Diagnostics and treatment improving of functional ovarian cysts

Т. В. Герасимова

Abstract


Functional ovarian cysts are benign tumour retention formations formed from the natural structures of the ovary – follicle or yellow body. In 50% of cases cysts are asymptomatic and self-liquidated. In the absence of functional cyst self-destruct in the first menstrual cycle after treatment it should be revealing.

Functional cysts are divided into follicular cysts, corpus luteum cyst, paraovarian cysts.

Diagnosis consists of analysing history, general examination, gynaecological examination, clinical laboratory tests (including advanced analysis of blood, determination of C-reactive protein, appropriate biochemical if it need, compulsory bacterioscopic and bacteriological examination of vaginal discharge) and special methods of diagnosing ovarian tumors (ultrasound, computed or magnetic resonance tomography, determination of tumor markers, human chorionic gonadotropin, α-fetoprotein, hormones analysis, endoscopy).

Clinical management of patients with functional cysts in reproductive and perimenopausal age includes the following options. In asymptomatic disease in three menstrual cycles conducted surveillance of ultrasound control and preventive measures against cyst recurrence. Conservative treatment is used after determining the causes of disease for persistent cysts. Therapeutic measures include anti-inflammation therapy, hormonal and anti-adhesion therapy. While cysts maintaining after conservative treatment for three menstrual cycles the laparoscopy is used for removing formations.

Treatment is more successful when combined allopathic, homeopathic and phytotherapy. Most pathogenic provided in the treatment of functional ovarian cysts is an herbal preparation mastodynon. Mastodynon is a complex drug containing standardized herbal ingredients with depressing effect on inflammatory cytokines, helps eliminate hormonal imbalance caused by hyperestrogenia of follicular cysts (endometrial hyperplasia). In addition, the main component of mastodynon – Vitex Agnus Castus – promotes the elimination of the latent hyperprolactinemia, which in turn causes the hyperestrogenia development.

After the disappearance of the cyst to prevent recurrence of reproductive age with elevated levels of follicle stimulating hormone and luteinizing hormone the use of combined oral contraceptives for four to six menstrual cycles is needed.

Surgery treatment indicated if there is complication (torsion, rupture, suppuration).


Keywords


functional ovarian cysts; phytotherapy; mastodynon

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DOI: http://dx.doi.org/10.18370/2309-4117.2015.25.14-20

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ISSN 2411-1295 (Online), ISSN 2309-4117 (Print)