This phenomenon, as multifolllicular ovaries, is diagnosed by ultrasound. This pathology does not always threaten the health of a woman, so quite often such a violation is not given proper attention.
The essence of the phenomenon is that in the normal functioning of this organ at the time of maturation of the ovule, 4-7 follicles should be formed, one of which subsequently becomes dominant. If the ovaries have multi-follicular properties, then several follicles can dominate at once. In case of hormonal failure, a woman can be diagnosed with polycystic ovary syndrome. And this is a more serious problem, which requires immediate treatment.
The cause of the genetic malfunction
The term multifollicular ovaries( MFN) is used to describe the features of the organ structure. In itself, this phenomenon is not a signal to therapeutic treatment. The cause of multifollicular ovaries is most often a genetic malfunction, which can be caused by various factors: the
- is a stressful situation;
- long-term use of hormonal contraceptives, as well as a sharp cessation of protection;
- significant fluctuations in body weight, resulting in reduced production of luteinizing hormone;
- hereditary predisposition of the body to excessive formation of follicles during the maturation of the egg;
- the early period of puberty girls;
- disruption of the thyroid and endocrine system;
- lactation period, during which suppression of ovulation occurs due to the activation of prolactin.
Echocards of the multifollicular ovaries may be accompanied by anxious clinical symptoms, in which case the woman will need additional diagnostics.
Signs of MFIA
Ultrasonic examination can reveal direct and indirect symptoms of multifollicular ovaries. In conducting the initial diagnosis, the gynecologist first of all is guided by the patient's anxiety, which can manifest itself in different ways:
- In the form of a disorder of the menstrual cycle due to the failure of the dominant follicle or the formation of a cystic cavity;
- Absence of pregnancy due to failure of anovulatory cycle. The moment of ovulation can be shifted by several weeks, so additional ultrasound will be needed for conception.
When studying the signs of multifollicular ovaries, one can come across a similar phenomenon called polycysticosis. It is rather difficult to find the differences between such pathologies, therefore, at the slightest suspicion of this or that problem, it is necessary to conduct a dynamic examination of the entire reproductive system.
In what circumstances may the treatment of
be required? Multifollicular properties of the ovaries in gynecological practice are quite common. This syndrome is mostly temporary, especially if it occurs during puberty. After normalization of the hormonal background, this phenomenon disappears independently without therapeutic intervention. In the event that the detected deviation negatively affects the regularity of the menstrual cycle or interferes with the conception of the child, it is recommended that a woman undergo an additional examination to construct the treatment tactics.
A deviation from the norm is the fact that during five menstrual cycles, folliculometry does not confirm the existence of an ovulatory process. When confirming the diagnosis, the tactics of treating multifollicular ovaries should first of all be aimed at normalizing the endocrine system. For this, during the examination it is necessary to consult with an endocrinologist.
The cause of pathology is most often the low level of luteinizing hormone, which affects the reproductive system and is responsible for the formation of the ovulation process. To restore the hormonal balance and stimulate the timely maturation of the egg, the patient is selected endocrine drugs that have a suitable ratio of hormones. In each individual case, the dosage and duration of treatment are assigned individually on the basis of indications of laboratory tests.
A multi-follicular symptom diagnosed with hormonal contraception is considered a normal physiological phenomenon. Restoration of the natural process of follicle formation, after discontinuation, will occur independently through three menstrual cycles.
Quite often, due to an incorrect diagnosis, the healing process of cystic formations is delayed. As a result, the harmless phenomenon of the MFI turns into a dangerous pathology. The therapeutic treatment of polycystic manifestations may take a long time. At different stages of the development of polycystic neoplasms, other organs of the reproductive system are involved in the problem, in connection with this, it is necessary to start solving this problem as soon as possible. In the complex of medicamentous correction of the hormonal background, such procedures can be included, as:
- Selection of dietary nutrition, according to the degree of neglect of the disease;
- Development of an individual schedule of physical activity;
- Correction of body weight to normal.
The effectiveness of treatment often depends on how closely the patient treats all appointments. In no case should this problem be solved by yourself, guided by the advice of friends. Also, do not rely on traditional methods of medicine. Treatment with herbs should be used as additional means for medicinal preparations. Many plants act fairly well on the organs of the reproductive system and simultaneously strengthen the woman's immunity. Among the most popular remedies, we can mention the grass of the hog queen, the deviant peony, the nettle.
Unfortunately, such a pathological disorder as polycystosis, usually returns, despite the positive therapeutic effect. A full-fledged work of the reproductive system can not be restored in many cases.
Preventive measures
The reproductive system reacts quite sensitively to all changes occurring in the body, therefore it is quite possible to detect a deviation again. A woman who is predisposed to such a phenomenon should regularly undergo ultrasound examination in order to prevent negative consequences in a timely manner.
In addition, you must follow certain rules of life:
- Follow changes in body weight. Sharp weight loss or a tendency to fullness can provoke a malfunction in the hormonal system.
- The physical load must be within reasonable limits. Begin to play sports with minimal workload.
- You can not use hormonal contraceptives and other endocrine drugs without prescribing a doctor.
- Any malaise in the pelvic floor should be the reason for contacting a gynecologist. Ovaries with multifollicular function are the norm if they do not harm the reproductive system of a woman. With this phenomenon it is possible to live without any medication. The only thing that is required of a woman is to control such a phenomenon.
Probability of pregnancy with MFIA
Changes in the ovaries as a result of hormonal dysfunction in most cases do not affect the process of conception in any way. Echoes of multifollicularity also are not contraindication in the planning of pregnancy and do not affect the process of bearing a child. In some cases, the lack of luteinizing hormone reduces the number of ovulatory cycles. Such a violation is corrected by medications, as a result of which the ability to conceive is restored quite quickly.
The complication of conception in MFN may be due to the fact that it is difficult for partners to calculate the moment of ovulation in each subsequent cycle. In this case, it would be correct to eliminate the hormonal failure, which suppresses the development of the dominant follicle.
If the therapeutic method does not give the expected result, then the couple should seek help from a gynecologist who is directly involved in the restoration of reproductive function. As part of the treatment, a woman will be given ovulation stimulation in multifollicular ovaries, which is performed by injecting a special drug administered at the beginning of each cycle. This procedure has a stimulating effect on the growth of the follicle during the maturation of the egg.
In parallel, a woman should undergo regular ultrasound monitoring, with the help of which it is possible to determine the degree of reaction of the reproductive system to the drug. If everything goes according to the planned plan, then at the moment of reaching the maximum size of the follicle, an injection of HCG is made. This hormone leads to rupture of the ripened follicle, and the egg can freely enter the uterine tube.
When carrying out the stimulating therapy, one should take into account a certain moment. Egg maturation can occur immediately in two ovaries, which makes it possible for multiple pregnancies. The gynecologist should warn the woman in advance about this fact.
Quite often the multifallicular phenomenon is accompanied by polycystic formations. This disease inhibits the process of ovulation and reduces the likelihood of pregnancy until full infertility. If conception does occur, the woman has a high risk of premature interruption. In connection with such phenomena it is recommended to carry out diagnostic studies as thoroughly as possible before pregnancy.
Most often with multifullic disorders during fetal gestation, the body lacks progesterone. In other words, the yellow body, responsible for the formation of the placenta at an early stage, does not synthesize the necessary hormone. As a result, until the moment when the placenta takes the baton and begins to develop independently, the risk of pathological disturbances remains.
A growing fetal egg can be perceived by the uterine tissue as a foreign body, in connection with this, the process of rejection will begin. Progesterone inhibits the ability of muscle tissue to contract, resulting in a reduced risk of abortion.
Analyzing the foregoing, it can be concluded that the hormonal dysfunction that caused the emergence of a multi-follicular phenomenon, can have a negative impact on the process of bearing a child. Fortunately, the likelihood of complications is not so great and a woman with a diagnosis of MFJ has a chance to conceive and give birth to a healthy baby.
A woman, unfortunately, is not immune from the fact that the phenomenon of MFN does not appear after childbirth. Therefore, with such a diagnosis you just need to learn how to live.
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