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Ruptured ovarian cyst after hysterectomy. Ovarian Cysts After Hysterectomy: Causes, Symptoms, and Treatment Options

Can ovarian cysts occur after a hysterectomy. What are the potential causes of ovarian cysts following hysterectomy. How are ovarian cysts diagnosed and treated in post-hysterectomy patients. What symptoms may indicate the presence of an ovarian cyst after hysterectomy.

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Understanding Ovarian Cysts and Their Occurrence Post-Hysterectomy

Ovarian cysts are fluid-filled sacs that can develop on or within the ovaries. While a hysterectomy (surgical removal of the uterus) does not directly cause ovarian cysts, they can still occur in women who have undergone this procedure. Many women wonder if ovarian cysts are possible after a hysterectomy, especially if they never experienced them before surgery.

The reality is that ovarian cysts can and do develop following a hysterectomy, even in women who did not have a history of cysts prior to the surgery. This is because the ovaries typically continue to function normally after a hysterectomy, as long as they are not removed during the procedure (known as an oophorectomy).

How do ovarian cysts form after a hysterectomy?

Even without a uterus, the ovaries continue their monthly cycle of egg development and hormone production. During this process, functional cysts can form on the surface of the ovary. These cysts are a normal part of the menstrual cycle and usually resolve on their own. However, sometimes these cysts can persist or grow larger, potentially causing symptoms or complications.

Types of Ovarian Cysts That May Develop Post-Hysterectomy

Several types of ovarian cysts can occur after a hysterectomy, including:

  • Follicular cysts: These form when the follicle holding a developing egg doesn’t open to release the egg, instead filling with fluid.
  • Corpus luteum cysts: These develop after an egg has been released, but the follicle closes again and fills with fluid or blood.
  • Dermoid cysts: These are less common and contain various types of tissue, such as hair, skin, or teeth.
  • Endometriomas: Also known as “chocolate cysts,” these can occur in women with endometriosis, even after a hysterectomy.
  • Cystadenomas: These are typically benign tumors that can develop on the surface of the ovary.

Understanding the different types of cysts is crucial for proper diagnosis and treatment, as each type may require a different approach.

Potential Causes of Ovarian Cysts Following Hysterectomy

While the exact reasons for developing ovarian cysts after a hysterectomy can vary, several factors may contribute to their formation:

  1. Hormonal changes: The disruption of normal hormonal balance following a hysterectomy may increase the likelihood of cyst formation.
  2. Altered blood supply: During a hysterectomy, the blood supply to the ovaries can be affected, potentially leading to ovarian dysfunction and cyst development.
  3. Discontinuation of hormonal treatments: If a woman was using hormonal contraceptives or treatments that suppressed ovulation prior to the hysterectomy, stopping these medications may allow for the resumption of ovarian activity and cyst formation.
  4. Pre-existing conditions: Conditions such as endometriosis or polycystic ovary syndrome (PCOS) can continue to affect the ovaries even after a hysterectomy.
  5. Age-related factors: As women approach menopause, hormonal fluctuations can increase the likelihood of cyst development.

It’s important to note that while these factors may contribute to cyst formation, many women develop ovarian cysts without any clear underlying cause.

Recognizing the Symptoms of Ovarian Cysts Post-Hysterectomy

Identifying the presence of ovarian cysts after a hysterectomy can be challenging, as symptoms may be subtle or similar to other conditions. However, being aware of potential signs can help in early detection and treatment.

What are common symptoms of ovarian cysts after hysterectomy?

Common symptoms that may indicate the presence of an ovarian cyst include:

  • Pelvic pain or discomfort, which may be dull or sharp
  • Bloating or a feeling of fullness in the lower abdomen
  • Pain during sexual intercourse
  • Changes in bowel movements or urinary habits
  • Nausea or vomiting, particularly if a cyst ruptures
  • Sudden, severe abdominal pain (which may indicate a ruptured cyst or ovarian torsion)

It’s crucial to note that many ovarian cysts are asymptomatic and may only be discovered during routine check-ups or imaging studies. However, if you experience any of these symptoms, especially if they are persistent or severe, it’s important to consult with your healthcare provider.

Diagnosis and Evaluation of Ovarian Cysts in Post-Hysterectomy Patients

Diagnosing ovarian cysts in women who have undergone a hysterectomy involves a combination of clinical evaluation, imaging studies, and sometimes blood tests. The process typically includes:

  1. Medical history review: Your doctor will ask about your symptoms, surgical history, and any relevant medical conditions.
  2. Physical examination: A pelvic exam may be performed to check for any masses or tenderness.
  3. Imaging studies: Transvaginal ultrasound is often the first-line imaging technique used to visualize the ovaries and any cysts. In some cases, CT scans or MRI may be recommended for more detailed imaging.
  4. Blood tests: These may include hormone levels and tumor markers, especially if there are concerns about malignancy.

How are ovarian cysts differentiated from other conditions?

Differentiating ovarian cysts from other conditions can be challenging, as symptoms may overlap with various pelvic disorders. Your healthcare provider will consider factors such as:

  • The characteristics of the cyst on imaging studies
  • The presence or absence of specific symptoms
  • Your medical history and risk factors
  • Results of blood tests and other diagnostic procedures

In some cases, laparoscopy may be necessary for a definitive diagnosis, especially if malignancy is suspected or if other diagnostic methods are inconclusive.

Treatment Options for Ovarian Cysts After Hysterectomy

The treatment approach for ovarian cysts in post-hysterectomy patients depends on various factors, including the size and type of the cyst, the severity of symptoms, and the patient’s overall health. Treatment options may include:

Watchful waiting

For small, asymptomatic cysts that appear benign on imaging, a watchful waiting approach may be recommended. This involves regular monitoring with ultrasound to track any changes in the cyst’s size or appearance.

Medication

In some cases, hormonal medications such as birth control pills may be prescribed to help regulate ovarian function and prevent new cyst formation. Pain medications may also be recommended for symptom management.

Minimally invasive surgery

For larger cysts, those causing significant symptoms, or cysts that don’t resolve on their own, minimally invasive surgical procedures like laparoscopy may be recommended. During this procedure, the cyst can be removed while preserving the ovary.

Oophorectomy

In cases where there are concerns about malignancy or recurrent problematic cysts, removal of the affected ovary (oophorectomy) may be considered. This is typically done as a last resort, especially in younger women who wish to preserve ovarian function.

The choice of treatment will be based on a thorough evaluation of your individual case and a discussion with your healthcare provider about the potential risks and benefits of each option.

Preventing and Managing Ovarian Cysts Post-Hysterectomy

While it may not be possible to completely prevent ovarian cysts after a hysterectomy, there are steps you can take to reduce your risk and manage your overall health:

  • Regular check-ups: Maintain regular follow-up appointments with your gynecologist for routine examinations and screenings.
  • Healthy lifestyle: Maintain a healthy weight, exercise regularly, and eat a balanced diet to support overall hormonal health.
  • Stress management: Practice stress-reduction techniques, as stress can affect hormonal balance.
  • Be aware of your body: Pay attention to any changes or new symptoms and report them to your healthcare provider promptly.
  • Consider hormonal therapy: Discuss with your doctor whether hormonal therapy might be beneficial in regulating ovarian function and reducing the risk of cyst formation.

Remember that while ovarian cysts can occur after a hysterectomy, many are benign and resolve on their own. However, it’s essential to stay vigilant and work closely with your healthcare provider to monitor your ovarian health.

Long-Term Considerations for Women with Ovarian Cysts Post-Hysterectomy

Living with ovarian cysts after a hysterectomy may require ongoing management and consideration of long-term health implications. Here are some important factors to keep in mind:

Monitoring and follow-up

Regular monitoring through imaging studies and check-ups is crucial for women who have experienced ovarian cysts post-hysterectomy. This allows for early detection of any changes or new cyst formation.

Impact on quality of life

Chronic pain or discomfort from recurrent cysts can affect daily activities and overall quality of life. It’s important to discuss any persistent symptoms with your healthcare provider to explore management options.

Fertility considerations

For women who have retained their ovaries after hysterectomy and are considering options like surrogacy or egg donation, the presence of ovarian cysts may impact fertility treatments. Discussing these concerns with a reproductive specialist is advisable.

Menopausal transition

As women approach natural menopause, hormonal fluctuations can influence cyst formation and symptoms. Understanding the interplay between ovarian cysts and menopausal changes is important for comprehensive care.

Psychological impact

Dealing with recurring ovarian cysts can be emotionally challenging. Some women may benefit from counseling or support groups to cope with the ongoing medical management and associated stress.

By addressing these long-term considerations, women can work with their healthcare providers to develop a comprehensive plan for managing ovarian health after hysterectomy, ensuring the best possible outcomes and quality of life.

Ovarian Cysts after Hysterectomy | Hysterectomy Forum

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Does a hysterectomy cause ovarian cysts? I never had cysts prior to my hysterectomy, but I have them now.

A hysterectomy does not directly cause ovarian cysts, but they can and do occur after a hysterectomy.

During the monthly menstrual cycle, even after a hysterectomy, a functional ovarian cyst forms on the surface of a woman’s ovary. During ovulation, the cyst opens and releases the maturing egg. If the cyst does not open to release the egg, it can fill with fluid forming a follicular cyst.

A corpus luteum cyst can occur if the egg has been released but the cyst closes again. This type of cyst often contains a small amount of blood.

Most cysts are harmless and resolve on their own, but some may cause symptoms and pain and require medical or pharmaceutical intervention. In some cases, surgery may be required to remove the cyst.

For some women, it does seem like having a hysterectomy has opened the door to ovarian cysts. There are a couple plausible explanations for why this might seem to occur.

One, the blood supply to the ovaries can be interrupted during a hysterectomy, which can cause the ovaries to malfunction. Ovary malfunction can create a hormone imbalance and, therefore, more cysts.

Two, if you used some type of hormonal treatment prior to your hysterectomy that stopped ovulation, this could have stopped the cysts from forming as well. When those hormonal treatments are discontinued after your hysterectomy, the ovaries should return to their normal cycle of ovulation and the formation of functional cysts.

In general, functional cysts should not be painful. However, there are a variety of cysts, so talk to your doctor if you experience symptoms such as pelvic fullness, pressure, or discomfort. Other symptoms of an ovarian cyst can include sudden sharp pain accompanied by nausea and pain with intercourse.

The earlier the cyst is found, the less invasive the treatment might be and the higher the chance of a complete recovery.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-09-2011 – 07:05 PM

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Lauren Streicher, M.D.
Gynecologic Specialists of Northwestern, S.C
680 N. Lake Shore Dr., Suite 117
Chicago IL 60611
(312)654-1166
Ted Lee, M.D.
Magee Womens Hospital
300 Halket Street
Pittsburgh PA 15213
412 641 6412
Lori Warren, M. D.
3900 Kresge Way
Suite 30
Louisville KY 40207
502-891-8700
Joseph S. Valenti, M.D.
2805 S. Mayhill Road
Denton TX 76208
940 591-6700
Arnold Advincula, M.D.
Columbia Ob/Gyn Midtown
51 West 51st St, 3rd FL
New York NY 10019
(855) 75-OBGYN
Ellen Wilson, M.D.
5323 Harry Hines Blvd – Dept of OBGYN
Dallas TX 75390
214-648-4747
Debra Richardson, M.D.
Gynecological Oncology Clinic – SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
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Mayra J. Thompson, M.D.
5323 Harry Hines Blvd Dept OBGYN
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Ken Sinervo, M.D.
1140 Hammond Dr., Ste. F6220
Atlanta GA 30328
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Case Report and Concise Review of the Reported Cases

On this page

AbstractIntroductionCase PresentationDiscussionEthical ApprovalConsentConflicts of InterestReferencesCopyrightRelated Articles

Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Furthermore, we performed a literature review about ovarian torsion after hysterectomy. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH.

1. Introduction

Ovarian torsion accounts for 2-3% of all acute gynecological emergencies. It remains a clinically difficult diagnosis as the symptoms are usually nonspecific. Ovarian torsion can occur at any age and also after hysterectomy [1]. Although hysterectomy with ovarian conservation is not a risk factor for torsion [1], it seems to be more frequent after laparoscopic hysterectomy [2]. Therefore, despite it is a rare event, its prevalence could increase in the future with the widespread use of laparoscopic approach. We present a case of ovarian torsion after a laparoscopic hysterectomy and performed a literature review about reported cases.

2. Case Presentation

A 41-year-old woman, gravida 3, para 3, was admitted to our institution with a 12-hour history of acute onset pelvic pain, nausea, and vomiting. She had undergone total laparoscopic hysterectomy 2 years previously. The abdominal exam revealed mild distention and tenderness over the right lower quadrant. Vaginal examination revealed exquisite pain in the right vaginal fornix and the finding of a painful adnexal mass in the rectovaginal pouch of Douglas. Transvaginal ultrasonography showed a 60-mm cystic lesion in the right ovary with moderate ascites. We performed an exploratory laparoscopy and found a right adnexal torsion (Figure 1) and a right adnexectomy was successfully performed. Since the left ovary was normal a left ovariopexy was also performed.

3. Discussion

Ovarian torsion after hysterectomy is a rare event with a prevalence of 7. 91/1000 hysterectomies [2]. Although hysterectomy is not a risk factor for ovarian torsion [1], it has been estimated that approximately 8% of adnexal torsions occur in patients with previous hysterectomy [3, 4]. To date, there are no data on how different hysterectomy techniques may affect the risk of future ovarian torsion. However, several cases of ovarian torsion have been reported after laparoscopic hysterectomy (LH) (Table 1), while to our knowledge, only one case has been published after abdominal approach [6]. This could be explained by the fact that laparoscopic approach has been associated with both fewer postoperative adhesions [7] and less adhesion-related complications [8] when compared to laparotomy, in both gynecologic and pelvic surgery. The latter could be a direct consequence of the lesser peritoneal trauma and less inflammatory response during laparoscopy [9, 10]. Moreover, our technique of LH [11] includes a wide fenestration of the broad ligament, which is left open after surgery. Based on our observations, the ovaries remain much more movable after LH when compared to open approach (due to the skeletonization of infundibulopelvic ligament). For that reason, we perform prophylactic oophoropexy after hysterectomy only when the infundibulopelvic ligament has been excessively skeletonized and the ovaries remain too much mobile. However, in agreement with other authors [12, 13], we perform systematic oophoropexy in cases of recurrent torsion, excessive length of utero-ovarian ligament, torsion of a solitary adnexa, or contralateral pexy in case of adnexectomy of the twisted adnexa.

This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH. In addition, we encourage that, during LH with ovarian conservation, the fenestration of the broad ligament should be performed in the direction of the uterine artery and not towards the infundibulopelvic ligament, in order to keep the ovary more fix to the pelvic sidewall.

Ethical Approval

The retrospective observational nature of the study did not necessitate the local Institutional Ethics Committee approval. Institutional Review Board exemption was obtained.

Consent

Written informed consent was obtained from the patient for publication of the case report and accompanying images.

Conflicts of Interest

The authors declare that there are no conflicts of interest regarding the publication of this article.

References
  1. V. Asfour, R. Varma, and P. Menon, “Clinical risk factors for ovarian torsion,” Journal of Obstetrics & Gynaecology, vol. 35, no. 7, pp. 721–725, 2015.

    View at:

    Publisher Site | Google Scholar

  2. R. Mashiach, M. Canis, K. Jardon, G. Mage, J.-L. Pouly, and A. Wattiez, “Adnexal torsion after laparoscopic hysterectomy: description of seven cases,” The Journal of the American Association of Gynecologic Laparoscopists, vol. 11, no. 3, pp. 336–339, 2004.

    View at:

    Publisher Site | Google Scholar

  3. D. Houry and J. T. Abbott, “Ovarian torsion: A fifteen-year review,” Annals of Emergency Medicine, vol. 38, no. 2, pp. 156–159, 2001.

    View at:

    Publisher Site | Google Scholar

  4. L.-M. Lo, S.-D. Chang, S.-G. Horng, T.-Y. Yang, C.-L. Lee, and C.-C. Liang, “Laparoscopy versus laparotomy for surgical intervention of ovarian torsion,” Journal of Obstetrics and Gynaecology Research, vol. 34, no. 6, pp. 1020–1025, 2008.

    View at:

    Publisher Site | Google Scholar

  5. M. Ciebiera, A. Baran, A. Słabuszewska-Jóźwiak, and G. Jakiel, “Case report of ovarian torsion mimicking ovarian cancer as an uncommon late complication of laparoscopic supracervical hysterectomy,” Przeglad Menopauzalny, vol. 15, pp. 223–226, 2016.

    View at:

    Publisher Site | Google Scholar

  6. A. Elhjouji, O. Zahdi, H. Baba et al., “Adnexal torsion after abdominal hysterectomy: a first observation,” Pan African Medical Journal, vol. 22, article 9, 2015 (French).

    View at:

    Publisher Site | Google Scholar

  7. H. M. Dowson, J. J. Bong, D. P. Lovell, T. R. Worthington, N. D. Karanjia, and T. A. Rockall, “Reduced adhesion formation following laparoscopic versus open colorectal surgery,” British Journal of Surgery, vol. 95, no. 7, pp. 909–914, 2008.

    View at:

    Publisher Site | Google Scholar

  8. M. Al-Sunaidi and T. Tulandi, “Adhesion-related bowel obstruction after hysterectomy for benign conditions,” Obstetrics & Gynecology, vol. 108, no. 5, pp. 1162–1166, 2006.

    View at:

    Publisher Site | Google Scholar

  9. C. N. Gutt, T. Oniu, P. Schemmer, A. Mehrabi, and M. W. Büchler, “Fewer adhesions induced by laparoscopic surgery?” Surgical Endoscopy, vol. 18, no. 6, pp. 898–906, 2004.

    View at:

    Publisher Site | Google Scholar

  10. D. Roberston, G. Lefebvre, and Clinical Practice Gynaecology Committee, “Adhesion prevention in gynaecological surgery,” Journal of Obstetrics and Gynaecology Canada, vol. 32, pp. 598–608, 2010.

    View at:

    Google Scholar

  11. N. Bourdel, X. Tran, R. Botchorhisvili, J.-L. Pouly, M. Canis, and G. Mage, “Laparoscopic hysterectomy in 10 steps,” Journal de Chirurgie, vol. 146, no. 5, pp. 483–491, 2009 (French).

    View at:

    Publisher Site | Google Scholar

  12. N. Fuchs, N. Smorgick, Y. Tovbin et al., “Oophoropexy to prevent adnexal torsion: how, when and for whom?” Journal of Minimally Invasive Gynecology, vol. 17, no. 2, pp. 205–208, 2010.

    View at:

    Publisher Site | Google Scholar

  13. K. Jardon, R. Botchorishvili, B. Rabischong et al., “How I perform…. an ovariopexy after adnexal torsion,” Gynécologie Obstétrique & Fertilité, vol. 34, no. 6, pp. 529-530, 2006 (French).

    View at:

    Publisher Site | Google Scholar

Copyright

Copyright © 2018 Demetrio Larraín et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Medlux gynecologist talks about hysterectomy and ovarian cyst

Why the uterus is removed and the importance of regular examinations: Medlux gynecologist about women’s health

For example, gynecologists advise to undergo an examination at least once a year, but how many follow this recommendation, especially if nothing bothers you? The gynecologist of the medical center “Medlux” Elena Alexandrovna Koshmeleva in today’s material tells what gynecological diseases are most common in women, what signals of your body you should pay attention to and what symptoms you should visit the dentist.

Of the most common diseases and discharges

The most common diseases encountered in my practice are uterine fibroids, endometriosis, ovarian cysts, bleeding and menstrual irregularities.

Also, quite often, patients are treated with the fact that they are concerned about the discharge. In most cases, this is normal, there should be discharge, as they are associated with the menstrual cycle. At the beginning of the cycle, they are insignificant, in the middle their number increases and by the end it decreases again. They should be transparent, white, odorless, the main thing is not to bring discomfort. In inflammatory diseases of the pelvic organs, women are concerned about discharge with an unpleasant odor, uncharacteristic color and texture. In such cases, a consultation with a gynecologist is required.

Lack of natural secretions tends to be more common in women aged 35–45 and closer to 50 years. Often, patients are concerned about itching, burning, discomfort in the vagina in everyday life or during intercourse, bleeding. As a rule, the reasons in this case may be hormonal changes in the woman’s body or the side effects of medications taken, as well as the use of certain hygiene products. If there is no discharge for a long time, then this is an occasion to contact a gynecologist to restore the vaginal microflora.

About uterine fibroids

Uterine fibroids is a benign tumor of the muscular and connective tissue of the uterus. Predisposing factors for the development of this disease are usually hormonal disorders, menopause, intrauterine interventions (curettage, abortion, miscarriages), as well as the absence of a history of childbirth.

Uterine fibroids can be accompanied by pain in the lower abdomen and lower back, sensations of a foreign body in the abdomen, frequent urge to urinate, heavy menstrual bleeding and bleeding in the middle of the cycle. As a result, hemoglobin may decrease, which negatively affects the general state of health and worsens the quality of life of a woman.

If a fibroid is detected on an ultrasound, you should immediately contact a gynecologist, since a timely visit to a doctor solves the problem with minimal trauma. Depending on the location and size of the myomatous node, the doctor will determine the tactics of treatment. If single nodes are located in the thickness of the uterus and up to 3-3.5 centimeters in size, it is enough to observe them twice a year on ultrasound.

Surgery for fibroids is prescribed when the symptoms that were mentioned earlier appear. Removal of fibroids surgically with preservation of the uterus occurs using laparoscopy, hysteroscopy or hysteroresectoscopy. As a rule, in the reproductive age up to about 48 years, we try to save the uterus in patients who have not realized their reproductive function, in order to prepare for pregnancy. But again, it all depends on the patient and indications for surgical treatment.

About hysterectomy

Removal can be prescribed for fibroids when the uterus has reached a sufficiently large size – corresponds to 12 weeks of pregnancy or more. If the myomatous nodes grow in menopause, there is onco-alertness and the tumor can become malignant, then the removal of the uterus will also be required.

After the removal of the uterus, the woman stops menstruating, she will not be able to endure and give birth to a child. If the ovaries are preserved, they continue to function, maintain youth and female beauty, and all cyclical monthly changes in the body are also preserved. And menopause occurs not after the removal of the uterus and the disappearance of menstruation, but upon a change in the functioning of the ovaries.

There is a myth that after the removal of the uterus, a void remains, but this is not so, the abdominal organs fill the space. There is also an opinion that after such an operation a woman will age dramatically, but this, as a rule, can happen after the removal of the ovaries. Many patients think that if they have their uterus removed, they will no longer be a woman. But after all, the feminine principle is not concentrated in the uterus at all.

Removal of the uterus in no way affects intimate life – the uterus does not affect orgasm, sexual desire or arousal, especially sensations.

Prolapse of the uterus

Women under 40 may experience incontinence during exercise, coughing, sneezing – these may be signs of uterine prolapse. Also, the symptoms include squelching sounds during bathing, sexual contact, and the partner’s changed sexual behavior – a longer achievement of orgasm. All this may indicate changes in the anatomy of the pelvic organs.

After 40 years, the prolapse of the uterus can be signaled by heaviness in the lower abdomen, sensations of protrusion of the vagina, impaired defecation and urination. With all of the above symptoms, you should immediately consult a doctor.

The reason for the prolapse of the uterus lies in connective tissue dysplasia, that is, in a weak ligamentous apparatus and muscular frame. Provoking factors for the occurrence of this disease can be childbirth, which was accompanied by ruptures and injuries of the perineum, excessive physical activity with weight lifting, overweight, a sedentary lifestyle, chronic diseases (chronic bronchitis, chronic obstructive pulmonary disease, bronchial asthma, and others), which lead to an increase in intra-abdominal pressure.

At a young age and in the initial stages, the disease can be eliminated with the help of pelvic floor muscle training and, of course, lifestyle changes. He often plays a major role in correcting the situation, because overweight, sedentary lifestyle and excessive exercise can provoke a relapse.

About ovarian cysts

There are corpus luteum cysts and functional ovarian cysts, which are formed in the course of their natural work. They can appear due to hormonal disorders and be asymptomatic.

Functional cysts and cysts of the corpus luteum, as a rule, dissolve on their own in 2-3 menstrual cycles. If a cyst is found on an ultrasound examination, it is necessary to prescribe it again after 2-3 months in order to observe the condition – the cyst has resolved or not. If not, then this may be a reason for an in-depth study, the delivery of tumor markers and surgical treatment.

There are also benign cysts – serous, endometrioid, dermoid. The latter, as a rule, contain fat, hair, cartilage and are subject to surgical treatment, since over time they can increase and affect the tissues of the ovary. As for serous and endometrioid cysts, depending on age, tumor size, reproductive plans, treatment can be conservative and operative. If conservative therapy fails, then surgical treatment is prescribed.

Cysts can lead to ovarian oncology and reproductive dysfunction, it all depends on the specific clinical situation, the age of the patient. Therefore, if a cyst is detected on an ultrasound examination, you should immediately contact a gynecologist. The doctor will tell you how to be, perhaps it is worth limiting physical activity, ensuring sexual rest, so as not to cause a rupture or twisting of the cyst, and promote resorption.

About prevention

In what cases should you contact a gynecologist? I will list the main ones: pain in the lower abdomen, a change in the nature and duration of menstruation, the appearance of unusual discharge, a feeling of discomfort, a foreign body in the perineum. If a change in the size of the abdomen is suddenly discovered, if pregnancy does not occur during the planning year.

In general, it is advisable to visit a gynecologist for a preventive examination once a year, even in the absence of complaints. This, as a rule, allows you to identify diseases at an early stage or to make sure that they are absent.

You can sign up for a consultation by calling 8(3022)200-300

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postoperative period and recovery after surgery, rehabilitation after cyst removal

An ovarian cyst is a benign neoplasm filled with fluid and prone to accumulation of secretions. With prolonged development of a cyst, women experience pain, menstruation is disturbed, and other signs of the disease appear. Laparoscopy of an ovarian cyst, after which rehabilitation is faster, allows not only to eliminate the tumor, but also to preserve women’s health.

Multidisciplinary Yusupov Hospital is a modern medical institution where a woman can not only be examined and receive the necessary treatment, but also undergo rehabilitation after surgery. Recovery after laparoscopy of an ovarian cyst is carried out according to programs individually developed by a team of doctors.

Recovery after laparoscopy of an ovarian cyst

Laparoscopy is a minimally invasive procedure used by Yusupov hospital specialists in the treatment of various diseases, in particular, the removal of an ovarian cyst. This operation is performed under general anesthesia, during which three punctures are made in the abdomen, through which a small camera and instruments are inserted. For the convenience of performing the operation, the abdominal cavity is inflated with a special gas.

The next step is to recover from the removal of an ovarian cyst. The duration of early rehabilitation in the hospital does not exceed 7 days. Patients of the Yusupov hospital are accommodated in comfortable wards equipped with the necessary furniture, communications and necessary accessories.

After the removal of the ovarian cyst by laparoscopy, the postoperative period in the Yusupov hospital passes under the guidance of experienced oncologists, rehabilitation specialists, and surgeons. Particular attention is paid to the patient during the period of recovery from anesthesia, when she is at her weakest.

Complications after laparoscopy of an ovarian cyst

The laparoscopic method is the most gentle in comparison with other methods, therefore, subject to medical recommendations, recovery is carried out in the shortest possible time. However, due to various circumstances, patients may experience complications after removal of an ovarian cyst.

Negative consequences that may occur after laparoscopic intervention are:

  • damage to neighboring tissues and organs as a result of insufficient visibility;
  • heavy bleeding;
  • vascular injury;
  • allergic to anesthesia or gas;
  • fever;
  • the development of infectious diseases as a result of the weakness of the body.

Specialists of the Yusupov hospital are fluent in the technique of laparoscopy, during the removal of the tumor they make precise movements without damaging nearby tissues. If a patient of the Yusupov hospital has an ovary pain after laparoscopy of a cyst, specialists not only take the necessary measures to improve the woman’s condition, but also find out the causes of the pain.

Pain after removal of an ovarian cyst

Patients most often experience pain after laparoscopy of an ovarian cyst, which can last up to 7 days. This symptom is a natural reaction of the body to damage, it is carried out after the healing of the sutures.

If the patient has pain in the ovary after removal of the cyst, she is shown bed rest, in addition, it is recommended not to make sudden movements and adhere to certain dietary rules. Medicines are prescribed by the attending physician with increased pain.

Menstruation after laparoscopy of ovarian cyst

Women who have undergone laparoscopy may start their periods on time or be up to two months late, depending on the individual patient. However, if menstruation began without delay, then the chances of conception increase significantly. After laparoscopy of an ovarian cyst, the nature of menstruation may change, the danger for a woman is prolonged and heavy bleeding.

Discharge after laparoscopy of an ovarian cyst

After laparoscopic ovarian cyst removal, many women experience intense vaginal discharge of mucus, blood and clots that can last up to two weeks. After laparoscopy of the ovarian cyst during the week, the discharge is intense, but in the second week the discharge decreases.

Pathological discharge arising from complications is characterized by an unpleasant odor, green or yellow tint. Curdled abnormal discharge indicates the development of an infectious process in the genital tract.

Specialists of the Yusupov hospital are attentive to each patient, therefore, when pathological signs and complications appear, their signs are identified and therapeutic measures are prescribed, the condition after laparoscopy of the ovarian cyst is assessed. Diagnostics carried out at each stage of treatment makes it possible to identify possible disorders and determine the effectiveness of therapy.

Sports after laparoscopy of an ovarian cyst

Recovery after laparoscopy of an endometrioid ovarian cyst requires a moderate activity regimen. So, in the first days after the operation, physical activity is strictly limited. After a week of recovery and bed rest, a woman can take short walks and do light gymnastics. Motor activity helps to eliminate stagnant processes in tissues and strengthen muscle tissue.

Training and serious sports activities in a woman who underwent laparoscopy of an ovarian cyst should be postponed for 4 months in the postoperative period. The specialists of the rehabilitation clinic, together with the patient’s attending physician, draw up an individual recovery program, one of the components of which is physiotherapy exercises.

Rehabilitation after removal of an ovarian cyst in Moscow

Some patients underestimate rehabilitation after removal of an ovarian cyst by laparoscopy.