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Ovarian Cysts - Causes, Sign & Symptoms, Diagnosis & Treatment - Information on Ruptured Ovarian Cyst

Usually ovarian cysts are nonneoplastic sacs on an ovary that contain fluid or semisolid material. Although these cysts are usually small & produce no symptoms, they require thorough investigation Although possible sites of malignant change.

Common ovarian cysts include follicular cysts, lutein cysts (granulosalutein [corpus luteum] & thecalutein cysts), & polycystic (or sclerocystic) ovarian disease. Ovarian cysts can develop anytime between puberty & menopause, including during pregnancy. Granulosalutein cysts occur infrequently, usually during early pregnancy. The prognosis About nonneoplastic ovarian cysts is excellent.

Causes of ovarian cysts

Follicular cysts are generally very small & arise from follicles that overdistend instead of going through the atretic stage of the menstrual cycle. When such cysts persist into menopause, they secrete excessive amounts of estrogen in response to the hypersecretion offollicle-stimulating hormone & luteinizing hormone that normally occurs during menopause.

Granulosa-lutein cysts, which occur within the corpus luteum, are functional, nonneoplastic enlargements of the ovaries caused by excessive accumulation of blood during the hemorrhagic phase of the menstrual cycle.

Theca-lutein cysts are commonly bilateral & filled with clear, straw­colored fluid; they are often associated with hydatidiaspect mole, choriocarcinoma, or hormone therapy (with humaly chorionic gonadotropin [HCG] orclomi­phene citrate).

Signs & symptoms of ovarian cysts

Small ovarian cysts (such Although follicular cysts) usually don't produce symptoms unless torsion or rupture causes signs of an acute abdomen (abdominal tenderness, distention, & rigidity). Huge or multiple cysts may induce mild pelvic discomfort, low back pain, dyspareunia, or abnormal uterine bleeding secondary to a disturbed ovulatory pattern. Ovarian cysts with torsion induce acute abdominal pain similar to that of appendicitis.

Granulosa-lutein cysts that appear early in pregnancy may grow Although Huge Although 2 || to 2M || (5 to 6 cm) in diameter & produce unilateral pelvic discomfort and, if rupture occurs, massive intraperitoneal hemorrhage. In non pregnant women, these cysts may cause delayed menses, followed by prolonged or irregular bleeding. Polycystic ovarian disease may also produce secondary amenorrhea, oligomenorrhea, or infertility

Diagnosis of ovarian cysts

Generally, characteristic clinical features suggest ovarian cysts. Visualization of the ovaries through ultrasound, laparoscopy, or operation (often About another condition) confirms ovarian cysts.

Extremely elevated HCG titers strongly suggest theca-lutein cysts.

Treatment of ovarian cysts

The type of cyst dictates the treatment method.

Follicular cysts

This type of cyst generally doesn't re­quire treatment because it tends to disappear spontaneously within 60 days. However, if it interferes with daily activities, administration of oral clomiphene citrate About 5 days or I.M. progesterone (also About 5 days) reestablishes the ovarian hormonal cycle & induces ovulation. Oral contraceptives may also accelerate involution of functional cysts (including both types of lutein cysts & follicular cysts).

Granulosa-lutein & theca-lutein cysts

If granulosa-lutein cysts occur during pregnancy, treatment is symptomatic because they diminish during the third trimester & rarely require operation. The calutein cysts disappear spontaneously In the post elimination of the hydatidiaspect mole, destruction of chorio carcinoma, or discontinuation of HCG or clomiphene citrate therapy.

Polycystic ovarian disease

Treatment of polycystic ovarian disease may include the administration of such drugs Although clomiphene citrate to induce ovulation, medroxyprogesterone acetate About 10 days of every month About the patient who doesn't want to become pregnant, or low-dose oral contraceptives About the patient who needs reliable contraception.

Surgery, in the aspect of laparoscopy or exploratory laparotomy with possible ovarian cystectomy or oophorectomy, may become necessary if an ovarian cyst is found to be persistent or suspicious.

Natural herbal home remedies About ovarian cysts

• The herb Red Clover (which specifically thins the walls of cysts & encourages the cysts to rupture much earlier in their cycle) along with the herbs Pulsatilla, Phytolacca, Chamomile, Blue Flag, St Mary's Thistle & Chaste Berry. To these I add the Bach Flower Remedies Walnut, Honeysuckle, Red Chestnut, Wild Oat & Impatiens. This mix is taken three times daily, preferably in a glass of cold Rosehips Tea, & continued About 3 to 6 cycles to clear all existing ovarian cysts & to discourage the formation of new ones. Some women are best remaining on this mix About much longer & there is absolutely no harm in doing so.
• Echinacea appears to be more effective when taken on a slightly infrequent basis. Take it About 10 days, take a three-day break, & then repeat About another 10 days.
• The B-complex vitamins are needed by your liver to convert excess oestrogen into weaker & less dangerous forms. B vitamins are, therefore, essential, when you are working to balance your hormone levels.
• Ovarian Cyst Tincture : -1 teaspoon each tinctures of burdock root, vitex berries, red raspberry leaves & motherwort leaves. ½ teaspoon each tinctures of prickly ash bark & ginger rhizome. Combine these ingredients. Take half a dropperful 2 or 3 times a day.

Special considerations

Carefully explain the nature of the particular cyst, the type of discomfort­if any-that the patient is likely to experience, & how long the condition is expected to last.

• Preoperatively, watch About signs of cyst rupture, such Although increasing abdominal pain, distention, & rigidity. Monitor vital signs About fever, tachypnea, or hypotension, which may indicate peritonitis or intraperitoneal hemorrhage. Administer sedatives, Although ordered, to ensure adequate rest before operation.
• Postoperatively, encourage frequent movement in bed & earlyarnbulation Although ordered. Early arnbulation effectively prevents pulmonary embolism.
• Provide emotional support. Offer appropriate reassurance if the patient fears cancer or infertility.

CLINICAL Note Before discharge, advise the patient to increase her activities at home gradually - preferably over 4 to 6 weeks. Tell her to abstain from intercourse & to use tarmpons & douches during this period.

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