Ovarian

Ovarian's disease overview

Ovarian torsion is when the ovaries fall and twist, leading to the blood artery for the ovaries are also twisted, the ovaries are no longer nourished and lead to chamber necrosis. Eggs if not treated promptly. This is an emergency scene in gynecology, especially when the patient is in reproductive age.

Ovarian torsion is a disease that can be seen in all women, especially women of reproductive age and on ovaries with tumors. Ovarian torsion usually occurs when the ovaries have follicles with a size of about 5-10 cm, the most common is cyst form.

Causes of Ovarian's disease

Whatever reasons change the anatomical position and the mass of the ovaries can change the location of the fallopian tube and cause the ovaries.

  • Pregnancy is thought to be the cause of 20% of ovarian torsion cases. This is explained because the ovaries increase in size during pregnancy along with the loose of ovarian support tissues.
  • The fallopian tube is born and prolonged. This is a common cause in a group of young patients or puberty money ovarian torsion disease .

    • Ovarian tumors, including benign and malignant tumors, are involved in 50-60% of twisted cases. The tumors are almost about 4-6 cm in size, although the ovaries can still take place in smaller size tumors. Malignant tumors are less likely to cause more healing tumors because of the invasion of the surrounding tissues of malignant cells that help to fix the ovaries.

  • Patients with a history of pelvic surgery also have a higher rate of ovarian torsion, which may be due to the formation of ligaments due to postoperative and ovarian adhesion that can be twisted into it.

    • Symptoms of Ovarian's disease

    Because it is an emergency situation, patients should pay attention to the ovarian twisting signs to promptly visit medical facilities:

  • Symptoms of ovarian torsion typically sudden abdominal pain, continuous pain, usually localized on the left or right of the lower abdomen. The pain usually does not decrease when taking common painkillers and progresses quite quickly, in just a few hours. If the ovarian torsion takes place slowly or cases of the ovaries self -removing, the pain may soothe.
  • Nausea and vomiting in 70% of cases, easily confusing with diseases derived from the digestive tract.

    • urinating, difficult urine, constipation, edema below are symptoms that manifest the compression status of neighboring organs of the large ovarian cyst.

    Fever may be encountered when the ovaries are late and have ovarian necrosis.

    Ovarian torsion is not only seen in women of reproductive age. In menopause, ovarian tumors include benign tumors and malignant tumors that can cause ovarian twisting with characteristic and faster manifestations.Thus, ovarian torsion symptoms are not characterized and very easily confused with other internal emergency diseases. Therefore, women of reproductive age need to go to gynecological examination every 6 months to be able to detect disease earlier.

    People at risk for Ovarian's disease

    Ovarian torsion disease is common in women with the following characteristics:

  • Women who are giving birth age: These women often have more ovaries, more flexible tissues should be easier to twist. Over time, the ovaries will be smaller so it is less likely to rotate. The older the woman, the lower the risk of the disease. However, nothing guarantee 100% of postmenopausal teeth will not be twisted.
  • History is detected with ovarian cysts. The higher the ovarian cyst, the higher the incidence of ovarian torsion. When there are more cysts, the volume of the ovaries will increase, imbalance and easier to turn over. Women who have polycystic ovary syndrome, an ovarian condition appearing with many small tumors, the ability to torsion ovaries is almost sure.
  • Apply many reproductive support methods: Most after the fertility treatment of the ovaries will increase. The greater the size of the ovaries, the higher the ability to twist, especially when activating strong physical activity, making movements such as jumping or acrobatics.
  • Long fallopian tubes. The length of the fallopian tube increases proportional to the possibility of twisted ovaries
  • There is a history of pelvic surgery previously

    • Prevention of Ovarian's disease

    There is no effective measure in preventing ovarian torsion. So all women, especially women of reproductive age, should go to gynecological examination at least every 6 months to promptly detect abnormalities if any.

    Diagnostic measures for Ovarian's disease

    The diagnosis of an ovarian torsion directly directly affects the results of later treatment. Color Doppler ultrasound plays an important role in pelvic and abdominal pain situations in women.

    Diagnosis of ovarian twisting is not uncommon. Priority should be given to this pathology in risky objects such as ovarian cysts, pelvic history, or pregnant.

    In suspicious cases, some distinct diagnosis should be set such as appendicitis, urinary tract infection, excess bag, ectopic pregnancy, endometriosis or inflammatory diseases. In the pelvic cavity. At that time, the colonoscopy should be conducted to detect the pelvis to help accurately diagnose and handle the true cause in a timely manner.

    Ovarian's disease treatments

    Surgery is the main method in the treatment of ovarian torsion. In most cases of laparoscopic surgery will be performed to remove the ovaries and may be considered in combination with ovarian fixed surgery to avoid recurrence. The ovaries may have been necrotic due to no blood supply for a long time due to twisting.

    Clinically, once the ovarian twist diagnosis has been determined, the doctor may give you painkillers to mild symptoms. Steroid anti -inflammatory analgesic and opioid groups are often used.

    In short, ovarian twisting is one of the causes of abdominal pain in women, but clinical symptoms are often nonspecific to be distinguished from many other diseases. Therefore, the examination, diagnosis and treatment must be accurate and timely to save the ovaries and protect the fertility of women.

    See also:

  • What is the disease, is it dangerous? Strong>
  • Ovarian cyst treatment at Vinmec

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