A cyst is a formation that has a capsule and a cavity filled with fluid. It can occur in any organ. The nature of the cysts is overwhelmingly benign, but some types can be reborn. It is attached with a base or legs. It can be single and multiple, more often the lesion is unilateral. Bilateral cyst is rare. In the ovaries, more often than others, a formation occurs on the right side due to the greater blood supply. Diagnosed before menopause or after. Most often, the size of ovarian cysts is small, but can reach a diameter of 20 cm.
Etiology of the phenomenon
The causes today are still unknown with accuracy, but an indispensable factor present is hormonal disorders, pathologies of the ovaries themselves, hormone intake, weight gain and frequent abortions.
Can an ovarian cyst hurt? This is the main symptom. With cysts, there is an effect on the reproductive function.
Types of cysts
The main groups of cysts are combined into 2 large groups - functional and non-functional (organic). They differ in structure, reasons, but the clinic of any kind is the same.
The first group includes follicular, luteal, polycystic. To organic - endometrioid, dermoid, mucinous, paraovarian. Functional cysts have the ability to dissolve on their own and respond well to hormone treatment. As for organic cysts, conservative treatment does not work on them, only removal.
Follicular cyst
It becomes the result of a violation of the ovulatory phase of the cycle, when the egg does not come out of the mature follicle. Such a follicle does not rupture and degenerates into a cyst that "lives" for about 3 months. Then it resolves spontaneously over several cycles. The clinic rarely gives, but if it occurs, it is expressed in the absence of manifestations in the first month due to its small size. Later, with a diameter of 3 cm, aching mild pains appear in the lower abdomen, heaviness in the abdomen, and distension in the pelvic area.
All symptoms increase after the ovulatory phase. Pain can be aggravated by physical exertion, fast walking and during sex, with hypothermia. Pathology occurs in the fertile age and in adolescents.
Luteal cyst
In this case, the mature follicle bursts completely, the egg comes out, but the yellowthe body at the end of the luteal phase does not regress. The cyst begins to grow directly from the corpus luteum. The reason is a hormonal imbalance. It may take several cycles until it resolves.
Polycystic
There are several cysts here on 1 or 2 ovaries. The exact etiology is unknown, but occurs when the level of male hormones in the blood is exceeded.
The stomach hurts regularly, in the lower part. The result is infertility. Well treated with hormones.
Hemorrhagic cysts
They are functional in nature, they can be of different types. Inside they contain a bloody fluid. Accompanied by cycle failures, profusion and soreness of menstruation.
Organic cysts
They are much more dangerous due to the possibility of malignancy. The main symptom of such cysts is pain. In addition, they cause disturbances in the reproductive system:
- MC failures and abundance of menstruation;
- the presence of discharge after menstruation.
Treatment is usually surgical.
Mucinosis
Prone to aggressive growth, rebirth. Differ from other types of multi-chamber. As a rule, occur during menopause. Slime filled.
Pain in mucinous cysts radiate to the legs. The work of internal organs is disrupted.
Dermoid cyst
It is formed from the germ layers, therefore it is congenital. Manifests itself at 15-25 years old.
Has a dense capsule containing soft or bone tissues, hair, nails, fat, etc. It grows rapidly, causing a feeling of heaviness in the stomach, frequent urinationand stool disorders. Occurs more often on the right side.
Endometrioid neoplasm
Often becomes a complication of endometriosis. The cavity of the cyst is filled with brown fluid or blood (chocolate contents).
Paraovarian cyst
This is the location of the cyst between the ovary and the fallopian tube, in the sheets of the broad uterine ligament. It has a transparent content with a lot of protein. Differs in very slow growth and strict good quality. There is no rebirth. Removal only by surgery. Often occurs during gestation. Does not interfere with conception, detected early on ultrasound.
Do ovarian cysts hurt in women?
It directly depends on the type of cyst. Pain ranges from aching irregular to constant or unbearable, intolerable to shock (with complications).
But in any case, algia always starts in the lower abdomen, then rises up and overflows. With rapid growth, the pain becomes wandering. In addition, this often indicates a possible malignancy of education.
General symptomatic manifestations
Can an ovarian cyst hurt and why? The stalk of a cystic neoplasm has nerve endings, so cystic pain often occurs.
Symptoms are quite specific:
- heaviness in the lower abdomen;
- drawing and aching irregular or constant pain;
- vaginal discharge unrelated to MC;
- cycle breaking;
- dyspareunia;
- bloating and enlargement of the abdomen;
- dysuria and stool disorders with a tendency to constipation;
- probable temperature.
Can an ovarian cyst hurt intensely? The sharpness of the pain syndrome in ovarian cyst is determined by the rate of its growth, localization, structure and character. Severe and sharp pains are possible in case of complications of the cyst - rupture of the capsule or torsion of the leg. The intensity of pain can lead to fainting.
Can an ovarian cyst hurt if it is large? Pain sensations occur when the size of the formation is more than 4 cm. In this case, it begins to put pressure on the surrounding tissues. Such pains are called physiological for their causes.
Sensations with different types of formations
Does the stomach hurt with an ovarian cyst and with which more? Follicular and luteal give irregular, mild pain in the lower abdomen, more reminiscent of irregular discomfort in the side.
Can an ovarian cyst cause chest pain? This happens quite often during the ovulatory period.
Mucinous formations are characterized by a feeling of pressure in the lower abdomen. With an increase in the size of the cyst, it hurts more due to pressure on neighboring organs and tissues.
Does the stomach hurt with an ovarian cyst of mucinous origin, and what kind of pain is this? The pain syndrome here is expressed with irradiation to the legs - thigh and groin. It is bursting in nature.
With an endometrioid cyst, muscle pain, reminiscent of spasms, can provoke leg cramps. The pain syndrome appears in the second phase of the cycle, and the increase occurs duringtime of menstruation. Discomfort lasts for several days and recurs periodically.
A paraovarian cyst is usually asymptomatic or gives periodic aching pain in the abdomen, side and sacrum, independent of the phase of menstruation. They increase with activity and load, squeezing neighboring organs and stop spontaneously.
Does the ovarian corpus luteum (luteal) cyst hurt? If there are no complications, pain may be absent or mild. Pathology is characterized by a long delay in menstruation.
When polycystic pain is moderate, it can radiate to the pelvic and lumbar region.
With dermoid formation, the pain is strong, prolonged and constant. Give to the sacrum, coccyx and lower back. The cyst is filled with a mucus-like fluid.
Loss of the right ovary
All pain is right-sided. During menstruation and after them, the pain may increase. It becomes interesting that the right-sided ovarian cyst always hurts more, due to better blood supply.
Cyst on the left
Can a cyst of the left ovary hurt? Drawing pain appears similarly in the left side of the lower abdomen, but it is less disturbing than with a right-sided cyst. The abdomen may become enlarged, bloated, full and distended.
Pain with complications
When complications occur, the pain is especially pronounced and bright. Can an ovarian cyst hurt when the leg is twisted? Definitely yes, and the intensity of pain is such thatis unbearable and cannot be relieved by any analgesics. Additional symptoms develop:
- fever;
- nausea and often vomiting;
- weakness, dizziness;
- skin becomes pale and covered with pale sweat;
- pressure reduction;
- tachycardia;
- frequent urination;
- thirst;
- prone to constipation;
- vaginal mucus;
- possible loss of consciousness.
Visually, the stomach becomes asymmetrical. The situation is urgent and requires an urgent operation. Circulatory failure due to torsion of the pedicle leads to tissue necrosis.
Rupture of a cyst
When the cyst capsule ruptures, there is a sharp pain in the form of contractions, which radiates to the leg and rectum. Most often, the rupture of the capsule occurs in the middle of the cycle. The symptomatology of such a complication is very similar to torsion of the leg, but instead of tissue necrosis, peritonitis occurs. This happens due to the fact that the contents of the cyst are often thrown into the abdominal cavity. Urgent action is needed here as well.
Emergency
Emergency assistance can only be provided by doctors, so the help of others will consist only in calling an ambulance, giving the woman a comfortable position and applying cold to the pain localization site - a cold heating pad or an ice pack. Before the doctors arrive, it is better not to take painkillers so that the clinic is kept clean.
What types of operations are possible for cysts?
With cystic formations, the following types are possiblesurgical interventions:
- Complete removal of the cyst without affecting the surrounding tissues - cystectomy. The cyst capsule is simply husked. Reproductive functions are not affected.
- Oophorectomy - removal of the ovary (complete or partial).
- If appendages are removed with it, the operation is called an adnexectomy.
What to do with the pain of uncomplicated cysts?
Pain is a reason to see a doctor. Do not drink handfuls of pills and stay at home.
Painkillers are symptomatic treatment only. It relieves the pain but does not cure the cyst.
You can take analgesics only as prescribed by a doctor, when a woman is regularly observed by a gynecologist and the pain is due to a decrease in the cyst. What your doctor might recommend:
- to moderate your activity in any plan;
- don't have too much sex;
- apply dry heat.
You can take anti-inflammatory drugs ("Acetaminophen", "Ibuprofen", "Indomethacin"), hormonal drugs ("Dufaston") and antispasmodics like "No-shpy".
Conclusion and conclusions
Can an ovary hurt after a cyst is removed? After surgery, pain usually disappears. With laparoscopy, they go away after 3-4 days; with abdominal surgery, they can last for a month.
Does an ovarian cyst hurt when it resolves? If she is small, her cyclelife is short. With the resorption of such formations, symptoms of pain may not be. And what happens in the usual version:
- restoration of MC;
- no dyspareunia;
- normalize selections.
Resorption occurs within 2-4 cycles or during treatment with hormonal drugs.
Many people ask the question: "Can an ovarian cyst hurt during resorption?" This is interpreted as follows - if it hurts in the lower abdomen, then there is resorption. Most often, pain with this phenomenon is uncharacteristic. A woman finds out about the absence of a cyst already at the doctor's appointment.
Does an ovarian cyst hurt before menstruation? Usually a woman feels pulling and aching pains before the arrival of a planned menstruation always.
At the onset of menstruation, the pain usually increases. You can take non-steroids or analgesics only with mild pain. It should be noted that any discomfort requires examination.
