Pregnancy and endometrioid ovarian cyst - a serious problem
Pregnancy problematic when endometriosis lesions of any organ, endometrial cysts are no exception to this rule.In the long endometriosis cysts may develop as single or multiple, they can be small, large and affect one or both ovaries.
Why is endometrioid ovarian cysts can be sterility
When ovarian endometriosis tissue grow in their areas of endometriosis.If the disease is prolonged, in areas of endometriosis cysts are formed with the contents of brown - the so-called "chocolate" or endometrial cysts.The illness is often asymptomatic and is a random finding during an ultrasound study.Detection of cysts in the ovary is an occasion for a full examination of the woman - detection and treatment of endometriosis lesions in other organs.
Endometrial cysts are often accompanied by infertility, the causes of which can be several.The first reason: infertility caused by characteristic of all forms of endometriosis, hormonal disorders.Besides endometrial cysts rarely occur in the background only ovarian endometriosis, often a woman has symptoms of endometriosis and internal - of the uterus and fallopian tubes.Together, these manifestations are the cause of infertility.And if the fallopian tubes endometriosis can cause infertility and ectopic pregnancy, endometriosis, uterine body that leads to miscarriage.
second reason - their own changes in the ovary.For endometrial cysts characteristic of adhesions.Proliferation adhesions (connective tissue) may lead to the fact that the egg is unable to escape from the ovary into the abdominal cavity and then into the oviduct for fertilization.In this state fertilization can not occur.
At the same time, many women with endometrioid ovarian cysts endometrial cysts of the ovary: she threatens infertility? , safely give birth to healthy children.Therefore, we can not say that this disease is always accompanied by infertility.
What if ovarian endometrioid cyst discovered
Sometimes this cyst is found in the ovary of pregnant women at the first ultrasound.For some women, this is a real shock.But obstetricians generally do not object to such a pregnancy (of course, if the cyst is small and does not bother the woman) and recommends that the removal of the cyst after birth.
Sometimes a woman is drawn to the gynecologist complaining of aching or cramping in the lower abdomen Abdominal pain: when to sound the alarm? one (but sometimes with two) parties associated with menstruation.In some cases, women have no complaints, only infertility, about which she turns to the doctor.Women spend a comprehensive survey: identify not only the endometrial cyst and endometriosis sites in other organs.After the examination, it is recommended first to treat endometriosis, remove a cyst, and then plan a pregnancy.
This woman of reproductive age are always trying to conduct the removal of cysts sparing methods, with maximum preservation of ovarian tissue.Today, such operations are conducted with the help of endoscopic equipment (laparoscopy).Through small punctures in the abdominal wall into the abdominal cavity entered optical device and micro tools.The operation is performed under direct vision as enlarged image displayed on the monitor of the ovary.When such operations are minimal trauma to ovarian tissue and adhesions practically do not grow.
After surgery hormone therapy is prescribed to restore normal menstrual cycle and prevent recurrence of endometriosis.Hormonal therapy women are selected individually depending on the degree of endocrine disorders.Most often used progestins - synthetic analogs of female sex hormone progesterone Progesterone - norm and pathology , for example, djufaston Djufaston - helps female body .This medication is prescribed for a sufficiently long period in order to suppress the secretion of estrogen.
behavior after treatment, if there is no recurrence of the cyst, the woman is allowed to plan pregnancy.Usually after such gentle treatment fails to become pregnant and have a baby.But sometimes, in spite of the treatment given, pregnancy does not occur, then the woman is recommended in vitro fertilization (IVF).Against the background of an artificially created managed menstrual cycle a woman is taken from the ovary mature egg, fertilized in vitro by sperm of her husband, kept for a while in a special incubator, and then introduced into the uterus.When
known persistence and performance of all doctor's appointments today, almost every woman can become a mother.