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Follicular cyst


The most numerous group of ovaries having the major practical importance are follicular cysts. These cysts represent the new growth of high-quality character filled with noninflammatory liquid.

Reasons of the Follicular cyst:

In 1827 "the water disease" of ovaries as an incurable disease of old infertile women was described. A long time the pathogeny of cysts of ovaries was unknown. There are two main theories of developing of follicular cysts of ovaries.
The first explains developing of cysts with the changes happening in ovaries at an inflammation of appendages of a uterus. The congestive hyperemia of pelvic bodies and development of the phenomena of an oophoritis are of great importance.
The second theory hormonal at which special significance is attached to disturbance of hormonal balance in the patient's organism. The frequent combination of follicular cysts of ovaries to inflammatory diseases of appendages of a uterus, apparently, not accidentally can also indicate an inflammation as on one of important etiological factors. The frequent combination of follicular oothecomas to hysteromyomas demonstrates that origins of both diseases are the cornerstone the same hormonal factors.

Symptoms of the Follicular cyst:

Clinical displays of follicular cysts of ovaries insufficiently accurate. It depends on lack of characteristic symptomatology and frequent existence of the associated diseases creating additional difficulties at identification of symptoms of diseases. Special attention when studying clinical displays of follicular cysts of ovaries is paid to studying of menstrual function as to the most reliable clinical indicator at assessment functionally of a condition of ovaries. The first periods at patients with benign tumors and cysts of ovaries come later, than at healthy women of the corresponding climatic zone. Some scientists specify that follicular cysts of ovaries can be followed by bleeding or, on the contrary, an amenorrhea. Uterine bleedings are observed at a persistention of a follicle or insufficiency of function of a yellow body.
The most frequent complaint of patients with follicular cysts of ovaries are pains. Quite often painful feelings are connected with commissural process in a small basin.
The most frequent complication of follicular cysts of ovaries is twisting of a leg of a cyst. It not only most often meeting, but also the most dangerous complication of a follicular cyst as twisting of a leg of a cyst can cause a rupture of a cyst, suppuration of contents of a cyst and development of peritonitis.
The clinical picture at torsion of a leg of a cyst is quite characteristic. The disease, as a rule, begins with the severe pains in the bottom of a stomach which are followed by nausea and vomiting. Temperature during the first hours of a disease remains to normal, leukocytic reaction does not happen. Existence of a bad painful attack of pain in the bottom of a stomach not only several hours prior to the address to the doctor, but that is especially important, for several days, weeks and even months is typical before. The beginning of a disease sometimes matches an exercise stress. A frequent complication of follicular oothecomas is hemorrhage in a cyst cavity.

Фолликулярная киста на УЗИ-исследовании

Follicular cyst on an ultrasonography research

Фолликулярная киста

Follicular cyst

Treatment of the Follicular cyst:

Diagnosis of a follicular cyst demands observation of the patient during several subsequent menstrual cycles. Referring to an etiology of follicular cysts, their therapy first of all provides purpose of hormonal oral contraceptives in low doses. If within 3 months the follicular cyst did not resolve, it should be considered as a cystoma, i.e. a tumor with a tendency to an ozlokachestvleniye.  Operation on removal of a cyst is the only effective treatment in that case. Additional resources in treatment of follicular cysts are vitamin and homeopathic medicines. At detection of the accompanying inflammatory pathology it is necessary to carry out the treatment directed to its elimination.

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