A cyst in the uterus is not uncommon and, first of all, nothing to worry about.
Since cysts are also included under the umbrella term "tumor“Fall, many women initially suspect something bad. However, a cyst is a cavity that is filled with fluid. "tumor“Here simply refers to the swelling that arises from this fluid-filled cavity on the organ. Many women have cysts in the uterus (and / or ovarian cysts), which can occur either individually or in clusters and in principle at any age.
Most uterine cysts are completely harmless and have no symptoms. However, symptoms such as bleeding disorders can sometimes occur.
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Most of the time, such cysts are not even noticed by the patient themselves, but are noticed as an incidental finding in the course of routine examinations during an ultrasound diagnosis. If the cysts do not cause any discomfort and im Ultrasonic look inconspicuous, it is advisable to wait and see. The cysts will then go through regularly Palpation examinations or another ultrasound, as long as they do not change (some cysts even form from taking certain drugs, such as the pill back on its own), you don't need to do anything about it.
However, some women also have symptoms caused by the cysts. These include, among other things Bleeding disorders (i.e. changed / increased bleeding during menstruation or bleeding outside of menstruation) and acute Abdominal painwhich is sometimes comparable to the pain of Labor pains could be. The pain is particularly severe when a cyst becomes twisted, which squeezes blood vessels. As a result of this interrupted blood flow, the organ is no longer adequately supplied and a pain stimulus arises in the tissue. If blood vessels rupture or if the cyst itself bursts, it can Bleeding that either go outwards or, less often, get into the abdomen, which can quickly become dangerous.
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If there are cysts in the uterus are symptomatic and also through Medication Don't zoom out or when suspicious on one malicious event it is usually advisable to have them removed. With such an operation it is seldom necessary to open the abdominal wall. Most of these interventions can be performed by either the Scabbard or using a Laparoscopy (laparoscopy) be performed.
In most cases, however, the therapy for cysts consists of observing the so-called Functional cysts usually within six weeks form back on their own.
However, should too benign and asymptomatic Cysts regularly Ultrasonic and Palpation examinations controlled to avoid complications.
If the cyst does not regress on its own, the doctor can Hormonal preparations may be prescribed that promote the regression of the cyst.
In the course of the hormone preparations can be newly developed Estrogen antagonists, so-called GnRH antagonists, can be used to reduce the size of the cyst. A hormone deficit is often responsible for the development of cysts. This deficit can be corrected, for example, by normalizing the Prolactin level be resolved.
Another way to burst cysts is the luteal hormone progesterone. The hormone itself has less of an effect, but rather its reduced level after about ten days, which leads to the cyst bursting. Progesterone can be in the form of a tablet, as well as Vaginal uvula the suppository will give better results.
Also the Birth control pills Often used to treat cysts, because the pill suppresses ovulation, none during the menstrual cycle follicle formed, from which cysts can develop.
Also the Glucose metabolism seems to play a role in the formation of cysts. Therefore, if the patient has cysts, the insulin resistance should be clarified. Should be a Insulin resistance In these patients, drugs that improve insulin resistance can prevent further cysts from developing. Overall, however, a cyst does not necessarily have to be treated with medication.
The treating doctor may also choose to have the cyst to control closely and wait to see if it will resolve itself.
In addition to hormone preparations, herbal, homeopathic remedies be used for cyst therapy.
These homeopathic remedies mostly contain Bee venom (Apitoxin), which often leads to success. The bee venom attacks the membrane of the cyst and gently ruptures it. This form of therapy brings no side effects with itself and can therefore be recommended.
Often the use of Chaste tree (Agnus castus) for bearing. Monk's pepper normalizes the level of hormones and acts primarily on it progesterone, the corpus luteum hormone, thus reducing the size of the cyst.
When the prolactin level is increased, the production of Prolactin inhibited, while if the prolactin level is too low, the production of the hormone is stimulated. However, if there is a suspicion that the cyst is not a benign, but a potentially malignant mass, the Conventional medicine can be used.
Complications usually occur Cysts very seldom.
In some patients it can be Burst the cyst come. The bursting leads to severe abdominal pain.
Surgery is only considered if a cyst bursts through Blood vessel was hurt and so too internal bleeding has come. This can quickly become dangerous, especially if the blood reaches the abdominal cavity and is not limited to the inside of the uterus.
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Another complication can be a so-called Stem rotation the cyst come. The cyst rotates once on its own axis. A twist of a steal can cause blood vessels to Ovaries or uterus supply, be pulled.
In such cases, emergency surgery is essential to ensure that the uterus and ovaries are adequately supplied with blood and that they do not die.
Signs of a steal twist are common severe abdominal pain, a increased pulse, nausea up to Vomit and sweats.
When examining a cyst, it must also be determined whether the cyst is a benign or malicious Space occupation acts.
The benign cysts usually diagnosed will manifest as rather than small and regularly shaped in contrast to the malignant cysts.
If there is a suspicion of a malignant cyst, the cyst is completely surgically removed and the material is then applied to his malignancy (Malignancy) examined microscopically.
The risk of a malignant cyst increases with age and is particularly higher from the age of 40.
Before an operation is considered, the gynecologist tries the cyst first Hormonal drugs to treat.
If this therapy does not work and the cyst is causing more and more symptoms, an operation can then be considered. Do cysts appear in the Post menopause after menopause, gynecologists decide to have an operation more often than they do with young women, as the risk of malignant degeneration is greater.
In the case of a cyst, it should always be taken into account that cysts are used degeneration and should therefore always be monitored closely. If there is any doubt about the benign nature of the cyst, the cyst should always be removed to be on the safe side.
If a patient is often plagued by symptomatic cysts, the entire uterus is removed (Hysterectomy) into consideration.
Most cysts can now be resolved by a so-called Laparoscopy (Laparoscopy) as part of a "Keyhole technology" remove so that the entire abdominal wall does not have to be opened and a better cosmetic result is achieved. The surgeon penetrates the abdomen through a small incision under the navel.
To prevent potentially malignant cells from being dragged into the abdominal cavity when the cyst is removed, the cyst is placed in a small, tear-resistant bag placed so that the entire cyst can be removed from the abdomen.
Be still during the operation rehearse Have a histological examination (microscopic examination of the tissue) of the cyst to make sure the cyst is not malignant carcinoma acts.
If it is actually a carcinoma, the operation must be performed according to oncological criteria. It must be the distance more radical This is usually connected with an opening in the abdomen, so that it is ensured that all of the malignant tissue has been removed.
But usually through them endoscopic / laparoscopic The method carried out results on the one hand from the small scar a better cosmetic result and it causes less pain and stress for the patient, so that the patient can be discharged from the hospital faster.
After the operation, hormonal follow-up treatment is required for some time to prevent cysts from recurring.
Research has shown that women who have had a cyst surgically removed have a tendency to develop cysts again within a few months of being surgically removed. Hence, a so-called combined endoscopic-endocrinological Treatment of emergencies, i.e. a postoperative one hormonal Aftercare.
A Uterine scraping is also known as curettage or Abrasion designated. For the scraping, the gynecologist can either use a so-called sharp spoon (abrasio) or one blunt spoon (curettage) to use.
By scraping, the doctor can extract tissue from the uterus and then histologically (tissue technology) examined. This can be used to assess whether the cyst is benign or malignant. Scraping can be with or without, depending on the patient's wishes and the cause of the operation anesthesia respectively.
After scraping, the patient should rest for the rest of the day. It can become too in the days after the scraping easy bleeding come.
But should heavy bleeding, fever and Pain occur, the gynecologist should be consulted again for clarification.
Usually, however, cysts are caused by a laparoscopic surgery away.
Even during the pregnancy there may be cysts in the uterus, and this happens quite often.
Unless these cysts continue to grow in size or cause symptoms, they are harmless but should be monitored. Pregnancy cysts usually go away by the time 12. Week of pregnancy.
Until then, the embryo can take care of itself via the cyst, as the cyst maintains the level of the corpus luteum hormone - until the umbilical cord or the placenta trained to care for the embryo.