Health Diseases

 


Hemorrhagic Ovarian Cyst - Causes, Symptoms and Treatment

Ovarian cysts are small fluid-filled sacs that develop on a woman's ovaries. Every woman who is ovulating will form a small amount of fluid around the developing egg each month. The combination of the egg, the special fluid-producing cells, and the fluid is called a follicle and is normally about the size of a pea. For unknown reasons, the cells that surround the egg occasionally form too much fluid, and this straw colored fluid expands the ovary from within. The most common types of ovarian cysts are called functional cysts, which result from a collection of fluid forming around a developing egg. Most cysts are harmless, but some may cause problems such as bleeding and pain, and surgery may be required to remove those cysts. It is important to understand how these cysts may form. There are many different types of ovarian cysts, and they are an extremely common gynecologic problem. Because of the fear of ovarian cancer, cysts are a common cause of concern among women. But, it is important to know that the vast majority of ovarian cysts are not cancer. However, some benign cysts will require treatment in that they do not go away by themselves, and in quite rare cases, others may be cancerous.

Ovarian cysts occur in 30% of females with regular menses, 50% of females with irregular menses, and 6% of postmenopausal women. Benign dermoid cysts are the most common growth associated with torsion. Ovarian cysts can cause adnexal torsion, with a predilection to the right side. Cysts larger than 4 cm are more likely to cause torsion, but reports of such occurrences have been observed at 2 cm. Torsion more commonly occurs in a cystic ovary accompanied by a tumor, with benign processes outnumbering malignant ones. Because torsion results from complete or partial twisting of the ovarian pedicle, an obvious sequela is ovarian necrosis. Two functional ovarian cysts may develop; follicular cysts (ie, graafian follicular cysts) occur in the first 2 weeks of the cycle, and corpus luteal cysts occur in the later half of the cycle. The rupture of the follicular cyst can lead to sharp severe unilateral pain of mittelschmerz (occurring mid-cycle), and it is experienced by approximately 25% of menstruating women.

Causes of Hemorrhagic Ovarian cyst

Common causes of Hemorrhagic Ovarian cyst

  • Disordered folliculogenesis.
  • Hormonal imbalances.
  • Ovarian cancer.
  • Metastatic cancer.
  • Smoking.
  • Infertility.
  • Hypothyroidism.
  • Neonatal cysts.

Symptoms of Hemorrhagic Ovarian cyst

Common Symptoms of Hemorrhagic Ovarian cyst

  • Lower abdominal or pelvic pain.
  • Long-term pelvic pain.
  • Nausea.
  • Vomiting.
  • Infertility

Treatment of Hemorrhagic Ovarian cyst

Common Treatment of Hemorrhagic Ovarian cyst

  • Usually disappear by themselves and seldom require treatment. Growths that become abnormally large or last longer than a few months should be removed or examined to determine if they are in fact something more harmful.
  • Establish airway, breathing, and circulation.
  • Obtain IV access in potentially unstable patients during transport.
  • Make an appropriate base hospital contact to alert receiving facility of the imminent arrival of a potentially unstable patient.
  • Laparotomy is a more invasive surgery in which an incision is made through the abdominal wall in order to remove a cyst.
  • Birth control pills may be helpful to regulate the menstrual cycle, prevent the formation of follicles that can turn into cysts.
  • Anti-inflammatories such as ibuprofen (for example, Advil) may help reduce pelvic pain.
  • No Smoking.

 

 

 

 

 

 

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