Bleeding with ovarian cyst occurs often enough. Contribute to this various reasons, including hormonal disruptions caused by the growth of tumors. A cyst is a cavity filled with liquid contents. To determine the cause of bleeding conducting a survey. For treatment using conservative and surgical techniques.
Can bleed cyst
When ovarian cyst bleeding may occur:
- By breakage neoplasms shells. This is a dangerous complication in which the contents of the tumor is poured into the abdominal cavity. This leads to the development of peritonitis, so the patient needs medical attention.
- With the rapid increase in the size of cystic formation. In this case there spotting vaginal discharge. They do not depend on the phase of the menstrual cycle. Bleeding and ovarian dysfunction caused by the growth of cysts, are inextricably linked. Allocation when polycystic ovaries is often becoming a rich character, turning into follicular bleeding.
- If the cyst is hemorrhagic in nature. Bleed the tumor begins with the appearance in its structure of malignant cells. No less dangerous are endometrioid education. They have a complex structure and are characterized by a tendency to spontaneous rupture.
How to stop
To stop the blood following conservative techniques used in the ovarian cyst:
- Introduction of hemostatics. Dicynone or aminocaproic acid to quickly stop the bleeding. This method is a temporary measure used in preparation for surgery.
- The use of drugs that enhance blood clotting. Drugs used in long intermenstrual bleeding. Assign them after coagulation. risk of thrombosis increases when the frequent use of such tablets.
- The introduction of plasma components. Used in severe blood loss in order to stabilize the patient's condition.
- Introduction of hormones that cause uterine contractions. Drip with oxytocin are put under heavy menstruation and acyclic bleeding caused by the growth of cysts.
- Oral iron. Frequent bleeding accompanied by the development of anemia. Iron means (Fenyuls, Ferrumlek) help to increase the level of hemoglobin.
- Hormone therapy. Used hormones, slowing down the development of cysts and reduce the amount of bleeding (progestins, androgens). The drug is selected depending on the type of cyst, age and general condition of the patient's body.
When you break the tumors used laparoscopic surgery. The execution order of intervention comprises the following steps:
- formulation of general anesthesia;
- providing access to the abdominal cavity (the navel makes a small incision);
- introduction of the endoscope with illumination and surgical instruments;
- filling the abdominal cavity of the sterilized gas (ovarian facilitates separation from surrounding tissues and organs);
- introduction into the cavity of the solution cyst shells facilitating bonding formation;
- aspiration (cystic contents is pumped out of the abdominal cavity, followed by washing with antiseptic solutions);
- sutures and sterile bandages.
Laparoscopy different short recovery period and high efficiency. The disadvantage of this method is a high risk of damage to surrounding tissues. When the injured puncturing large vessels, which leads to the development of bleeding. Another method of treating an ovarian cyst considered abdominal surgery. It is executed as follows:
- on the abdominal wall make a long incision;
- damaged ovary separated from surrounding tissues, cystic cavity sutured (using a catgut filament);
- fluid from the abdominal cavity is evacuated.
Laparotomy is traumatic operation, so the presence of small tumors are rare. Interference shown at break giant formations, accompanied by rupture of a large quantity of liquid and the appearance of heavy bleeding. After surgery, the woman is in a hospital, it is administered analgesic and antibacterial agents. In the first months prohibits any physical activity.
