Is life normal after spay removal? Let's try to deal with this delicate and important issue.

Every year the number of gynecological diseases requiring surgical treatment increases. At the same time, there is a trend towards rejuvenation of operated patients. First of all, all the doctor’s actions are aimed at avoiding surgical intervention, especially for young patients. However, there are a number of gynecological pathologies that cannot be cured without resorting to surgery. Such diseases, in particular, include:

• Extensive purulent lesions of the uterus and appendages.
• Certain forms of endometriosis.
• Ovarian tumors.

In this article we will talk about removing one or both ovaries.

Ovariectomy

The ovary, although in itself a small sexual organ, however, its importance is difficult to overestimate. After all, the ovaries are capable of, in addition to storing eggs, also producing steroid sex hormones. Hormonal levels are the foundation of the health of the whole organism. Sex hormones affect not only organs, but also all systems, including the mental state. It is thanks to female hormones - estrogens that a woman looks feminine. In addition, they additionally affect the condition of the skin, hair, nails, and, naturally, reproductive function.

An oophorectomy is a surgical procedure that results in the removal of one or both ovaries. During the operation, the fallopian tube, which is a kind of transport vehicle, is also removed. It helps the egg enter the uterus. Women who have had either their uterus or ovaries removed do not have menstruation.

In what cases is surgery performed?

Spaying refers to surgical operations that are performed on the uterine appendages. Ovariectomy has the following medical indications:

• Presence of cysts in the ovary.
• Neoplasms.
• Ectopic pregnancy.
• Rupture of an ovarian cyst.
• Endometriosis.

Consequences of surgery

Removal of the ovaries is characterized by a sharp decrease in the content of sex hormones in the blood. They continue to be produced, however, by other organs and in small quantities.

The consequences directly depend on the patient’s age:

• If a woman is in menopause, then the organ has developed its norm and the body is already in the so-called “retirement mode”. Therefore, for women over 50 years of age, the operation will not have any consequences. Knowing the age of their patient, doctors remove the ovaries without any hesitation. The operation is preventive in nature.
• For women of childbearing age, specialists are in no hurry to remove the organ and try to do everything possible to preserve at least one ovary. For this, the patient undergoes organ-preserving surgery and dynamic monitoring. There are two good reasons for preserving the ovaries. The first is the opportunity to get pregnant and give birth to a child. The second reason is that surgical intervention at this age will lead to the rapid onset of menopause. Of course, this phenomenon is a severe stress for the whole organism.

What is post-castration syndrome?

This syndrome is a rare occurrence, however, it occurs after surgery. In some cases, it is not observed at all or occurs in a mild form. Approximately 10% (some sources put this figure as high as 30 percent) of patients do not experience this syndrome.

PCS differs in form and intensity of manifestation. However, experts have identified three main groups of violations characteristic of such a process. Usually, after a few weeks, the patient experiences primary signs of the syndrome, and after two months, the disturbances increase in intensity.

The first group includes the following vascular disorders:

• Night hot flashes and heavy sweating.
• Sharp trembling.
• Dizziness and headaches. In some cases, migraine attacks are observed.
• General weakness, drowsiness, constant malaise.
• Cardiopalmus.

In addition, there are also psycho-emotional disorders, which manifest themselves in low libido, mood swings, insomnia, and lack of appetite.

During the first few years, the patient experiences neurovegetative disorders. This is where the above symptoms arise.

Approximately a year after removal, a gradual subsidence of vascular reactions is noted and disorders in the psycho-emotional sphere begin to predominate.
The second group includes disorders of the genitourinary system. These include:

• Vaginal dryness.
• Discomfort and pain during sexual intercourse.
• Painful sensations in the genitals in the form of burning and itching.
• Frequent urination and urinary incontinence.

After more than three years, various metabolic disorders come to the fore.

The genitals influence many organs and tissues, and it is quite difficult to name the process that occurs in the female body without hormones.

The most common problems that arise after organ removal are:

• The occurrence of atherosclerosis. Due to the high level of estrogen, blood vessels are protected. A decrease in this level is accompanied by the coating of vessel walls with cholesterol plaques. The risk of developing coronary disease and heart attack increases significantly.
• Hypertonic disease. The development of the disease is influenced not only by atherogenic disorders that have occurred in the composition of the blood and the walls of blood vessels, but also by the likelihood of vascular spasm. A complication of hypertension is a stroke.
• After the operation, the condition of the skin and its appendages deteriorates significantly. Aging processes occur in the female body, which are reflected in the skin, hair and nails. After surgery, a woman’s life quickly includes premature aging in the form of dull hair and brittle nails.

Due to a lack of hormones, very often not only hair, but also skin suffers. How serious is this? It is worth paying attention to the fact that the adrenal glands are also capable of producing a certain percentage of estrogens. Therefore, the problems described above may not occur at all after surgery. Moreover, the modern woman has high-precision technologies at her disposal.

If the patient cannot undergo hormonal treatment, the course of treatment includes progestins and estrogens, which compensate for the lack of her personal hormones.

If the operation was performed due to an oncological disease, hormonal therapy is not prescribed. She is prescribed homeopathic medicines. But in this situation, the woman is not limited to drug treatment. To all of the above is added a correct, active lifestyle.

What is the chance of getting pregnant after an oophorectomy?

Often, pregnancy occurs in women with one ovary even after undergoing surgery. However, in order for the patient to become pregnant, one single condition must be met - the presence of one patent fallopian tube.

In general, removal of one ovary does not lead to significant hormonal disturbances or disruption of menstrual function. A woman has the opportunity to give birth to a child, however, the absence of a second ovary negatively affects attempts to become pregnant naturally. It is possible to give an accurate answer to the pressing question of the chances of getting pregnant after surgery only after assessing the safety of the woman’s reproductive function. Also, if there are problems associated with conceiving a child, you can undergo an appropriate course of treatment that is aimed at eliminating this problem. It should be remembered that women with one ovary are at greater risk of developing health problems.

First of all, the doctor pays attention to the sign of fertility - that is, it checks whether the menstrual cycle is ovulatory. In a healthy woman, each month only one follicle matures, from which an egg is released. The process of fertilization and the development of the embryo up to five days occurs in the fallopian tube. On the fifth day, the embryo enters the uterine cavity, where it is implanted into the mucous membrane of the uterus itself with the further development of pregnancy.

The presence of two glands allows you to evenly distribute the load of releasing a mature egg. With a single ovary, the entire functional load falls on it, as a result of which its premature depletion may occur. In this state of affairs, the menstrual cycle is characterized by its irregularity, so it is impossible to conceive a child naturally.

It was found that after surgery, as a result of which one of the ovaries was removed, the risk of developing an ectopic pregnancy increases. In this case, the embryo takes root either in the fallopian tube or in the abdominal cavity. During an ectopic pregnancy, the woman's life is in danger due to internal bleeding. It should be noted that women who have undergone surgery to remove an ovary increase the likelihood of having a child with Down syndrome.

Is it possible to avoid surgery?

Of course, doctors understand perfectly well, they are people themselves, what it means for a woman to live without a uterus and ovaries. Therefore, they turn to radical methods at the last stage of treatment, when drug treatment has not produced a positive effect. However, there are situations when the patient is faced with the question: “Should I remove or save the ovaries?” Similar questions arise for women with cancer. Surgery is inevitable, as sex hormones can cause tumor growth.

In most cases, after removing one ovary, it becomes necessary to remove the second one. As a rule, any patient, without exception, asks herself a very important question - is it possible to live the same life and remain a woman after surgery? The answer is simple - yes. What is given to us from above, no one can take away. A woman will remain a woman even after her genitals are removed. While still in the mother's womb, the process of formation of the female body begins. After birth, during adolescence, this process continues to develop and ends with puberty.

Bottom line

Nowadays, laparoscopy is used to remove the ovaries. This is a relatively simple and fairly well-known surgical operation, which only involves making a minor incision in the navel area. The rehabilitation process is characterized by speed and painlessness.

However, in some cases, doctors opt for an abdominal incision. This method is justified when removing the uterus and ovaries simultaneously. The recovery period after such surgery is much longer. You need to remember one simple truth: in order to live normally, you need to be patient and pass all the tests. Do not be ill. Be healthy and happy!

The operation to remove the ovaries is carried out in a number of ways reasons, which provoke dysfunction of the ovary and threaten a woman’s life. These reasons are:

Tumors and neoplasms;

Endometriosis;

Complicated inflammation ovaries and appendages (adnexitis);

Rupture of an ovarian cyst (ovarian apoplexy);

- ectopic pregnancy;

A tumor in the mammary glands, which is formed under the influence of ovarian hormones;

Sterilization.

Most often, the operation involves removing one ovary. If an ovary is removed on a woman of childbearing age, then most often after the operation she will experience symptoms of menopause. They appear a few days after the operation and get worse every month. Wherein observed:

• Sharp increase in heart rate;
• Feeling hot;
• Vaginal dryness;
• Urinary problems;
• Fatigue, decreased mood;
• Migraines, dizziness.

Pain after ovary removal is often accompanied by postoperative bleeding, inflammatory processes, elevated body temperature in the first days after surgery. Sometimes pain after surgery can be a symptom of infection in the tissue during surgery. Pain in the first days after surgery spreads throughout the entire pelvic area. The pain is girdling, sharp, cutting. There is an increased body temperature, general weakness of the body, pain intensifies when walking, urinating, defecating. After removal of the ovary, the risk of adhesions in the pelvic cavity increases.

Pain after removal of ovary and leucorrhoea

Pain after removal of the ovary is most often associated with the postoperative period and surgery. In this case, women experience bleeding. Leucorrhoea is not profuse and is observed for several days after surgery. Also bloody discharge may appear several times within a month after surgery for three to four days. This is due to the removal of the ovary and menstrual irregularities. This type of leucorrhoea and pain is normal.

The disorder is heavy bleeding and severe pain in the area of ​​the removed ovary, which lasts more than three days. At the same time, often observed increased body temperature, dizziness, decreased appetite. These symptoms may indicate infection during surgery and severe tissue inflammation. The infection provokes a strong increase in temperature, stabbing, sharp pain in the side from the side of the removed ovary. In this case, dark red or scarlet discharge with an unpleasant, pungent odor is also observed.

Pain after ovary removal and infertility in women

Many women are frightened by the thought that after the removal of one ovary, pregnancy does not occur. However, this is not the case. Of course, if two ovaries were removed, then pregnancy, alas, will not occur naturally. But even one ovary can cope quite well with all the functions necessary to conceive a child. Pain after ovary removal is normal if it lasts for a few days immediately after surgery. If pain after removal of the ovary torments a woman for quite a long time, then this may talk about complications after surgery, which can lead to infertility in women. During surgery, the genitals may become infected and an inflammatory and adhesive process may develop. All this has an extremely negative effect on the functioning of the ovary, which can lead to infertility. Therefore, if the pain after removal of the ovary lasts long enough and is severe, then you should immediately consult a gynecologist to exclude the development of complications.

An ovarian cyst, which practically does not manifest itself with significant symptoms, is a type of benign neoplasm. It is a bubble filled with liquid secretion and tends to grow as fluid accumulates.

If the diagnosis is not made in a timely manner, the cyst can cause anxiety, expressed in disruptions of the menstrual cycle and pain. If you do not start taking measures, then extremely serious complications are possible: rupture of the membrane, torsion of the leg. The decision on the need and type of operation - in the form of innovative laparoscopy or traditional laparotomy - is made after detailed examinations.

Preoperative preparation

The stage preceding surgery must be properly organized. About a week before removal of an identified cyst, you need to go on a special diet, excluding the following foods from your diet:

• legumes;
• fat meat;
• black bread;
• dairy products;
• raw vegetables;
• flour pastry;
• carbonated drinks.

In order for the operation to be successful, the patient is prescribed a series of blood tests: general, coagulability, biochemical, and determination of the Rh factor. A laboratory test of urine is carried out, and the presence of infectious diseases is also detected.

Since the stomach must be empty at the time of the operation, the night before it is allowed to eat no later than 18:00, and the last drink of water is allowed no later than 22:00. It is also common practice to prescribe laxatives in the evening, as well as evening and morning bowel cleansing through an enema.

Types of operations

There are several types of operations used to surgically remove an ovarian cyst. They are prescribed in accordance with the complexity of the pathological process identified during a diagnostic study.

The laparoscopy method is considered the most gentle. Such an operation is carried out by introducing special endosurgical instruments through small incisions - 0.5 - 2.0 cm. This makes it possible to minimize postoperative complications and significantly shorten the rehabilitation period.

Laparoscopic removal of cystic formations can be carried out in various volumes.

1. Ovariectomy – complete removal of the ovary.
2. Tubectomy – removal of the fallopian tube.
3. Adnexectomy is a combination of the two previous types of surgical interventions.
4. Cystectomy is a laparoscopy technique in which the cyst is carefully removed by exfoliating it from the bed formed during growth, preserving the healthy surrounding tissue of the ovary, without disturbing its functionality.
5. Wedge resection of two or one ovary involves removing the cyst in parallel with the surrounding tissues. To do this, using laparoscopy technology, punctures are made and a cone-shaped section of tissue is cut out along with the pathological formation.
6. Biopsy is the collection of ovarian tissue for subsequent histological examination in case of suspicion of a malignant tumor.
7. Laparotomy is a more serious operation that involves making a traditional, large incision. Such a cavity procedure becomes necessary if a purulent process is detected. Additional indications include numerous adhesions or severe swelling.

In cases where a malignant process is detected in the ovarian tissues, abdominal laparotomy will also be required, with mandatory histological examination of the tissue samples taken. This type of surgery is more likely to cause complications compared to laparoscopy due to the larger area of ​​tissue dissection.

General algorithm for laparoscopy

The sequence of manipulations during laparoscopy on the ovaries follows a general algorithm.

1. General anesthesia is given.
2. Small incisions are made (usually no more than 2 cm in length).
3. The probe moves the subcutaneous tissues and muscles apart.
4. Manipulator tubes are placed into the incisions, intended for subsequent insertion of the instruments necessary for the operation through them.
5. Carbon dioxide is first introduced into the cavity, which helps to move the internal organs apart to improve visibility.
6. Along with surgical instruments, a camera equipped with a flashlight is inserted through tubes (manipulators). The image is projected onto a screen, allowing the surgeon to precisely coordinate his actions and fully assess the condition of the ovaries.
7. After all planned actions are completed, the tubes are removed and the incisions are sutured.

Benefits of laparoscopy

Laparoscopy has a number of undeniable advantages over laparotomy. First of all, this is a reduction in traumatic tissue damage, since the incisions are significantly smaller. This same circumstance determines the further presence of small, almost invisible scars that do not cause any aesthetic discomfort. There is also a less frequent occurrence of adhesions. Sometimes postoperative inflammation develops. An important factor for active and working women is a significant reduction in the recovery period.

Contraindications to laparoscopy

Despite the fact that the gentle laparoscopy technique quickly entered surgical practice, including in gynecology, it has a number of contraindications in the case of removal of an ovarian cyst. These include the following pathological and physiological conditions of the patient’s body:

• serious adhesive effect;
• heart diseases in the acute stage;
• hemophilia;
• acute liver or kidney failure;
• decompensated pathologies of the respiratory system;
• bronchial asthma;
• blood clotting problems;
• obesity;
• oncological pathologies in the reproductive system.

If there are inflammatory foci in the ovaries, they should be treated first. The operation is possible no earlier than a month after suffering from infectious and cold diseases.

Rehabilitation techniques

The extent of rehabilitation required after cyst removal and its duration depends on the technique used.

If a cavity dissection was performed to remove ovarian formations, then to effectively restore health after surgery it will take objectively more time than when using the laparoscopy technique.

Usually, after removing a cyst by laparoscopy, a woman who has recovered from anesthesia is allowed to get up after four hours. The next day, mandatory physical activity is prescribed. This is due to the fact that the operation involves the introduction of gas into the plane of the abdominal cavity, which remains in small quantities and causes some discomfort. In addition to movement, fractional meals are recommended to normalize the functioning of the intestines.

If the cyst was of significant size or complicated in shape, then the operation involves covering fairly large areas. In such cases, pain-relieving injections after removal of the formation may be needed for seven days, whereas for simple manipulations two days are sufficient. Antibiotics are prescribed only when negative inflammatory foci are identified.

Typically, if surgery to remove a simple ovarian cyst involves the use of laparoscopy technology, patients are discharged on the sixth day. At home, rehabilitation lasts up to three months. Its duration is individual and depends on the general state of health and age.

Postoperative rehabilitation includes general recommendations and restrictions:

• treatment of incision sites with special disinfectants for seven days;
• for a month, refusal to take baths, go to baths, saunas, swimming pools, beaches; showers are allowed after fifteen days after surgery;
• depending on how complicated the operation was, sexual intercourse is prohibited for 2 to 4 weeks;
• restriction of even minimal physical activity for thirty days;
• following a three-week diet with the exception of fatty, fried foods, pickles and marinades, alcohol, and carbonated drinks.

All precautions recommended by the doctor, as well as prescribed physiotherapeutic procedures and homeopathic treatment must be carried out in full. Only this will help you forget about the illness you suffered, and recovery will be easy and without negative consequences. Planning a pregnancy is allowed only after three months, but more specific, person-oriented recommendations are given by the doctor upon discharge.

Possible complications

Complications are most often detected after laparotomy. This can be quite a severe pain syndrome, often causing bleeding and infection of the suture. Damage to the intestines or superficial tissues of the bladder occurs during surgery. The formation of adhesions is common after cyst removal.

Serious complications after laparoscopy are observed less frequently in practice, although cases of infection and internal damage do occur. Regardless of the type of operation, negative reactions of the body to anesthesia can occur.

Among the consequences of cyst removal, extremely severe complications are known, which are rare. These are lesions in the fallopian tube that can contribute to ectopic pregnancy. Sometimes it is necessary to remove both ovaries if extensive perforations have been caused to their tissues.

There may be several signs of infection after laparoscopy or laparotomy:

• sharp, prolonged pain localized in the abdominal area;
• temperature increase;
• dark, often foul-smelling, vaginal discharge.

Any negative manifestation should not be ignored and requires immediate medical attention.

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How to Recover After Ovarian Cyst Removal Surgery

Every year more and more operations are performed to remove ovarian cysts using laparoscopy. This trend is explained by a deterioration in the quality of life - poor nutrition, unfavorable environmental conditions, constant stress, and most importantly, a careless attitude towards one’s own health. All this ultimately leads to the appearance of not the most dangerous, but rather insidious tumor - an ovarian cyst, which can seriously reduce the chances of pregnancy. That is why more and more women are going to the operating table to remove a cyst and live a healthy, fulfilling life.

In this article we will understand the reasons for the formation of a cyst, and also talk about how the surgical intervention takes place and how to restore the body after the operation.

Why does a cyst appear?

In medicine, a cyst is a benign tumor that occurs against the background of hormonal imbalance. A disruption in the production of hormones leads to a situation in which the egg, which at a certain moment should come out of the follicle and connect with the sperm, does not leave the ovary, and a little later the follicle fills with fluid, becoming a cyst. In itself, such a neoplasm is not dangerous, however, the emerging tumor at any time can begin to increase in size and fester, increasing the risk of rupture and the development of peritonitis. In addition, it is often the cyst that prevents a woman from becoming pregnant, which means that in order not to endanger her health and have a chance to have a child, the woman decides to undergo surgery.

Surgeons remove the cyst using the least traumatic method – laparoscopy. During this procedure, performed under general anesthesia, three small punctures are made in the patient's lower abdomen, through which medical instruments and a camera are inserted. And so that nothing interferes with the removal of the cyst, specially prepared gas is pumped into the patient’s peritoneum. This operation takes no more than 40 minutes, and the result of surgical manipulations is getting rid of the cyst and three almost invisible sutures.

Postoperative rehabilitation

It is worth noting that the recovery process after the laparoscopic method of removal is much faster than after conventional surgery. And in order to speed up recovery and avoid postoperative complications, it is important to adhere to the basic stages of rehabilitation prescribed by the gynecologist. Let's list them:

1. Taking hormonal drugs. To facilitate the functioning of the ovaries and prevent the re-formation of cysts, the patient may be prescribed antigonadotropins or synthetic progestins. They are usually taken from the first day until the next menstruation.

2. Magnetic therapy affecting the operated area. This procedure helps relieve pain and prevent inflammation.

3. Laser radiation. This low-intensity radiation helps prevent possible relapses.

4. Phonophoresis. Improves metabolic processes in tissues and promotes their speedy recovery. It is better to start undergoing procedures a month after the intervention, combining the effects of phonophoresis with the use of medications, for example, hydrocortisone.

5. Ozone therapy. The procedure improves blood microcirculation, increases the body's immune defense and has a bactericidal effect.

In addition, for a month after the operation, the patient should adhere to a fractional diet, drink vitamin complexes (necessarily including ascorbic acid), and exercise moderate physical activity.

Pain after surgery

Pain is a constant companion during the postoperative recovery period. And although the pain after skin punctures is much easier to bear than after a conventional operation, for several days and even weeks they can pose a serious problem for the operated patient. To minimize discomfort, the woman is prescribed painkillers and is also advised not to make sudden movements.

Another thing is the gas that is used to fill the peritoneum for the operation. It puts serious pressure on the internal organs, which is why the patient feels aches and pains in the lower back and back for several days after the intervention. To quickly normalize the condition, you need to walk more, taking walks 2-3 times a day. Medicines do not bring relief in such a situation.

Possible discharge after surgery

During the recovery period, various uncharacteristic discharges may appear from the patient’s vagina. During the first 3-4 days they may be bloody, which can be considered normal if the volume is small. For two weeks after the intervention, clear mucus may be released, and this is also normal. It is necessary to sound the alarm if heavy bleeding appears or thick yellowish mucus appears.

When you are discharged from the hospital and the stitches are removed

Let us say right away that just three hours after the operation in question, the patient can get to her feet on her own. Moreover, doctors strongly recommend starting to move immediately, the main thing is to do it smoothly so as not to damage the stitches.

If the surgery is successful, the woman can be discharged from the hospital on the 3rd day. However, practice shows that in most cases, discharge occurs on the 5th day, after which she will be on sick leave for another 10 days. In order for recovery to occur more intensively, it is important to follow medical recommendations, namely:

• for 1 month do not take a bath or visit the sauna (shower only);
• any physical activity should be avoided for thirty days after surgery;
• lifting heavy objects after such an operation is prohibited for 3 months;
• you should avoid long hikes and trips;
• You should avoid sexual contact for 4 weeks, and unprotected intimacy for several more months, since experts do not recommend getting pregnant for the first six months after removal of the cyst.

If we talk about the sutures (one is located in the navel, and two are slightly lower), then they need to be disinfected every day for a week, and, if necessary, drained. Complete healing of the sutures takes place in about 8–10 days, after which they become almost invisible. By this time, the woman should visit the doctor to have the stitches removed.

Menstruation after surgery

If the surgery was completed without complications, the menstrual cycle should begin on time. However, most patients who have undergone this operation report that they did not get their periods until two cycles after laparoscopy. This period of delay can be considered normal, but if it drags on even longer, you need to visit a doctor and undergo an examination. In addition, in the first months after surgery, the duration and nature of menstrual flow may change, which should also be taken into account. In this regard, heavy and prolonged periods should be alarming.

Postoperative nutrition

Doctors strongly do not recommend eating on the day of surgery. It is only allowed to take clean water without gas. In the first week after surgery, you are allowed to eat liquid or well-ground pureed food, which should preferably be steamed. You should avoid fried and canned foods, spicy and salty foods, as well as all kinds of sauces and marinades for the first 25–30 days after surgery. You should not eat smoked meats, offal, or flour products. In addition, it is not recommended to eat raw vegetables and fruits for a week after the intervention.

During the recovery period, it is useful to consume liquid soups and cereals, as well as pre-boiled and grated vegetables and fruits. You can start returning to your previous diet in about a month.

Read also:

Complications after cyst removal

Each woman is individual, and therefore it is impossible to predict in advance whether complications will arise after laparoscopic intervention. Practice shows that most often older women face such problems, especially those representatives of the fair sex who have chronic ovarian diseases (polycystic disease). In addition, the human factor and problems that may arise during the operation cannot be excluded.

During the operation, general anesthesia is used, after which for a day or even two, the operated patients complain of nausea, vomiting, dizziness and headache. As a rule, these unpleasant symptoms go away on their own, without harm to health.

During the operation, it is impossible to exclude a situation in which removal of the ovary will be required. And this is a serious complication, because if a woman has one ovary, her chances of becoming pregnant naturally are significantly reduced.

In addition, if after laparoscopy a woman violates the doctor’s recommendations, lies a lot, moves little and skips prescribed physical procedures, there is a high risk of developing postoperative adhesions.

Other possible complications of laparoscopy include:

• dissection of nearby vessels and, as a result, heavy bleeding;
• injury to neighboring tissues and organs due to poor visibility;
• allergic reaction to anesthesia or injected gas;
• elevated temperature after surgery, indicating an infectious disease and the development of an inflammatory process.

If you notice a fever, pain in the lower abdomen, dizziness, nausea and severe weakness, immediately call an ambulance or go to your doctor. All this indicates an inflammatory process, which in no case should be treated independently.

Is it possible to get pregnant after removing an ovarian cyst?

According to gynecologists, it is better to plan a pregnancy after the operation in question after 6 months, postponing this event until the body has fully recovered. This period should be spent on preparatory measures that will increase a woman’s chances of pregnancy.

Preparing for an upcoming pregnancy involves the following actions:

• both partners need to give up alcohol and smoking;
• eat exclusively healthy foods rich in vitamins;
• take folic acid for 3 months;
• pass the necessary tests, excluding infectious diseases;
• move more;
• avoid stress;
• undergo genetic counseling;
• undergo ultrasound diagnostics;
• be regularly observed by a gynecologist;
• plan conception on the days of ovulation.

The laparoscopy method allows a woman to remove a dangerous ovarian cyst in the most optimal way, with minimal trauma, no complications and the ability to leave the clinic on her own within 3 days after the procedure. In addition, a high-quality operation allows you to avoid relapses of the disease and completely restore the body in the shortest possible time. Good health to you!

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How to deal with ovarian cysts?

An ovarian cyst is an internal benign formation, which is a sac with liquid or semi-liquid contents. Follicular cysts are formed from the natural structures of the ovary - from the corpus luteum, which appears during ovulation. They have the ability to resolve spontaneously after 1-3 months. Chocolate cysts occur with endometriosis - a cavity appears in the ovary filled with blood, which gradually thickens and darkens.

Cystadenomas and teratomas - dermatoid cysts - require mandatory removal; they are classified as tumors, but have external signs of cysts.

Removal of an ovarian cyst is necessary, since the tumor can burst at any time. In addition, the presence of neoplasms significantly impairs the quality of life.

Symptoms of their appearance are severe pain on one side of the abdomen, aggravated by menstruation, coitus, and physical exertion. When cysts are torsioned or ruptured, the temperature rises and nausea occurs.

The presence of a cyst causes intermenstrual uterine bleeding, heavy periods or their absence.

Currently, the most commonly used method is laparoscopy to remove ovarian cysts.

Such a surgical intervention simultaneously gives the doctor the opportunity to clearly see the clinical picture and eliminate the disease. The scars after this operation are minimal - only 3 small incisions are made during the process. This is necessary for the introduction of special equipment - trocar tubes. They are equipped with instruments and a video camera that transmits the image to a computer monitor.

Laparoscopy to remove cysts from the fallopian tubes is performed under general anesthesia. First, carbon dioxide is injected into the abdominal cavity to straighten the organs and provide visibility, then instruments are inserted. The entire cyst is removed, then carbon dioxide is released and stitches are placed.

Complex operations to remove multiple cysts take up to 3 hours; simple surgical interventions are performed in an hour. The patient is warned in advance that in complicated cases it may be necessary to switch to conventional abdominal surgery.

The preparatory period for laparoscopic surgery is no different from preparation for conventional surgery:

1. It is necessary to undergo examinations and collect tests. A consultation with a therapist is required, and then he determines which doctors need to be examined. The usual preoperative tests are also required: general - blood and urine, biochemistry, coagulation, Rh factor and group, presence of infections - HIV, hepatitis, etc.;
2. Be sure to conduct an ECG, do fluorography, and prescribe an ultrasound examination;
3. From the gynecological side, smears are taken: for flora and cytology - to determine the presence of atypical cells.

Before the operation, the stomach is cleansed with a laxative or an enema; 10 hours before surgery, you can no longer drink or eat.

Despite the fact that laparoscopic operations are considered easy and the patient is allowed to get up after them in the evening, and she is discharged on days 4-5, the rehabilitation period takes from 4 to 6 weeks.

You can start eating as early as day 2: first, fermented milk products, then add broths and steamed cutlets or soufflé to your diet. By day 4-5, you can gradually introduce familiar types of food into your diet, but you need to analyze your own condition in order to prevent constipation.

The sutures are removed on days 7-10, then they must be treated independently with topical agents that accelerate healing. In the future, ointments are used to accelerate the resorption of scars. In most cases, painkillers are required for several days, and antibiotic therapy is prescribed to prevent infection. With proper treatment of scars and a gradual return to an active lifestyle, no adhesions remain.

You cannot play sports, visit the bathhouse or sauna, or lead an overly active lifestyle for 6 weeks.

This may cause the seams to come apart. Sexual rest is required for 2-3 weeks.

Menstrual cycles after removal of the cyst should be fully restored within a month. Delayed menstruation, heavy mucous discharge, bleeding, increased temperature may indicate postoperative complications - if this occurs, you should consult a doctor. Large cysts may require removal of the ovary, in which case pregnancy may be difficult in the future.

Complications after laparoscopy may be associated with the patient’s individual perception of anesthesia and medications, and insufficient qualifications of the medical personnel who performed the surgery.

Hormonal levels after laparoscopic surgery are fully restored within 4-6 months, so it is not advisable to plan pregnancy earlier - it is necessary to carefully protect yourself.

The risk of infertility increases - 15% of women who have undergone surgery are unable to experience motherhood.

However, it is immediately worth citing other figures for comparison - after abdominal surgery to remove a cyst, pregnancy does not occur in 45% of women due to the adhesive process - it is this that is the main cause of infertility.

The causes of cysts are the following factors:

1. Corpus luteum cysts: hormonal imbalance caused by natural causes or taking hormonal contraceptives, chronic gynecological diseases;
2. Serous cysts: disruption of the endocrine system, infections and inflammatory processes in the gynecological organs, the presence of surgical interventions on the pelvic organs;
3. Endometriosis cysts are formed when epithelial cells enter the fallopian tubes during menstruation, tissue transfer during gynecological intervention from the uterine mucosa to the ovary, pathological cells entering the bloodstream, hormonal and immune disorders.

As you can see, the reasons for the appearance of a cyst do not exclude recurrence of the disease and, in most cases, it is impossible to prevent recurrence. With endometriosis cysts, the problem can be solved most successfully by taking hormonal medications, but in other cases, doctors cannot guarantee that the disease will not return.

Therefore, if after a few years pain appears that you have already experienced, you need to consult a doctor.

In women of reproductive age, they first try to treat the emerging tumor using a conservative method - the prescription of hormonal drugs, drugs that improve the metabolic process in the ovaries, and with the help of physiotherapy.

At the age of 50 years, there is an increased risk of the neoplasm becoming malignant, so a cyst in postmenopausal women is considered a reason for elective surgery.

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After removal of an ovarian cyst

Ovarian cysts often occur in women of childbearing age. Modern surgical methods help get rid of this formation.

The laparoscopic method of cyst removal in most cases allows saving the ovaries. After the operation, patients can get out of bed from the first day. During this period, food should be predominantly liquid. The hospital stay is short and depends on the patient’s condition, as well as the extent of the operation.

Complications after removal of an ovarian cyst

Complications may occur after surgery to remove an ovarian cyst. Complications can be infectious. In addition, when inserting trocars, internal organs may be accidentally damaged, and seroma or hematoma may form. The body can be negatively affected by the injected gas, and unintentional injury to blood vessels may occur. Anesthesia may cause some of the complications.

If the outcome of the operation is normal, the ability to work is restored within two weeks. Long (five to ten millimeters) incisions are visible on the skin of the abdomen. After laparoscopy, the postoperative period, as a rule, is painless and smooth, but it is necessary to limit sexual activity for a month.

You should also be periodically observed by a gynecologist. The first examination takes place one month after the operation, the second – after three months and the third – after six months. In the future, it is recommended to visit a doctor every six months. Simultaneously with the examination and consultation, an ultrasound scan is prescribed. If a woman is of childbearing age, then between three and six months she may be prescribed minor hormone therapy, which will normalize ovarian function.

Consequences of cyst removal

Often the consequences of removing an ovarian cyst are severe. If a woman is under regular supervision by a gynecologist, it is easier to diagnose a cyst at an early stage and prescribe the necessary treatment. But it happens that the patient rarely comes to the doctor, and then when a cyst is discovered, it turns out that it cannot be treated with drug therapy - surgical intervention is required, and this threatens with serious consequences, for example, infertility.

Depending on the stage of the disease, only the cyst can be removed, but in severe cases, the formation is removed along with the ovary. This creates certain problems with future conception, or even makes it impossible. It happens that women still become pregnant after the removal of one ovary, but it is very difficult to carry the child to term.

Another serious consequence that is possible when removing an ovarian cyst is the occurrence of adhesions in the fallopian tubes, which leads to the development of gynecological diseases and infertility. Unfortunately, adhesions are one of the consequences of removing an ovarian cyst using laparoscopy. Currently, this operation is a quick, simple and effective way to remove a cyst, as it is performed with minimal interference in the functioning of the reproductive system. However, in this case, adhesions in the fallopian tubes may occur. Therefore, to avoid this serious problem, it is necessary to undergo regular gynecological examinations.

Some people believe that after removal of an ovarian cyst, a woman becomes disabled, but this is not true. Much depends on the woman’s lifestyle, her age, reluctance or desire to have children and, of course, on her state of health. You need to be attentive to yourself, follow the recommendations of doctors, believe in the best, and then you will be able to avoid many troubles.

Planning pregnancy after removal of an ovarian cyst

For women of childbearing age, it is very important to prevent the occurrence and development of adhesions in the pelvis. This can be avoided with endoscopic removal of the ovarian cyst, and with abdominal surgery, sadly, the risk of adhesions is higher. Quite often, surgeons have to perform endoscopic surgery to separate adhesions in order to eliminate possible causes of infertility.

With the help of new technologies and the possibility of using high-precision endoscopic instruments after removal of the cyst, it is possible to preserve a normally functioning ovary. Of course, after the operation, you should be observed by a gynecologist and undergo clinical and laboratory tests. For women who have undergone surgery to remove an ovarian cyst, specialists prescribe special medications to maintain pregnancy.

2018 Blog about women's health.

Removal of cystic tumors using laparoscopy is a fairly simple and painless operation, so the recovery process in the postoperative period is quick. However, some women experience pain after laparoscopy of an ovarian cyst. Painful sensations are rare, but still tend to bother the patient for some time. The lower abdomen may linger for several days. As a rule, unpleasant sensations do not pose a threat to the patient’s health. In most cases, they go away without any treatment. But it is still worth remembering that sometimes prolonged pain after surgery should cause concern in a woman. In what cases does such a symptom remain the norm, and when is it necessary to visit the treating gynecologist as soon as possible?

Painfulness of the procedure

Although some patients experience ovarian pain after laparoscopy, the procedure itself is completely painless. The surgery takes place under general anesthesia. Anesthesia is administered intravenously. If general anesthesia is prohibited for any reason, local anesthesia is used. A pain relief method is often used in which the medication is injected between the discs of the spine. Therefore, during the removal of the cyst, the patient feels almost nothing, even if she is conscious. To perform laparoscopy, you only need to make small punctures in the abdominal cavity, so there is virtually no pain during and after the operation. In modern medical practice, the most effective methods of pain relief are used, so there will be no pain during the procedure.

Pain syndrome after surgery

Many patients are frightened not so much by the laparoscopy process itself, but by the pain syndrome in the postoperative period. In reality, there is no reason to be afraid of this. The fact is that pain in the lower abdomen after laparoscopy is quite rare. Unpleasant symptoms in this case are less intense than after surgical removal performed by the cavity method. Their nature and source after lapara may vary. So, unpleasant sensations arise:

• in the area of ​​incisions;
• in the chest and shoulders;
• lower abdomen.

Pain in the operated area most often appears immediately after surgery, while the patient is recovering from anesthesia. Doctors call it postlaparoscopic syndrome. In this case, the nature of the pain after elimination of the cystic neoplasm is quite clear: it occurs due to injury to the soft tissues, genitals and abdominal cavity. It is especially acute at the puncture sites through which the endoscope was inserted. Sometimes after laparoscopy, pain is localized in the upper abdomen, although surgeons do not touch this area during the operation.

Note: About 95 percent of patients after laparotomy complain of fairly severe postoperative pain. According to research, their intensity on a 100-point scale often reaches sixty points. Most often, this is how patients feel in the first hours. Having completely recovered from anesthesia, women rated them at thirty points.

After laparoscopy, the right ovary or left appendage hurts severely, most often for one day. After the same amount of time, the discomfort in the area of ​​the stitches disappears. In this case, pain may remain if the seam is injured or pressure is applied to its area.

After lapara, many women feel pain in the chest and shoulders. This is due to the fact that during surgical removal of the cyst, carbon dioxide is introduced into the abdominal cavity. This is necessary for its expansion. As a result, some internal organs and the diaphragm are compressed. Unpleasant sensations from this may occur for the first few days after surgery. This symptom is not very pronounced, so it is tolerated quite normally by patients. The introduction of carbon dioxide most often brings only discomfort and inconvenience.

Although discomfort after laparoscopy of ovarian cysts worries almost all women, the pain is usually mild. It goes away in a few days, so it shouldn't be a cause for concern. If the pain after removal of the cystic formation is too severe, the patient is prescribed painkillers.

IMPORTANT! If you have sharp or cutting pain that affects the lower abdomen and does not disappear for too long, you should visit a doctor, as this indicates the presence of a complication. In emergency cases, accompanied by ongoing severe pain in the ovaries, urgent hospitalization is carried out.

Causes of pain in the postoperative period

In some patients, after laparoscopy, the ovary is pulled, while in others, quite severe abdominal pain is observed. The reason that such sensations appear may be:

• adhesions;
• too rapid resumption of sexual activity during the period of recovery of the body (the first month after elimination of the ovarian cyst);
• the course of inflammatory processes in the genital organs;
• failure to maintain personal hygiene after laparoscopy of an ovarian cyst;
• formation of internal bleeding due to suture divergence;
• infection during or after surgery;
• significant physical activity and lifting heavy objects;
• rupture of the ovarian membrane.

It is worth remembering that the larger the cyst and the more advanced the disease, the more difficult the operation is and, accordingly, the longer the recovery period. Pain caused by laparoscopy of an ovarian cyst is quite common. However, if the pain is accompanied by fever, dizziness, nausea and vomiting, or acute pain that radiates to the lower back or lower abdomen, it is recommended to immediately consult your doctor or call an ambulance. The stomach should not be pulled for longer than a few days.

How to relieve pain

In modern medical practice, after laparoscopy of an ovarian cyst, specialists tend not to use painkillers. The fact is that the unpleasant sensations are not too pronounced to require the use of anesthetics. They are prescribed only in rare cases when it is really necessary. As a rule, painkilling injections are administered once during the process of the patient coming out of anesthesia. Doctors are in no hurry to use pain-blocking medications because they interfere with the timely detection of complications that arise during the recovery period. This may be a relapse of cyst development after laparoscopy, organ rupture, inflammatory process and other pathological complications.

Important! If twelve hours after removing the cyst using the laparoscopic method, the patient experiences acute pain, this is not normal. In this case, additional diagnostics are required.

In most cases, surgical treatment of cystic neoplasms does not require long-term recovery. However, if the operation is not very successful, the patient may experience severe pain. Sometimes the cause of its appearance is an incorrect lifestyle: lifting weights, active sports, washing in the bathroom. Until the sutures heal, general hygiene should be observed and the operated area should be treated daily with antiseptics. To avoid unpleasant nagging pain in the lower abdomen, it is not recommended to resume sexual relations earlier than after three weeks. Complications caused by laparoscopic intervention are rare, however, if there is too much pain in the lower abdomen, fever, or the formation of purulent discharge on the surface of the suture, it is worth visiting a doctor.

Note: On the first day after laparoscopy of an ovarian cyst, women often experience general fatigue and weakness, so it is advisable to maintain bed rest. You should return to your normal lifestyle, including sports, no earlier than after a month. To avoid complications and discomfort in the appendage area, it is recommended to gradually increase the load.

It is important to avoid sudden movements, lifting weights of more than three to five kilograms and long trips in the first month. It is worth doing everything possible to maintain the integrity of the stitches and prevent them from becoming infected. It is recommended to temporarily avoid tight and tight clothing. It is better to choose loose clothes that will not put pressure on the genitals. Do not panic if in the first month after laparoscopic treatment, menstruation is more painful and heavy than usual.

2015-07-14 15:23:31

Margot asks:

Good afternoon I have a long history of problems. It all started with the removal of an ovarian cyst (the doctors thought it was appendicitis, but during the operation it turned out that it was not. It was the first day of menstruation). After that, 2 years later I had an abortion. I understand, but that's how it happened. Half a year ago there was a cyst rupture - not big, and everything resolved on its own. I didn’t know this - I just had very strong pain - I went to the doctors and they did an ultrasound 2-3 times. After 1.5 weeks everything was fine. They prescribed only Nimesil to relieve pain and it seems there is an antibiotic there. But I doubt the competence of doctors. The result of such failures (only 5 years) was excess weight - with a height of 170 - 86 kilograms. I still managed to lose 7 kilos. But exercise and diet don't help. At all! Tell me what to do in this situation. Who should I contact, what questions should I ask? I weigh 78-79 kilograms. Previously - 65 maximum. In desperation. Margot.

Answers Renchkovskaya Natalya Vasilievna:

Hello Margot. First of all, contact an endocrinologist-nutritionist. Take a hormonal panel, both gynecological and c-peptide, TSH. Write a balanced diet, not a diet, to eat, get energy, but not feed the fat cell. It also regulates the menstrual cycle, improves liver and intestinal function. With uv. Natalya Vasilievna.

2015-05-07 08:22:02

Irina asks:

Hello! I am 25 years old and I have heart problems, Holter shows PV 2557 after 25 hours of observation, also 1st degree AV block, on ECHO - 1st degree MVP. I need surgical treatment - laparoscopic surgery to remove an ovarian cyst, but doctors do not want to do the operation because of heart problems. However, it is impossible to find the cause and somehow cure it. Tell me how dangerous it is to perform laparoscopy for such diseases and what to do anyway, since surgery is necessary? I took all the tests, including hormones and all kinds of infections, ASLO, myocarditis - everything was ruled out, everything was clear. I checked my thyroid gland, I’ve had a nodule for many years, it’s very small, they say it doesn’t require treatment. PVC started after a series of stresses three years ago. also three years ago I already had a laparoscopy for the same reason. I was treated at the cardio center of my city, I was prescribed Propanorm, after which, from a count of 1600, PVCs jumped to 2500 and now they don’t go down. I no longer take Propanorm. I also have problems with my nose, frequent runny nose, and I can’t live without vasoconstrictor drops. And my back and spine hurt a lot from sedentary work, but I saw a neurologist and they said everything was fine, I could go to the pool and do gymnastics. When carrying something heavy, I also experience pain in the middle of my chest, between my shoulder blades and shoulders, as if my muscles were hurting.

Answers Bugaev Mikhail Valentinovich:

Hello. By themselves, neither extrasystole nor 1st degree blockade, in the absence of complaints, require treatment. Vasoconstrictor drops can also provoke both an increase in pressure and extrasystole. And take care of your spine. Regarding laparoscopy, look for another clinic with more experienced doctors.

2012-10-03 08:21:47

Valentina asks:

Good afternoon I underwent surgery to remove the uterus (fibroids), after 6 months problems with the ovaries began, after another 6 months they had a second abdominal surgery to remove an ovarian cyst, which was removed along with the ovary. 4 months have passed since the second operation, all this time I have been feeling aching pain in the lower abdomen, especially after a bowel movement, I took a course of antibiotics, but there was no change, every day the aching pain occurs in the morning, the pain begins even after orgasm, although I only had sex twice. Tell me what to do and what causes the constant pain? Maybe you need time or some special treatment?...thank you in advance!

Answers Korchinskaya Ivanna Ivanovna:

It's difficult to speak virtually. If after the second operation one ovary with a tube is left, then their condition needs to be assessed using ultrasound. In addition, this may be a problem with the intestines; after the removal of the ovary, a loop of intestine may have descended and given pain. You need to consult a proctologist. After this we can talk about treatment.

2010-06-08 15:13:31

Elena asks:

Hello! I am 30 years old, nulliparous, with a history of 1 mini-abortion for a period of 7-10 days, at the age of 20, menstruation is regular, painless, without increased abundance, pain in the lower abdomen does not bother me. The only thing is that my stomach is somehow too bulging, even with temporary weight loss it never goes down. A recent ultrasound showed that to the left of the uterus there is an echo-negative formation with a dense contour, size 11.2 cm * 10 cm, the contents are thick, gel-like; along the medial wall there is an echo-dense component without an acoustic shadow (papilloma). Conclusion - papillary cyst of the left ovary. The question is: with such a size and type of cyst, is only surgical intervention indicated, or can conservative treatment methods still be used? If only surgical intervention is indicated, is it possible to perform laparoscopy or some other seamless, gentle method so that scars do not remain on the body after the operation. In addition, I would not like to be treated with the “old-fashioned” proven method, but in some way less traumatic. After removal of the cyst, when can I resume sexual activity? Thank you!

Answers Chubaty Andrey Ivanovich:

You definitely need to have surgery. You can start laparoscopically, and if necessary, switch to laparotomy surgery.

2008-11-19 11:33:06

Olya asks:

Hello! I have this problem. Briefly the whole story: 4 years ago I had an operation to remove an ovarian cyst, everything went well. 3 years ago, ureaplasma and key cells were discovered, treated, then tested 3 times - no infection. The first time about a year ago there was a suspicion of mononuclease (the inguinal nodes hurt, respiratory diseases, fatigue), the infectious disease specialist said that there was nothing. (unfortunately, due to the long period of time, I can’t write the test results). about a month ago I caught a little cold, sat in a cold place, pain in the lower abdomen began, I went to the gynecologist. Result: ultrasound showed no neoplasms, but smears and colonoscopy showed mild dysplasia and an inflammatory process with elements of chronic inflammation (leukocytes: vagina - 5-10-15 in the field of view; cervical canal - 15-30-50 in the field of view sp; erythrocytes - 15-30 in the p/z, in the cervix; lymphocytes - 2-4 in the p/z, in the cervix, microphages - single in the cervix; eosinophils - not detected; mucus - moderate in the cervix. Microflora: vagina - sticks - quantity; cervical canal - sticks - scanty; urethra - sticks - scantly). not detected: key cells, yeast fungus elements, trichomonas, diplococci inside and outside; inclusions reminiscent of chlamydia colonies, changes in character. for Herpes, the changes are characteristic of Papilloma. Epithelium: vagina - predominant cells of the intermediate layer are squamous epithelium, located in small clusters; cervical canal: some cells with degenerative changes, minor polymorphism of nuclei, cells of the parabasal layer pl. ep - insignificant count; class cylinder epit. - small groups, detected histiocytes. The doctor sent me again for ureaplasma and mycoplasma and for the Papilloma Virus (6.11, 16, 18, 31, 33, 35, 39, 45, 52, 56, 58, 59.66), nothing was found. Then my inguinal lymph nodes began to hurt and there was redness of the labia, I went to another doctor, he said that it was recurrent thrush and there were a lot of adhesions. Prescribed: Citeal syringe 2 r per day, Hexicon suppositories, Livarol, Methyluracil. after my period, I planned to start the treatment he prescribed, but where the itching was a small pimple popped up (one, with a white head, about 2 mm in diameter, painful, located closer to the hair). I still started with douching and made an appointment with the doctor again, the first time I was not very careful, everything slipped, foamed, in general, then I felt pain inside, then 2 times I was extremely careful. but I began to bleed during the day, just a little, but then it was as if I had my period again and I felt a tugging in the lower abdomen, just like with it (the doctor said that my uterus had turned, that’s why I sometimes have such pain). In general, now I’ve stopped everything, only did it 3 times, general weakness + inguinal lymph nodes continue to hurt, but are not identified and the skin over them is normal, bleeding, nothing happens to the pimple, I made an appointment with the doctor tomorrow (she can’t do it today) , but I want to find out from you where I should start testing so as not to miss anything this time and diagnose it as correctly as possible. Is it worth testing for mononucleosis and toxiplasmosis? and for herpes types 1,2? Thanks a lot. (if it is possible to make an appointment with a specialist, I am from the suburbs of Kyiv, then I will be happy to do so). I don’t know if this has anything to do with it, but I have myopia, and have had it for more than a month. ago, problems with vision began - black midges before the eyes during daylight, + before the pain in the lower abdomen this year there were stomach upsets and pain in the center of the abdomen.

Answers Razumenko Svetlana Vasilievna:

Olesya, first of all, you should definitely take blood tests for syphilis, AIDS, toxoplasmosis, herpes, and cytomegalovirus. Considering the mild dysplasia and inflammatory process with elements of chronic inflammation, diplococci inside and outside the cells, inclusions resembling chlamydia colonies, changes characteristic of herpes infection, additional examination for gonorrhea (Gram smear) and cultural examination of the vaginal flora are necessary. Additional examination for chlamydia, herpes and cytomegalovirus - scraping from the cervix.
Painful periods and nagging pain in the lower abdomen may indicate the presence of an inflammatory process not only in the uterine appendages, but also in the uterus and cervical canal. Therefore, it is necessary to do an ultrasound examination of the pelvic organs to exclude this pathology.
Stomach upsets and pain in the center of the abdomen can be signs of an inflammatory process in the intestines and indicate intestinal dysbiosis. This, in turn, can lead to frequent relapses of cadidal infection, vaginal dysbiosis (disturbance of the vaginal microflora), which you have.
I would like to draw your attention to the presence of mild cervical dysplasia. After you have completed the above examination, I would recommend that you pay attention to the condition of your cervix.

2016-10-20 13:42:15

Taisiya asks:

Good afternoon. In July I had an operation to remove a cyst, 3 months have passed of pain in the lower abdomen, in the place where there was an intervention, I do an ultrasound, everything is clear on the right side, only a cyst appeared on the left ovary ((what could this be? the suture is healing poorly , there are still some holes in it that are still not being healed, why? The internal thread came out, they stitched it up 2 times, because a hematoma came out the next day after the operation, they removed the stitches so that the blood would come out and stitched it up again.

Answers Bosyak Yulia Vasilievna:

Hello, Taisiya! It is difficult to draw conclusions virtually; it is rational for you to have an in-person appointment with the specialist who performed the surgery. What type of cyst was it? After removal, you should have been prescribed a COC for a period of 3-6 months to prevent the formation of a cyst in the future. Pain in the lower abdomen may be associated with the formation of adhesions. To prevent them, it would be desirable to supply an enzyme preparation, dystreptase, for example.

2016-06-10 15:55:47

Lera asks:

Good afternoon. Three weeks ago, a laparoscopic operation was performed to remove a conglomerate of fibroids measuring 8 cm, endometriosis and an ovarian cyst measuring 4 cm. After the operation, I felt good and immediately began to get up and walk. All tests were normal, there was no temperature, no pain. She took antibiotics and IV drips for 5 days, after which she was discharged. Prescribed: Diclovit suppositories, Wobenzym and magnet physiotherapy, after which the inner seam began to hurt. The gynecologist looked and said everything was normal. Two days ago my temperature rose to 37.3. Today was my last physical therapy session. For the last 5 sessions of physical therapy, my side hurt, in which everything was removed. Tell me if the deterioration of the condition is possible due to physiotherapy and what to do with the temperature. Thank you

Answers Bosyak Yulia Vasilievna:

Hello Lera! The deterioration of the condition cannot be associated with physical therapy. Pain may occur due to the adhesive process. I would recommend using Longidase. If you have a low-grade fever, I advise you to contact your gynecologist for a follow-up examination.

2015-11-04 10:34:15

Natalya asks:

Thank you for your answer. With a diagnosis of atrophic endometritis (this is the diagnosis indicated in the discharge after taking a mark for oncocytology) and ovarian cysts measuring 4 and 1 cm, the mother (66 years old) is offered abdominal surgery to remove the uterus and appendages. Tell me, is it possible to monitor cysts for some period, then they are discovered for the first time and there is no pain, no bleeding, nothing bothers you.

Answers Wild Nadezhda Ivanovna:

You need to donate blood for ovarian tumor markers and if they are normal, the cytological smear is normal, then you can observe. Ultrasound monitoring is required once every 3 months or 6 months. But, an ovarian cyst of 4 cm in postmenopause is a lot to observe. Oncological disease does not cause pain in the initial stages..... Unfortunately, a full diagnosis is possible only after surgical treatment. Laparoscopic surgical treatment is possible; the postoperative period is much better tolerated. Don't miss out on time for surgical treatment.

2015-09-07 11:27:25

Elena asks:

Hello! My sister underwent strip surgery to remove a cyst on her ovary. There was a suspicion of cancer, the uterus, ovaries, and omentum were removed. The prognosis for cancer was not confirmed; the tumor was benign according to analysis. But a month has passed since the operation, and my sister is worried about severe pain in her arms. According to her, her muscles ache, even in a calm state. Is this related to hormonal changes in the body after such an operation and will it go away gradually? Thank you in advance.