education in the area of ​​the left ovary, in the space between the gland and the fallopian tube. In this regard, the possible pain and other symptoms of the pathology will be recorded mainly in the left half of the body.

Paraovarial cyst of the right ovary

It should be noted that the right paraovarial cyst, the causes of which are similar to those described above, is more common in the left. Such a pattern is associated with the topology and physiological features of the right ovary. With the disease, painful sensations are observed in the lower abdomen on the right and can be given to the groin area.

Paraovarian cyst on both sides

This type of pathology is recorded infrequently. In most cases, a paraovarial cyst of the left ovary or the right one develops first, and then the tumor cells transfer to a healthy reproductive gland. This is due to a good blood supply to the pelvic cavity, the reproductive system as a whole. Symptoms in this form are of a non-localized nature: pain may occur from one side or from the other side of the abdomen. At the same time, the size of such formations often differ. In the later stages of the pathology, abdominal asymmetry may occur.

What is dangerous paraovarial cyst?

A paraovarial cyst, the size of which can reach 15-25 cm in diameter, does not manifest itself in the early stages, so the disease is recorded at the height of the stage. Many patients learn about the cyst only with the development of complications. Of these, the torsion of the leg, a cord that binds to the ovary or ligament of the uterus, is frequent. As a result, the ligament itself, the nerve trunks and blood vessels are clamped. In rare cases, clamping of the fallopian tube may occur. This condition can lead to necrosis of the paraovarial cyst, which is accompanied by:

  • cramping pains all over the abdomen,
  • tension of the abdominal wall,
  • lower blood pressure
  • increase in the number of heartbeats,
  • blanching of the skin,
  • cold sweat.

With prolonged absence of therapy, cyst suppuration may occur. It occurs as a result of infection through the blood or lymph from chronic foci of infection in the body. A characteristic sign of complication is a rapid and sharp increase in body temperature, which can reach 39 degrees. Women notice spilled abdominal pain, vomiting, signs of intoxication (weakness, headache).

The rupture of a paraovarial cyst occurs when a large diameter is reached. At the same time, there are signs of shock: sharp dagger pain, decrease in pressure, deterioration of consciousness, headache. All of these complications require emergency surgical intervention. The volume of the operation is determined by the clinical picture (oophorectomy, andnelectomy).

Paraovarian ovarian cyst - treatment without surgery

Initially, doctors conduct numerous examinations to find out if a hydrosalpinx or paraovarial cyst is observed in a particular case. When hydrosalpinx accumulates fluid in the lumen of the pipe, which also causes a change in its volume. Doctors say that the treatment of a paraovarial cyst without surgery is not possible.

If the formation has small volumes, a wait-and-see tactic may be taken: physicians attempt hormone therapy, which rarely produces positive results. Due to the fact that a paraovarial cyst occurs more often in women of reproductive age and may be complicated, doctors prefer to adhere to surgical treatment. Scheduled cyst removal is mandatory when planning pregnancy with IVF.

Paraovarian cyst - hormone treatment

When a paraovarial cyst is detected, hormone treatment is rare. According to clinical studies, the use of hormonal agents against this type of cyst is ineffective. However, they can be used as part of complex cyst therapy. These drugs are prescribed for symptomatic treatment, normalization of the menstrual cycle, which is sometimes disturbed during a paraovarial cyst. In such cases, use drugs based on estrogen and progesterone:

Diagnostic methods

Symptoms are rarely detectable, so the following measures are taken to make an accurate diagnosis:

  1. Gynecological examination with two hands. If the doctor finds a paraovarial mass, or if he sees that the uterus and ovaries have become larger, he will order additional measures.
  2. Ultrasound. Thanks to ultrasound, it is possible to find a cyst on the appendages or near the ovary.
  3. Laparoscopy. A thin tube with a camera is inserted into the abdominal cavity, which makes it possible to confirm the presence of an ovarian cyst, to determine its location, shape, size.

Laparoscopic

The method is used more often, especially for small cystic formations. The operation is as follows:

  1. The patient is administered in general anesthesia.
  2. The doctor makes three incisions 5-15 mm long. He deepens them with a probe.
  3. A tube is inserted into one notch. Carbon dioxide is injected through it to widen the stomach. A camera is inserted into another incision in order to follow the progress of the operation, and in the third - a surgical laser. The doctor removes an ovarian cyst, looking at the monitor.
  4. Upon completion of the operation, the doctor takes out the instruments, treats wounds and stitches. The patient is allowed to go home the next day. The operation does not deliver a lot of pain, because it provides minimally invasive access. After such an intervention, the probability of formation of a new paraovarial cyst is minimized.

Laparotomic

Removal is prescribed if it turns out that the ovarian cyst is very large. Abdominal surgery is more traumatic, painful, and dangerous from the point of view of probable severe blood loss. But the doctor manages to carefully examine the pelvic organs, it will be easier for him to suture the tissue. The operation is performed under general anesthesia. A wide incision is made in the middle of the abdomen, through which a cyst is extracted. The postoperative period is ten days. Laparotomic surgery eliminates the likelihood of relapse.

Possible complications and prognosis

Paraovarian cyst is fraught with the following consequences:

  1. Twist the legs. If the cyst is large, then it will have an oblong base. If it twists, the woman will feel severe pain, which can not be stopped by any medicine.
  2. By suppuration. If an infection gets into the cyst, inflammation and pus will appear in the fluid. At the same time there is an increase in body temperature, fever begins, nausea, abdominal pain will increase.
  3. Capsule rupture. The most serious complication in which a woman feels a sharp unbearable pain. The rupture occurs because the fluid in the cyst becomes larger, with the result that the walls can not withstand and burst. Selection of the contents of the capsule into the peritoneum and internal bleeding begins.

Paraovarian cyst is not an obstacle when planning pregnancy. As a rule, when it is detected, its planned deletion is prescribed. After that, there is a favorable outlook. The probability of recurrence is minimal. Surgical intervention does not affect fertility. The only exceptions are those cases where the paraovarial formation has to be removed along with the left or right ovary.

Ovarian cyst and pregnancy

A small education is not a contraindication for conception. This question is very important for those who are thinking whether it is possible to get pregnant with an ovarian cyst. However, if it is diagnosed in advance, then you need to delete. Then you should go through rehabilitation and only then plan your pregnancy. If the formation was found at the moment when the fetus began to form, the situation is somewhat different.

Ovarian cyst during pregnancy can grow too rapidly, squeezing the internal organs and disrupting their work. It can affect the correct position of the embryo and impede generic activity. The risk of complications also increases: torsion of the ligament or rupture. If the cyst is small and does not grow too fast, then the doctor may recommend that you do not remove it, but observe the following preventive measures:

  • eliminate excessive loads and sudden movements,
  • avoid hot baths
  • wear a bandage.

Treatment of the disease

Conservative (drug) methods of therapy, leading to resorption of the cyst does not exist. Treatment of a paraovarial ovarian cyst consists in the surgical removal of this mass. Depending on the size, the gynecologist selects the volume of surgical intervention:

  1. With a small amount, therapeutic laparoscopy of a paraovarial ovarian cyst is performed. A telescopic tube and small tools, manipulators, are inserted through the small incisions into the abdominal cavity. Under the control of the camera, the surgeon removes the cyst. Such an operation is less traumatic. The ovary is not removed. The postoperative period is short, about 3-5 days.
  2. In the case of significant size of the cyst, the surgeon is forced to remove it through a midline laparotomy - an incision in the midline of the abdomen to access the cyst and remove it. This is a traumatic operation, often you have to remove the ovary. The postoperative period can last up to 10 days.

Complications of a paraovarial cyst

Due to the slow growth and lack of malignancy, the paraovarian cyst itself is not dangerous. However, as it grows, there may be complications that threaten the health and life of women, requiring urgent surgical treatment. These complications are:

  • Twisting the cyst on the leg - during sudden movements (playing sports, sharp turns), the cyst can shift relative to other pelvic organs with a twist. This forms a leg, on the edge of which there is a cyst. In the place of twisting the vessels are clamped, necrosis (necrosis) of the cyst tissues occurs. A sign is a sharp intense pain during physical exertion, which does not pass by itself. In this case, you should seek medical help as early as possible. Surgical treatment, median laparotomy (dissection of the anterior abdominal wall in the midline) and removal of the cyst along with the ovary.
  • Ovarian cyst rupture can occur when the tension of the abdominal muscles, the contents of the cyst enters the abdominal cavity, causing inflammation of the peritoneal sheets - peritonitis. It is characterized by a sharp, dagger-like pain in the lower abdomen after physical exertion, accompanied by tension in the abdominal muscles. Treatment - urgent surgery with the removal of cysts, ovaries and washing of the peritoneum.
  • Infection and inflammation of a paraovarial ovarian cyst occurs when a bacterial infection enters it. The contents of the cyst becomes purulent. Symptoms - pain in the abdomen, intense, but not sharp. Fever, fever, nausea and vomiting possible. Treatment - removal of a cyst with an ovary, antibacterial therapy.

Features during pregnancy

To avoid complications, it is best, of course, to diagnose and remove a paraovarian cyst before the onset of pregnancy. But not every woman, having this education, knows about his presence, since basically everything goes absolutely without symptoms, especially when his size is negligible. It is detected already at the first ultrasound screening in the first trimester.

Paraovarian cysts have no effect on the fetus, but may cause other complications.

Due to hormonal jumps, cyst during pregnancy can begin to grow rapidly. As a result of this, a pregnant woman can find a spotting in her body. These processes do not affect the fetus. But do not neglect visits to your obstetrician-gynecologist. It is necessary to constantly monitor the growth of the cyst in order to avoid complications (torsion, rupture) and, if necessary, remove it in time.

Causes and factors

Paraovarian cysts can be large

A cyst is formed due to abnormal development of the tubules in the epididymis (still in the prenatal period). These tubules do not have ducts to remove secreted fluid, with the result that it begins to accumulate in their cavity.

Contribute to the formation and increase of cysts:

  • disruption of the hormonal system,
  • ectopic pregnancies and abortions in the past,
  • ovarian dysfunction,
  • inflammatory diseases of the appendages,
  • sexually transmitted infections
  • early sexual development
  • overheating and overcooling,
  • overweight or underweight
  • uncontrolled hormonal drugs, including contraception,
  • disorders of folliculogenesis.

Symptoms and signs

As a rule, small-sized paraovarian cysts become a random finding at the next ultrasound, without showing any clinical evidence. A completely different picture develops when there is a larger education:

    pains of the pulling and whining character in the lower abdomen, which are aggravated by movements and changes in the position of the body, are sometimes given to the lumbar region on the affected side and are not related to the menstrual cycle,

Symptoms of a paraovarial cyst are manifested when the formation is large, most often it is a pain in the lower abdomen

In the event of complications (torsion of the legs, rupture of the capsule), all signs of an acute abdomen appear:

  • sharp cutting pain in the abdomen,
  • temperature rise,
  • a sharp rise and then a drop in blood pressure,
  • tachycardia,
  • pallor of the skin,
  • dizziness up to loss of consciousness,
  • cold sticky sweat.

With such symptoms it is impossible to delay, as the condition can threaten the life of a woman and requires urgent medical attention. Therefore, it is necessary to immediately call the ambulance team.

Surgery

As a rule, this is the only way to treat such cysts.

In the overwhelming majority of cases, surgery is performed by laparoscopy. This allows you to remove education as sparingly as possible: the appendages are left intact and intact so that in the future a woman can easily become pregnant by herself. The intervention is carried out with a laparoscopic tube and instruments that are inserted into the abdominal cavity through several small incisions. Defects in the form of scars after such an operation in the future become almost invisible.

Laparoscopy is the most benign method of surgery.

The laparotomy method is used with large cysts.

If a woman is planning a pregnancy, then care should be taken to ensure that such cysts are removed before conception (naturally or through in vitro fertilization) in order to avoid complications.

Surgical treatment is used not only in a planned manner. Most often resort to it in emergency cases, when there was a rupture of the capsule or torsion of the legs of the cyst.

Reviews of women after the removal of paraovarial cysts

... I underwent laparoscopy (I am 18 years old, the 16th day of the cycle). Removal of a paraovarial cyst on the left (near the ovary), separation of adhesions. The operation went without complications, the ovaries are intact ...

Anonymous

https://health.mail.ru/consultation/385039/

... On February 20th, I had a laparoscopy to remove a paraovarial ovarian cyst. Last month before the operation was 06.02.2012. As of today (03/15/2012) there were no monthly periods. I can't get to the doctor yet, as she is on vacation. I read that in some cases the cycle after laparoscopy is shifting, and the first day of the new cycle is the day of the operation. But in addition to removing the cyst, I only straightened the tube - straightened it (the cyst wrapped around it), did not touch the ovary (the cyst was near, it did not hurt), the tube was passable ...

Anonymous

https://health.mail.ru/consultation/472331/

I went for such an operation - I saw only a paraovarial cyst on the ultrasound, and on the lapar we found that the hydrosalpinx in the left tube and the cyst twisted it - they removed both the tube and the cyst. Then the second one was also removed - adhesions formed on it. Thank God, they invented IVF - and I am now MOM.

Olgana

https://www.babyblog.ru/community/post/conception/1753737

Possible complications and consequences

By themselves, paraovarial cysts are not dangerous due to the fact that they do not have the properties of malignancy. The main thing is to diagnose them and conduct dynamic monitoring. They do not interfere with the onset of pregnancy, but with large sizes they can squeeze the fallopian tubes, with the result that there is a probability of a violation of their patency. During pregnancy, no effect on the fetus does not have.

Large cysts may be complicated by torsion of the legs, suppuration or rupture:

  1. Twisting may occur with a sharp change in body position, heavy physical exertion. Torsion contributes to the appearance of sharp cramping abdominal pain (a stronger feeling of pain arises on the affected side). They are not stopped by painkillers, therefore emergency hospitalization and removal of the formation is indicated.
  2. Suppuration occurs as a result of bacteria entering the cyst. It suppurate, and all signs of inflammation appear: abdominal pain, weakness, nausea, fever. In this case, an urgent removal of a cyst is indicated.
  3. Cyst rupture carries the same threat as peritonitis. With a strong tension of the abdominal muscles, heavy physical exertion, sharp turns, a rupture of the membrane may occur, as a result of which the fluid contents of the formation enter the abdominal cavity and cause an inflammatory reaction. Accompanied by sharp dagger pains all over the stomach, extending to the groin and lower back. In this case it is impossible to delay in any case, it is necessary to call an ambulance for further hospitalization. Conducted emergency laparotomy with the removal of cysts and washing the abdominal cavity.

As a rule, doctors try to preserve the reproductive organs of the woman as much as possible. But in some cases it becomes impossible, then, together with a cyst, you have to remove the ovary and fallopian tube. Since the second ovary remains untouched and functions properly, pregnancy is possible.

A paraovarial ovarian cyst cannot recur after removal.

Preventive measures

It is better to prevent the disease than to treat it. So how to avoid all these troubles? Prevention measures include:

  1. Regular visits to your gynecologist (at least twice a year) for the timely detection of formations.
  2. Proper control of existing cysts.
  3. Reduced physical exertion and limiting sudden movements and lifting.
  4. Elimination of abortion.
  5. Rational approach to pregnancy planning.
  6. Identification and timely treatment of hormonal disorders.
  7. Termination of uncontrolled hormonal drugs (including contraceptives).
  8. Identification and timely treatment of infectious and inflammatory diseases of the reproductive system.
  9. Avoid long stay in the sun and in the solarium.

Paraovarial ovarian cyst is not a sentence. Many women live quietly with this diagnosis. The main thing is to remember about preventive measures and not to neglect trips to antenatal clinics. Modern methods of diagnostics and treatment allow detecting pathology in time and eliminating it as sparingly as possible.

Diagnostics and differential diagnostics

Differential diagnosis is carried out to exclude other types of cysts, as well as acute appendicitis, endometriosis, cancer tumors and ectopic pregnancy.

It is possible to identify the disease with the help of an examination on the gynecological chair using the method of palpation. At the same time, tumor formations that are practically immobile, smooth to the touch and elastic when squeezed are found to the right or left of the uterus.

If a cyst is detected, the doctor sends for an examination with an ultrasound scan that is transvaginal.

Ultrasound detects darkening of different forms.

One or several oval or round neoplasms are found on the screen, with a fluid that is homogeneous or containing small patches.

Laparoscopic examination is sometimes used to confirm the diagnosis. With the help of special equipment, a doctor can examine education in detail, establish its character, location, size, take a tissue sample for careful examination.

Treatment: will conservative methods and folk remedies help?

A paraovarial cyst does not resolve itself and requires surgical removal with its large size. After the diagnosis is established, constant monitoring of growth dynamics is necessary. There are no conservative methods and folk remedies to eliminate this neoplasm.

Neoplasm removal operation

Previously, in the absence of modern equipment, serious abdominal operations were performed, after which large scars remained. However, with the development of technology, doctors switched to minimally invasive surgery. Small cysts may not be removed, but when planning pregnancy and preparing for IVF, it is advised to get rid of even small tumors.

На данный момент параовариальные кисты чаще всего удаляются лапароскопически. However, despite the fact that this method is very gentle, there are the following contraindications to the operation:

  • recovery from infectious diseases, if 30 days have not passed,
  • acute respiratory and heart failure
  • severe hypertension,
  • advanced stages of obesity
  • abdominal hernia and adhesions,
  • malignant tumors of the pelvic organs.

Before assigning the date of the operation, it is necessary to pass the following tests:

  • blood for a general clinical analysis to determine clotting factors, the presence of HIV and various forms of hepatitis, biochemistry,
  • urine for general research
  • a vaginal smear to detect diseases and microflora,
  • Ecg heart
  • fluorography,
  • colposcopy
  • Ultrasound of the pelvic organs.

Paraovarian cyst during pregnancy

If a cyst is found in a pregnant woman, it is necessary to conduct frequent examinations, as there may be cases of torsion due to the increased pressure of the uterus on nearby organs. There are no special risks in the earliest terms. The neoplasm itself does not affect the condition of the fetus, but can significantly worsen the health of the mother as the child grows. Treatment is postponed until the postpartum period, if there are no emergency indications for surgery.

Treatment of cysts in pregnant women is delayed until the postpartum period

The process of delivery itself should take place under tight control in order to avoid possible rupture or impaction of the cyst. If this happens, then serious blood loss occurs, the patient may fall into a state of shock and stop responding to external stimuli. In particularly dangerous situations, the doctor may recommend a cesarean section.

Paraovarial cyst - treatment of folk remedies

With a disease such as a paraovarial ovarian cyst, treatment with folk remedies can be considered as an auxiliary method. With their help, it is possible to reduce pain, to remove some symptoms.

  • aloe - 50 g,
  • Yarrow - 50 g,
  • Hypericum - 50 g,
  • wormwood - 50 g,
  • honey - 50 g,
  • vodka - 500 ml,
  • water - 1 l.

  • Herbs are crushed, poured boiling water.
  • Insist in a thermos for 1 day.
  • Add honey and vodka, mix.
  • Take 1 tbsp. spoon thrice a day.

Removal of paraovarial cyst

When a paraovarial cyst is detected, whether the formation should be removed is decided by the doctor. A tumor with a diameter of less than 5 cm is not removed. The operation itself is carried out by the method of laparoscopy - surgical intervention, in which access to education is carried out through small punctures on the anterior abdominal wall. For large diameters of the formation, the operation can be performed by laparotomy.

Paraovarian cyst - surgery

Laparoscopy of a paraovarial cyst is the preferred method of surgery. In the absence of complications during the operation, dissect the front piece of the wide ligament of the uterus and produce husking of the cyst. In this case, the ovary and fallopian tube retain. Due to the retraction properties of the deformed fallopian tube is reduced and takes the same shape. Reproductive function is not impaired.

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