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December 27, 2016 00:06

Hyperplasia of the ovary |Symptoms and treatment of ovarian hyperplasia

Hyperplasia ovary - a gynecological disease, which is characterized by the growth of endometrial stroma and that leads to an increase in the ovary.Consider the causes of this pathology, diagnostic methods, treatments and prevention.

ovarian hyperplasia is a proliferation of stromal glands simultaneously with the processes of luteal, proliferation or overproduction of androgens.The disease can be the result of a congenital disease or suffering a disease that caused hormonal failure.Without proper treatment leads to pathology tekomatozu tissues, indicating precancerous process.It shows an increase in the number of cells, which is accompanied by a violation of secretion of hormones and the appearance of the particular clinical picture.

Hyperplasia may occur in one of the glands, and in various.Very often the disease occurs on the background of other processes ovarian cancer or uterine cancer.Mzhet appear at any age, causing expressed endocrine disorders and endometrial hyperplastic processes.Most ofte

n the disease occurs in pre and postmenopausal women.

Causes hyperplasia ovarian

Causes of ovarian hyperplasia is not fully understood, but they are divided into congenital and acquired.

  • Congenital hyperplasia of the ovary may be the result of hereditary gynecological diseases.These include tumor formation of the genitals or breasts.Failure of puberty and any hormonal disorders.
  • Acquired ovarian hyperplasia occurs because these precipitating factors, such as: genital diseases inflammatory and non-inflammatory nature, gynecological surgery, the presence of hormone-dependent diseases of the genital organs (endometriosis, fibroids, breast).

ovarian hyperplasia can occur as a complication of diseases of the endocrine organs, liver and even the cardiovascular system.Of particular importance in the course of the disease have symptoms such as obesity, high blood sugar, or hyperglycemia, hypertension.The cause of the disease - increased production of sex hormone estrogen, which is responsible for the normal development and functioning of the female reproductive organs.

addition to the above reasons, there are a number of alleged precipitating factors that may cause the disease, look at them in more detail:

  • Retrograde menstruation - blood particles erupt during menstruation and fall into the abdominal cavity, which are fixed and function asreal uterine tissue.As a result, blood is not poured out, which leads to inflammation foci, local blood loss and hyperplasia of the ovaries.
  • metaplastic reason - during the menstruation tissue particles are not secured within, and lead to a change in the structure of the endometrium.This may happen due to changes in the immune system and the pathology of the fallopian tubes.

Symptoms of ovarian hyperplasia

Symptoms of ovarian hyperplasia depend on the cause that led to the disease.The clinical picture is characterized by the destruction of glands early or late menarche (first menstruation), menstrual irregularities especially in menopause, infertility.Having cystic follicles can also be a symptom of ovarian hyperplasia.

main symptoms: irregular menses, the emergence of bleeding that are not associated with menstruation.Hormonal disorders and hormonal imbalances, excessive growth of body hair, overweight, may also indicate pathology in the glands.

ovary Endometrial hyperplasia Endometrial hyperplasia

ovaries - a disease of hormonal origin.When hyperplasia of the endometrium, the tissue that is rejected during menstruation because of motility disorders of the fallopian tubes, enters the peritoneum and prostate.This process occurs in healthy women, but because of hormonal disorders and a number of other factors, developed hyperplasia of the ovaries.On the surface formed glands endometriotic lesions and cysts, leading to an increase in the ovaries.

endometrial hyperplasia Ovarian has several types, each with different symptoms, treatments and prognosis.

  • very common glandular cystic hyperplasia of the endometrium ovary.The disease is characterized by the presence of glands in the walls of numerous glands, which resemble the endometrium.These ovarian education often bilateral, accompanied by endometriotic lesions and adhesions in the pelvis.For the diagnosis of lesions using ultrasound.
  • Hyperplasia endometrial ovarian tumor is not, but it refers to the tumor process.When the shape of cystic pathology endometriotic cysts grow large, resulting in a significant increase glands.This form of the disease occurs almost asymptomatic with minimal symptoms.Identify hyperplasia during the inspection at the gynecologist.For a more detailed diagnosis using ultrasound and histological examination for the study of endometrial tissue.

Hyperplasia right ovary

Hyperplasia right ovary is more common than bilateral involvement.At first glance, the left and right ovaries do not differ, but the doctors say that it is not.This disease is associated with increased blood flow to the right ovary, as it moves to the artery from the aorta and the left ovary of the kidney.As a rule, hyperplasia of the right ovary in women after 40 years, that is, during menopause.

There are many reasons that can cause the appearance of hyperplasia.Basically it is the body's hormonal changes and changes in the blood supply to the pelvis.It can occur on the background of a long course of the inflammatory process in the ovary in other hormone-dependent diseases.

Symptoms manifested as pain in the right ovary, which have a wavy character.To diagnose the woman carried ultrasound and histological analysis, the results of which make up a treatment plan.For the treatment of drug therapy can be used in severe cases - surgery.

Hyperplasia left ovary

Hyperplasia left ovary is rare and indicates a disruption of the functioning of the pelvic organs and glands in particular.Hyperplasia may occur in patients of any age.The main cause of the disease - hormonal changes in the body.The increased production of hormones, or conversely the lack of them, can trigger abnormal growth of endometrial stromal cells.As a result, the gland begins to function poorly, increases in size, gives pain.

main symptoms, which should be cause for concern and further treatment to the gynecologist, it is frequent pain in the lower abdomen, regardless of the cycle, discomfort or pain during sexual intercourse, irregular menstruation, appearance of bleeding, general malaise.For diagnosis using ultrasound, the results of which is made up of an effective treatment.

stromal hyperplasia of ovarian stromal hyperplasia

ovarian disease, in which the stroma grows glands flows along with the processes of overproduction of androgens.Generally, stromal form occurs in women during pre-menopause and menopause.Defeat can have estrogenic or androgenic manifestation, cause obesity, hypertension, glucose metabolism disorder, and more.

stromal hyperplasia does not always lead to an increase in the glands.If the increase is small, it has a pale yellow fuzzy stromal nodules.During the microscopic examination, in stromal cells exhibit oxidative enzymes that are responsible for the production of steroid hormones.

  • to confirm ovarian stromal hyperplasia, doctors perform a differential diagnosis with fibroids, cancerous processes or endometrial stromal sarcoma.
  • is mandatory to conduct ultrasound and laparoscopic biopsy.Hormonal studies reveal the abuses that have led to high levels of testosterone.
  • During the histological examination, stromal form is characterized by the presence of large luteinized cells with high lipid content with a small amount of atresial follicles.

Treatment of stromal and other forms of hyperplastic processes (tekomatoz, gipertekoz) at first, carried out with the help of medication.A woman waiting for a course of anti-inflammatory and microwave therapy, endonasal electrophoresis with vitamins B1 and B6.If these methods do not give a positive result, then the patient is carried laparotomy or laparoscopy.Resection allows you to normalize the menstrual function and overall health.But to restore reproductive function is very difficult after surgery.If stromal form occurs in older patients, it is carried out the removal of the glands, as there is a high risk of malignancy.

Diagnosis of ovarian hyperplasia

Diagnosis of ovarian hyperplasia conducted in the presence of clinical symptoms.That pain and discomfort are the reason to go for a visit to a gynecologist, who will appoint a further diagnosis.ovary Hyperplasia may not manifest themselves for a long time.This is not surprising, since not all women are worried about bleeding between periods and after.By turning the gynecologist if this pathology has led to lack of monthly menstruation or heavy and can not stop.When ovarian hyperplasia in premenopausal and menopausal symptoms were more pronounced.Women have long spontaneous bleeding and pain, which result in anemia.

doctor collects medical history and conduct a pelvic examination, during which the suspect may ovarian hyperplasia.For accurate diagnosis, using a more detailed examination:

  • Ultrasound diagnostics - allows you to confirm the presence of this disease and to identify other pathological processes in the pelvic area.
  • Histological examination and cytology - identify morphological changes in zhelezh, hyperplastic epithelium and stroma.
  • Hormone research - analyzes the level of progesterone and estrogen.

In the process of diagnosis is very important not only to confirm the disease, but also to determine its morphological features.

Treatment of ovarian hyperplasia

Treatment of ovarian hyperplasia depends on the morphology of the disease and how great defeat glands (both ovaries, left or right).The treatment begins with the application of conservative methods.The patient is prescribed an anti-inflammatory treatment, dehydration therapy and other treatments.The basis of medical treatment - a hormone therapy using combined oral contraceptives.The purpose of this treatment - to normalize hormones by lowering estrogen levels and decrease pathological lesions.

  • Combined oral contraceptives are often prescribed to young nulliparous girls and women who have irregular menstrual cycles.Such treatment can restore normal operation and prevent ovarian surgery.The scheme and the duration of taking the pills, is a doctor.
  • Synthetic analogues of progesterone administered to women of all ages with any form of pathology.Treatment long, about 6 months.In the process of taking the drugs may be bleeding and pain in the affected gland.
  • ovarian hyperplasia treated with drugs and Djufaston Norkolut.The duration of treatment and the drug regimen prescribed by the physician.The gynecologist may recommend to put the IUD Madder.Spiral is a hormonal therapy and contraception.
  • Another method of conservative treatment of ovarian hyperplasia - agonist of gonadotropin-releasing hormone.The product shows the effectiveness of treatment and has a comfortable reception mode.The active compounds inhibit production of sex hormones, which leads to inhibition of cell proliferation and tissue.As a result, restored hormonal glands and normal operation.

For the treatment may use a combination treatment.This method involves a combination of surgery and reducing hormone therapy.Hormone therapy can be carried out before the operation, to reduce its volume and the impact on the centers, which are out of reach for the surgical removal.

With the ineffectiveness of medical treatment, the patient is carried out operative treatment.For treatment use a wedge resection.Perhaps a laparoscopic electrocautery, ie moxibustion ovary 4-8 points by the electrode.If none of the above methods did not help in the treatment of, women spend removing glands, ie ovariectomy.Typically, such treatment is performed for patients in post-menopausal.Removal helps prevent the appearance of malignant tumors.After this treatment the patient is prescribed hormone replacement therapy, which will facilitate the general condition after surgery.

Prevention hyperplasia ovarian

Prevention of ovarian hyperplasia - a complex of measures aimed at prevention of the disease.Since the main cause of disease - is hormonal disorders, observe and maintain hormonal balance.It is recommended to reduce the stress on the body.Another method of prevention - it is a struggle with obesity.Excess weight leads to hormonal disturbances, failure of the menstrual cycle, hyperplasia of ovarian and other gynecological diseases and endocrine disorders.

Particular attention should be paid to the menstrual cycle.If there are violations, it is best to consult a gynecologist and to cure them.Do not forget about preventive examinations and ultrasound of the pelvic organs.This will allow time to identify pathology in the functioning of the ovaries and reproductive system as a whole.

to prevent hyperplasia in young patients, doctors recommend preventive hormonal drugs that significantly reduce the risk of disease.When the first symptoms of hyperplasia, which may manifest as bleeding between periods, pain in the lower abdomen, discomfort in the gland, heavy uterine bleeding or absence of menstruation, you should consult your doctor.

forecast hyperplasia ovarian

Forecast ovarian hyperplasia depends on the form of the disease, degree of neglect, patient's age, state of health, the presence of chronic diseases, including gynecological.If pathology has been identified at an early stage, the drug treatment will help to stop the process and methods of prevention warn its occurrence in the future.In this case, we can speak of a favorable prognosis.If ovarian hyperplasia was detected at a late stage and has developed into a cystic or cancerous process, poor prognosis.Woman holds a surgical removal of the prostate gland and subsequent hormone therapy for recovery.

Hyperplasia ovary - is a pathological process that without proper treatment can lead to serious consequences.Respect for their health, regular checkups at the gynecologist, the prevention of infectious and inflammatory diseases - it is an ideal method for the prevention of this disease and other gynecological diseases.