Wen | Wang Xiaoli
Audit School | Fan Ying
Beijing University School of Shougang Steel Medical Hospital
Figures | originated from the Internet
In the gynecological clinic, women who often encounter a medical examination report and ask women who do what ovarian cysts do, most of them have obvious anxiety. Today we will talk about this problem.
Hematoma, ovarian endometriosis, and polycystic ovary syndrome, etc., each has its own characteristics, and sometimes it takes a period of dynamic observation to identify.
The normal development process of follicles in the ovaries
Our women have the two ovaries, and the fixed number of follicles inside are always called follicle pools.These follicles are like the seeds of hibernation. They wake up and develop a batch from the day of menstruation every month. Every month wake up, develop a batch … After about 30 years, the follicles in the follicles pool have gone.Women should have menopause.The number of follicles developed each month is about 20-30, of which one of them can develop to about 2cm, mature, follicles rupture, eggs are excreted out of the ovaries, and other follicles will no longer develop and lock locks.EssenceThe follicle cavity left after ovulation is called luteal.
Various types of ovarian cysts
01 Ovarian physiological cyst
The so -called ovarian physiological cyst may be: ① the development of follicles in development is used as a cyst;The luteal continues to exist and formed a cyst.Such cysts mostly appear near and before menstruation.
The characteristics of ovarian biological cysts: Filial walls, smooth inner walls, good sound transparency, basically <4-5cm in diameter.Ultrasonic Doppler blood flow detection prompts have no obvious blood flow signal.Most of them will disappear. It is generally recommended to review the menstruation for about 3 days after 1-3 months, because at this time a new batch of follicles have not yet developed, and there is no second interference, and it can be judged whether it really disappears.
02 Ovarian luteal hematoma
We mentioned above that after the follicles are broken and ovulation, it becomes luteal, and luteal cysts refer to the small blood vessels at the same time when the follicles are ruptured, and the blood is left in the luteal cavity at the same time.The diameter is generally 4cm. After the luteal hematoma is absorbed, luteal cysts are formed.If the luteal hematoma is ruptured, it will cause abdominal pain and other discomfort. Some individual bleeding may cause blood loss shock, similar to ectopic pregnancy, and cannot be ignored.
The characteristics of luteal hematoma: uneven echo in the sac, there are many performances, such as messy echo, mesh structure, slightly high echo, and even dense light spots.It usually subsides naturally. It is also recommended to review the menstruation for about 3 days after 1-3 months.
03 Ovarian endometriosis cyst
It is commonly known as the ingenious pocket, and its onset process can be simply speaking, that is, the endometrium occurs in the ovarian unexpectedly.The water in the blood is absorbed, and the remaining endometrium sample tissue and thicker blood paste constitute the content of the cyst.(For details, see "Does Qiaoqian affect pregnancy?")
The characteristics of ovarian endometrium ectopic cyst characteristics: The cyst can develop on bilateral ovarian or unilateral ovarian. Due to the length of the disease and the period of menstrual cycle, different manifestations can be accompanied by dysmenorrhea and no pain. Only during physical examination, they are found to be found during physical examination.In the early stage, the ultrasonic manifestation is similar to the luteal hematoma. The typical mature capsule manifests as a fine and uniform light spot echo in the cyst.It is necessary to dynamically review, surgical treatment and auxiliary treatment as appropriate; after a long evolution, some clever pockets have also become cancer, so it is necessary to pay attention to it!
04 Polycystic ovary syndrome
Unilateral or bilateral ovarian changes show polycystic changes, that is, there are about 10 uniform follicles along the ovaries, commonly known as "necklace signs". For details, please refer to "abnormal menstruation-polycystic ovary syndrome".Such cysts are still very different. It needs to be combined with menstrual conditions, androgen level comprehensive diagnosis and drug treatment. There is no need to surgery.
There are many types of ovarian cysts, and the processing methods will vary from person to person and change due to time!In short, don’t panic because you find the ovarian long bag.Do you get the little knowledge about ovarian cyst today?