Anehogennoe formation in the ovary: what it is, causes, treatment

Anehogennoe formation in the ovary - is the darkening, sonologami visualized in the process of ultrasound. The term may imply normal ovarian malignant tumor or cyst. Anechoic cyst filled with fluid and appear dark spot on the monitor.

What is it anehogennoe formation in the ovary

Anaehogennoe education is not a diagnosis. This term is used in the ultrasonic diagnosis to determine the reflection waves. The presence of the pathology evidence cysts have low echogenicity.

Indicator echogenicity used in ultrasound diagnostics of the whole organism. Formation of low echogenicity not detected sound signal when they sensor direction.

Ehogennost decreased, when present in the ovary air, liquid, dense tissue. Decreased echogenicity is visualized as a dark spot. Increased echogenicity appears lighter in color.

Allocate following formation of the ovary:

• cysts;
• corpus luteum;
• embryo.

Ovary may contain dark spot before and after ovulation:

• Follicle maturation. Before leaving egg follicle size can be up to 2.5 cm.
• corpus luteum formation. Formed after destroying the integrity of the follicle and release the ovum. The corpus luteum produces progesterone for the onset and prolongation of pregnancy. Before menstruation this temporary iron dissolves and disappears.

Anechoic ovarian cyst is called a dark stain round, which sees the doctor on the screen. Cystoma is a cavity with exudate, disrupts the ovary.

Anechoic often involve formation of ovarian cysts, which may differ oval and round inclusions thick walls. Anehogennoe also denotes exudate liquid consistency. Sometimes cavitary formation has a mesh structure and includes a spider walls, blood clots with a high density and different shapes.

Ovarian cysts can be:

• single, multiple;
• single-chamber (safer), multi-chamber (the presence of the partition).

Anechoic cyst treatment strategy depends on their choices:

• Endometrioid. Rounded anehogennoe formation in the right ovary and the left side has a heterogeneous structure and a solid outer layer. For such cysts characteristic increase during the cycle.
• Follicular. Cysts are formed by growth of the follicle, and lack of ovulation. The main cause of follicular formations believe hormonal disorders characterized by irregular production of sex steroids. Such anechoic cyst in most cases resolve on their own. If no recourse prescribed medication drugs.
• Serous. The cyst may be a single-chamber and multi-chamber. Education formed due serosa tissue and filled with a transparent liquid.
• Paraovarialnaya. This sedentary dense formation of ovarian perimeter with clear content. The development of cysts often provoke pain in the abdomen.
• The corpus luteum. Anechoic inclusion in the ovary of 10 mm or more. This formation appears in the absence of the corpus luteum regression, with a subsequent increase.
• Dermoid. A variation involves the formation of congenital, characterized by the presence of fragments of teeth, hair and skin.

Cystoma and malignant tumors are also different anechoic nature. These formations have rapid growth and cell division.

The presence of blood vessels in the anechoic cysts requires examination to exclude malignant tumor. Cancers always have the blood circulation.

Causes

There are many factors that can lead to the occurrence of pathological entities. Among the causes of the anechoic cyst release:

• hormonal dysfunction, leading to disruption of the ratio of sex steroids;
• inflammation of the reproductive system, infection;
• anomalies paired organ development;
• surgery and abortions in history;
• endometriosis.

Cysts have a functional character, arising from a change in hormonal levels.

symptoms

Anechoic cyst is usually detected in women in the reproductive cycle, which is related to the hormonal activity of the ovaries. It is possible to detect lesions in adolescent girls. Anehogennoe formation in the ovaries in postmenopausal women is uncommon.

Ovarian cysts are small latent progress. The clinical picture is attached when the formation of a substantial amount of:

• dragging pain, usually unilateral;
• a feeling of fullness of the intestine;
• false urination due to compression of the bladder.

Anehogennoe liquid formation in the ovary can cause pain, which are amplified during sex and physical activity.

Effects

In most cases, anechoic cysts are benign. However, their growth can cause serious complications:

• Torsion of the legs and the formation of the gap. These pathologies can lead to tissue necrosis, intra-abdominal bleeding and accompanied by signs of an acute abdomen. Treatment involves surgery.
• Compression of the pelvic organs. Typically, during the growth of the cysts appear frequent urination and defecation.

Endometrial cysts are often found in infertility and expressed pain syndrome. About 20% of cysts are malignant.

Diagnostics

identification of cysts is done during a pelvic exam and ultrasound. Large cysts palpable in the use of bimanual technique. In some cases, when determining anehogennoe education requires a series of ultrasound.

Occurrence neoplasms often seen with hormonal imbalance, which is an indication for the diagnosis of the level of sex steroids. To exclude malignant pathology nature, it is necessary to determine the concentration of tumor marker CA-125.

Needling or puncture posterior vaginal vault requires the presence of signs of blood or fluid in the abdominal cavity. The method is used in case of suspicion of a complicated course of benign tumors.

Computed tomography is used to differential diagnosis. Laparoscopy can diagnose and remove a cyst during surgery.

To exclude inflammatory process need to perform blood tests and general urine.

Anehogennoe formation in the ovary during pregnancy

Anehogennoe formation in the ovary during pregnancy can be a corpus luteum. This is a temporary hormonal gland that produces progesterone.

During pregnancy can progress endometrioid and dermoid cysts. With their rapid growth recommended surgical removal. For up to 20 weeks, conducted a laparoscopy. Removal of cysts can be carried out during delivery by caesarean section.

Treatment

The treatment procedure depends on the species of neoplasms, its size and morphological characteristics. Gynecologists use:

• observation tactics;
• conservative treatment;
• surgical intervention.

Essential is also the age of the woman and her reproductive plans.

Watchful waiting

Observation of cystic neoplasms is possible with its benign nature, the absence of progression. Typically, expectant management is carried out with respect to functionality, lutein, parovarian cyst.

conservative therapy

Treatment involves the use of hormonal drugs, the choice of which depends on the embodiment of neoplasms:

• estrogen-progestin drugs;
• progestogens;
• antiestrogens;
• androgens;
• antigonadotropiny;
• anabolic steroid.

The treatment is supplemented by taking anti-inflammatory drugs, vitamins. Good effect has physiotherapy.

Surgical intervention

In some types of cystic tumors (dermoid, serous) treatment involves an operation:

• cyst removal;
• excision of the affected part of the ovary;
• organ removal (from the mother pipe);
• electrocoagulation.

Operation is carried out as laparoscopy or laparotomy. For suspected malignancy is possible to remove the uterus and appendages.

prevention

Often walled anehogennoe education ovary It is the result of hormonal disorders and inflammation. If you have any signs of disease of the reproductive system is necessary to address to the gynecologist and pass tests.

Experts point out that it is necessary to observe the menstrual function, thyroid gland function. Pathological symptoms are not an indication for self-medication. Improper treatment can lead to disease progression and worsening of general condition.

Women with benign tumors in history can not sunbathe, visit the solarium, sauna. Any heat treatments, exercise, aimed at the area of ​​the lower abdomen, can trigger tumors growth.

conclusion

Anehogennoe formation in the ovary is not always a cause for concern. Depending on the phase of the cycle, such ultrasound picture may be the norm. To confirm or refute the diagnosis is necessary to pass an additional examination.