Symptoms of ovary twisting sist problem
Do you know about ovarian torsion?
Are you familiar with the symptoms of ovarian torsion?
Do you know what to do when dealing with a person with ovarian torsion?
If you have any questions about ovarian twisting, we recommend that you read on.
Introduction
The ovaries are one of the most important organs in the body that play an important role in female fertility at reproductive age. One of the serious disorders that can threaten the ovaries and it usually occurs in young women of childbearing age. It is ovarian torsion that we want to address in this article.
Ovarian torsion
Ovarian torsion is one of the diseases and disorders that affect the ovary in women and In addition to polycystic ovaries, it is a common disorder in women. Ovarian torsion is a disorder that can have many causes. Most affected women are of childbearing age.
Ovarian torsion is when the ovary suddenly wraps around the surrounding tissues and adjacent arteries or fallopian tubes. This causes the arteries to become compressed. As the torsion progresses, the blood flow to this organ is disrupted. Ovarian torsion is a serious complication.
Sudden ovarian sprains are very painful and cause very severe sudden abdominal pain and will urgently require urgent examinations.
The person must be transported to a medical center urgently. Lack of timely referral and lack of prompt care may be involved at the cost of losing that ovary and fallopian tube.
Although it is more likely to occur at younger ages, ovarian torsion can occur at any age, so it is best because it is important to know about ovarian torsion and requires urgent action and it is one of the most common diseases among women to have complete information about it.
In whom is ovarian torsion more common?
Women of all ages can experience ovarian torsion. In other words, ovarian torsion has no specific age. Adolescent girls Women who have children, even postmenopausal women, may experience ovarian torsion.
Statistics show that most of the cases of ovarian torsion were women who were of childbearing age and early reproductive age.
reasons
So far, no specific and unique reason has been reported to indicate that a person with this cause will inevitably develop ovarian corrosion.
One of the most common reasons is the presence of a mass inside the ovary. For example, there is a cyst inside the ovary. An ovarian cyst or ovarian mass can move and cause the ovary to rotate suddenly.
In fact, ovarian instability is the main cause of ovarian torsion.
Ovarian torsion may be related to strenuous exercise and rapid physical activity.
Patients with polycystic ovaries are more likely than other women to have ovarian torsion.
Other reasons include the following
- Being pregnant
- Being pregnant can also increase the risk of torsion.
- Long fallopian tubes
- If the fallopian tubes are large and long, the chances of the ovaries twisting or twisting around the ovaries are very high.
- Closing the fallopian tubes, which can increase the risk
- Hormone use
- Therapies, for example for the treatment of infertility, increase the size of the ovaries and thus increase the risk of ovarian torsion.
- Hormone therapy, for example, to treat infertility Hormone therapy increases the size of the ovary and thus increases the risk of ovarian torsion.
Symptoms of ovarian torsion
Ovarian torsion occurs with a very severe sudden pain, that means a person experiences a sudden severe pain in the abdomen, pelvis and sides, and at the same time, the muscles in the lower abdomen may spasm and vomit severely. The above symptoms are also present in some other diseases, so just because you have seen the above symptoms, you should not consider torsion as the cause of your illness.
The main and most important feature of ovarian torsion is severe pain with a sudden onset. This is one of the characteristics of ovarian torsion that is present in cyst rupture or ectopic pregnancy rupture.
Another characteristic is that a person with ovarian torsion may have pain for several weeks and the pain may be reciprocating.
This pain is usually felt in the lower abdomen. This pain is a prolonged return because the ovary has healed and is trying to return to its previous state. It will be difficult to diagnose the problem on initial examination and its symptoms are very similar to kidney stones and severe urinary tract infections.
Diagnosis
When severe abdominal pain occurs with vomiting and nausea, you should call the emergency room immediately. If someone around you has a sudden severe abdominal pain, take him or her to the agency immediately. After obtaining a detailed history, the list of medications used and recent activities performed is asked.
On physical examination, the doctor finds a pain-sensitive, tactile spot that looks like a lump under the hand when touched, and then examines the uterus and fallopian tube with vaginal ultrasound.
In addition to these measures taken by the doctor, a blood test and urine test may also be requested. The physician uses radiological modalities to ensure his diagnosis. After confirming the problem of ovarian protrusion, the ovary must now be replaced. This restoration is performed in "corrective surgery".
Treatment
Surgery is the only main way to save the ovary and prevent ovarian death. A few years ago, it was better to have the ovary removed so that there would be no recurrence of torsion, but recently, with new advances in medical knowledge, doctors are trying to prevent ovarian resection as much as possible Especially when the person has no children or is very young, because the ovaries play an important role in women's fertility and quality of life, so ovarian resection is not highly recommended.
Surgery for ovarian torsion must be performed. Surgery is performed using various techniques to open the torsion.
These surgeries may have different complications like any other surgery. Infection Various complications such as anesthesia and even blood clots are among the complications of surgery.
The patient should refrain from excessive activity and lifting heavy objects for several weeks after surgery.
Ovarian torsion surgery has different techniques. We will name a few of them below.
1. Laparoscopy
The surgeon inserts a small incision into the abdomen through a small incision in the lower abdomen into the instrument and a narrow tube with a camera and a lamp, and uses it to examine the internal organs. Once it reaches the ovary, it will return the ovary to its normal position with the help of other tools. Outpatient surgery and general anesthesia require less chance of adhesions after laparoscopic surgery. For this reason, laparoscopic procedure is recommended for pregnant women and single girls.
2. Laparotomy
In this method, unlike laparoscopy, the doctor must make a large incision under the patient's abdomen to have direct access to the ovary, rotate it and return it to its place. Full anesthesia is required for surgery and will require at least one night of rest in the hospital after surgery.
If the removal of dead tissue is necessary, one of the following two things will be done:
3. Oophorectomy
Surgery to remove the ovary may have been a long time since ovarian torsion and the ovarian tissue may have died due to torsion of the feeding vessels and obstruction and cessation of blood flow. In this case, the surgeon must remove the dead ovary from the body.
4. Salpingo-oophorectomy
Sometimes, in addition to the ovary rotating along its roots, the fallopian tube may be long and this torsion may occur in the fallopian tube.
With disruption of blood flow and cessation of blood flow, these two tissues die and must be surgically removed from the patient's body. Removal of the fallopian tube and ovary by surgery is called Salpingo-oophorectomy. After surgery, drugs such as acetaminophen and acids are prescribed to control your pain. Hormonal medications may also be prescribed for you depending on your condition. We emphasize the important point in the treatment of ovarian torsion is the speed at the beginning of treatment.
The sooner treatment is started, the less likely it is that the ovaries will be damaged and the more likely the ovaries will survive. If the ovarian tissue is damaged, the doctor should try to remove the damaged part and preserve the rest of the ovary as much as possible.
How to prevent ovarian torsion?
There is no one-size-fits-all way to prevent ovarian torsion. Ovarian torsion is accidental and will happen suddenly. In many cases, there is no cause for it, so there is no definitive prevention. Women of childbearing age are affected and it is possible that as the age increases and the strength of the pregnancy decreases, the size of the ovary decreases and the possibility of ovarian torsion decreases.
In old age or menopause, the probability of torsion is not zero, it will only decrease. Ovarian torsion is a serious disease.
In case of negligence and lack of timely referral, it may lead to the loss of ovaries and fallopian tubes due to tissue death of these parts, so we recommend that you follow your doctor's examinations with a specialist doctor, Keep track of your regular checkups with your gynecologist. Be aware of the presence of cysts in the ovary and be serious about its treatment. Torsion is a very serious disease and ovarian torsion should be treated very soon.
Any woman with severe abdominal pain and sudden onset of sudden fog with sudden vomiting nausea should be rushed to the emergency room, and we urge you to never seek treatment at home in this situation.
Prognosis
If treated promptly, the risk of permanent damage will be reduced. If the patient has self-medicated, the ovarian cell tissue is more likely to be lost.