Categories
Ailmemts & Remedies

Ovarian Cysts

Alternative Names:Physiologic ovarian cysts; Functional ovarian cysts

Definition:
An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary.It is a sac filled with fluid or a semisolid material that develops on or within an ovary. Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small as a pea, or larger than a cantaloupe.

.CLICK  & SEE THE PICTURES

You may click to see pictures of ovarian cysts

Most ovarian cysts are functional in nature, and harmless (benign). In the US, ovarian cysts are found in nearly all premenopausal women, and in up to 14.8% of postmenopausal women.Ovarian cysts affect women of all ages. They occur most often, however, during a woman’s childbearing years.Some ovarian cysts cause problems, such as bleeding and pain. Surgery may be required to remove cysts larger than 5 centimeters in diameter.

Types:

Functional cysts
Some, called functional cysts, or simple cysts, are part of the normal process of menstruation. They have nothing to do with disease, and can be treated. There are 3 types, Graafian, Luteal, and Hemorrhagic.


Graafian follicle cyst

……...CLICK & SEE
One type of simple cyst, which is the most common type of ovarian cyst, is the graafian follicle cyst, follicular cyst, or dentigerous cyst. This type can form when ovulation doesn’t occur, and a follicle doesn’t rupture or release its egg but instead grows until it becomes a cyst, or when a mature follicle involutes (collapses on itself). It usually forms during ovulation, and can grow to about 6cm (2.3 inches) in diameter. It is thin-walled, lined by one or more layers of granulosa cell, and filled with clear fluid. Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz) occurs in the middle of the menstrual cycle, during ovulation. About a fourth of women with this type of cyst experience pain. Usually, these cysts produce no symptoms and disappear by themselves within a few months. Ultrasound is the primary tool used to document the follicular cyst. A pelvic exam will also aid in the diagnosis if the cyst is large enough to be seen. A doctor monitors these to make sure they disappear, and looks at treatment options if they do not.

Corpus luteum cyst…….CLICK & SEE
Another is a corpus luteum cyst (which may rupture about the time of menstruation, and take up to three months to disappear entirely). This type of functional cyst occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland that is known as the corpus luteum. The ruptured follicle begins producing large quantities of estrogen and progesterone in preparation for conception. If a pregnancy doesn’t occur, the corpus luteum usually breaks down and disappears. It may, however, fill with fluid or blood, causing the corpus luteum to expand into a cyst, and stay on the ovary. Usually, this cyst is on only one side, and does not produce any symptoms.

It can however grow to almost 10cm (4 inches) in diameter and has the potential to bleed into itself or twist the ovary, causing pelvic or abdominal pain. If it fills with blood, the cyst may rupture, causing internal bleeding and sudden, sharp pain. The fertility drug clomiphene citrate (Clomid, Serophene), used to induce ovulation, increases the risk of a corpus luteum cyst developing after ovulation. These cysts don’t prevent or threaten a resulting pregnancy. Women on birth control pills usually do not form these cysts; in fact, preventing these cysts is one way the combined pill works. In contrast, the progesterone-only pill can cause increased frequency of these cysts.

Hemorrhagic cyst……....CLICK & SEE
A third type of functional cyst, which is common, is a Hemorrhagic cyst, which is also called a blood cyst, hematocele, and hematocyst. It occurs when a very small blood vessel in the wall of the cyst breaks, and the blood enters the cyst. Abdominal pain on one side of the body, often the right side, may be present. The bleeding may occur quickly, and rapidly stretch the covering of the ovary, causing pain. As the blood collects within the ovary, clots form which can be seen on a sonogram. Occasionally hemorrhagic cysts can rupture, with blood entering the abdominal cavity. No blood is seen out of the vagina. If a cyst ruptures, it is usually very painful. Hemorrhagic cysts that rupture are less common. Most hemorrhagic cysts are self-limiting; some need surgical intervention. Even if a hemorrhagic cyst ruptures, in many cases it resolves without surgery. Patients who don’t require surgery will experience pain for 4 – 10 days after, and may require several days rest. Studies have found that women on tetracycline antibiotics recover 25% earlier than the majority of patients, a surprising correlation found in 2004. Sometimes surgery is necessary, such as a laparoscopy (“belly-button surgery” that uses small tools inserted through one or more tiny slits in the abdomen).

Dermoid cyst

CLICK & SEE
A dermoid cyst is a cystic teratoma that contains developmentally mature skin complete with hair follicles and sweat glands, sometimes luxuriant clumps of long hair, and often pockets of sebum, blood, fat, bone, nails, teeth, eyes, cartilage, and thyroid tissue. Because it contains mature tissue, a dermoid cyst is almost always benign. The rare malignant dermoid cyst usually develops squamous cell carcinoma in adults; in babies and children it usually develops endodermal sinus tumor.

Some authors use the term dermoid cyst as a frank synonym for teratoma, meaning any teratoma, regardless of its histology or location. Others use it to mean any mature, cystic teratoma. These uses appear to be most common in gynecology and dermatology.A dermoid cyst can occur wherever a teratoma can occur.

Endometrioid cyst…....CLICK & SEE
An endometrioma, endometrioid cyst, endometrial cyst, or chocolate cyst is caused by endometriosis, and formed when a tiny patch of endometrial tissue (the mucous membrane that makes up the inner layer of the uterine wall) bleeds, sloughs off, becomes transplanted, and grows and enlarges inside the ovaries. As the blood builds up over months and years, it turns brown. When it ruptures, the material spills over into the pelvis and onto the surface of the uterus, bladder, bowel, and the corresponding spaces between. Treatment for endometriosis can be medical or surgical. Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used first in patients with pelvic pain, particularly if the diagnosis of endometriosis has not been definitively established. The goal of directed medical treatment is to achieve an anovulatory state. Typically, this is achieved initially using hormonal contraception. This can also be accomplished with progestational agents (i.e., medroxyprogesterone), danazol, gestrinone, or gonadotropin-releasing hormone agonists (GnRH), as well as other less well-known agents. These agents are generally used if oral contraceptives and NSAIDs are ineffective. GnRH can be combined with estrogen and progestogen (add-back therapy) without loss of efficacy but with fewer hypoestrogenic symptoms. Laparoscopic surgical approaches include ablation of implants, lysis of adhesions, removal of endometriomas, uterosacral nerve ablation, and presacral neurectomy. They frequently require surgical removal. Conservative surgery can be performed to preserve fertility in young patients. Laparoscopic surgery provides pain relief and improved fertility over diagnostic laparoscopy without surgery. Definitive surgery is a hysterectomy and bilateral oophorectomy.

Pathological cysts:……....CLICK & SEE
The incidence of ovarian carcinoma (malignant cancer) is approximately 15 cases per 100,000 women per year.

Other cysts are pathological, such as those found in polycystic ovary syndrome, or those associated with tumors.

A polycystic-appearing ovary is diagnosed based on its enlarged size — usually twice normal —with small cysts present around the outside of the ovary. It can be found in “normal” women, and in women with endocrine disorders. An ultrasound is used to view the ovary in diagnosing the condition. Polycystic-appearing ovary is different from the polycystic ovarian syndrome, which includes other symptoms in addition to the presence of ovarian cysts, and involves metabolic and cardiovascular risks linked to insulin resistance. These risks include increased glucose tolerance, type 2 diabetes, and high blood pressure. Polycystic ovarian syndrome is associated with infertility, abnormal bleeding, increased incidences of pregnancy loss, and pregnancy-related complications. Polycystic ovarian syndrome is extremely common, is thought to occur in 4-7% of women of reproductive age, and is associated with an increased risk for endometrial cancer. More tests than an ultrasound alone are required to diagnose polycystic ovarian syndrome.

Causes :
Typically, ovarian cysts are functional (not disease related) and occur as a normal process of ovulation. During the days before ovulation, a follicle grows. But at the time of expected ovulation, the follicle fails to break open and release an egg, as it is supposed to. Instead, the fluid within the follicle remains and forms a cyst.

Functional, or physiological, ovarian cysts usually disappear within 8 – 12 weeks without treatment. They are relatively common, and are more common during a woman’s childbearing years (puberty to menopause). Ovarian cysts are rare after menopause.

No known risk factors have been identified.

Functional ovarian cysts are not the same as ovarian tumors (including ovarian cancer) or cysts due to hormone-related conditions such as polycystic ovarian disease. Some non-functional ovarian cysts must be treated to go away.

Symptoms:
An ovarian cyst can cause pain if it pushes on nearby structures, ruptures, or bleeds. Pain may also occur if the cyst is twisted or causes twisting (torsion) of the fallopian tube. Symptoms of ovarian cysts can include:

*Dull aching, or severe, sudden, and sharp pain or discomfort in the lower abdomen (one or both sides), pelvis, vagina, lower back, or thighs; pain may be constant or intermittent — this is the most common symptom.

*Pelvic pain — constant, dull aching

*Pain with intercourse or pelvic pain during movement

*Pain during bowel movements

*Pelvic pain shortly after beginning or ending a menstrual period

*Abnormal uterine bleeding (change from normal menstrual pattern)

*Longer than usual menstrual cycle

*Shorter than usual menstrual cycle

*Absent menstruation

*Irregular menstruation

*Abdominal bloating or swelling

*Fullness, heaviness, pressure, swelling, or bloating in the abdomen

*Breast tenderness

*Pain during or shortly after beginning or end of menstrual period.

*Irregular periods, or abnormal uterine bleeding or spotting

*Change in frequency or ease of urination (such as inability to fully empty the bladder), or difficulty with bowel movements due to pressure on adjacent pelvic anatomy

*Weight gain

*Nausea or vomiting

*Fatigue

*Infertility

*Increased level of hair growth

*Increased facial hair or body hair

Note:Some or all of the following symptoms may be present, though it is possible not to experience any symptoms: Often no symptoms are noted.

Diagnosis:
Tests & Exams:

*Pelvic exam — may reveal an ovarian enlargement or a cyst

*Ultrasound — usually done first

*CT scan

*MRI

*Doppler flow studies

*Blood tests may be ordered:

*Serum HCG (pregnancy test) — may be done to rule out pregnancy

*Ca-125 — an ovarian cancer marker that may help to identify cancerous cysts in older women

*Hormone levels (such as LH, FSH, estradiol, and testosterone) — may be checked to evaluate for associated hormonal conditions

Treatment :
About 95% of ovarian cysts are benign, meaning they are not cancerous.Functional ovarian cysts usually go away without treatment. Oral contraceptives (birth control pills) may be prescribed to help establish normal cycles and decrease the development of functional ovarian cysts.

Treatment for cysts depends on the size of the cyst and symptoms. For small, asymptomatic cysts, the wait and see approach with regular check-ups will most likely be recommended.

Pain caused by ovarian cysts may be treated with:

*pain relievers, including acetaminophen (Tylenol), nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin, Advil), or narcotic pain medicine (by prescription) may help reduce pelvic pain. NSAIDs usually work best when taken at the first signs of the pain.

*a warm bath, or heating pad, or hot water bottle applied to the lower abdomen near the ovaries can relax tense muscles and relieve cramping, lessen discomfort, and stimulate circulation and healing in the ovaries. Bags of ice covered with towels can be used alternately as cold treatments to increase local circulation.

*chamomile herbal tea (Matricaria recutita) can reduce ovarian cyst pain and soothe tense muscles.
urinating as soon as the urge presents itself.

*avoiding constipation, which does not cause ovarian cysts but may further increase pelvic discomfort.
in diet, eliminating caffeine and alcohol, reducing sugars, increasing foods rich in vitamin A and carotenoids (e.g., carrots, tomatoes, and salad greens) and B vitamins (e.g., whole grains).

*combined methods of hormonal contraception such as the combined oral contraceptive pill — the hormones in the pills may regulate the menstrual cycle, prevent the formation of follicles that can turn into cysts, and possibly shrink an existing cyst. (American College of Obstetricians and Gynecologists, 1999c; Mayo Clinic, 2002e)

Also, limiting strenuous activity may reduce the risk of cyst rupture or torsion.

Cysts that persist beyond two or three menstrual cycles, or occur in post-menopausal women, may indicate more serious disease and should be investigated through ultrasonography and laparoscopy, especially in cases where family members have had ovarian cancer. Such cysts may require surgical biopsy. Additionally, a blood test may be taken before surgery to check for elevated CA-125, a tumor marker, which is often found in increased levels in ovarian cancer, although it can also be elevated by other conditions resulting in a large number of false positives.

For more serious cases where cysts are large and persisting, doctors may suggest surgery. Some surgeries can be performed to successfully remove the cyst(s) without hurting the ovaries, while others may require removal of one or both ovaries.

Click to learn about Natural & Homeopathic Treatment of Ovarian Cysts..(1)……(2)…...(3).(4)

Click for Herbal Treatment…………………………………(1).….(2)(3).(4)

Possible Complications:
Complications are related to the specific diagnosis. Concern is given to cysts that twist, rupture, bleed, or show signs of cancerous changes.

Prevention:
If a woman is not seeking pregnancy and develops functional cysts frequently, they can be prevented by taking hormonal medications (such as birth control pills), which prevent follicle formation.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://en.wikipedia.org/wiki/Ovarian_cyst
http://en.wikipedia.org/wiki/Dermoid_cyst
http://www.nlm.nih.gov/medlineplus/ency/article/001504.htm

Reblog this post [with Zemanta]
Advertisements
Categories
Ailmemts & Remedies

Entropion

Definition:
Entropion involves the turning in of the edges of the eyelid (usually the lower eyelid) so that the lashes rub against the eye surface.It is a medical condition in which the eyelids fold inward. It is very uncomfortable, as the eyelashes rub against the cornea constantly. Entropion is usually caused by genetic factors and may be congenital. Trachoma infection may cause scarring of the inner eyelid, which may cause entropion.

CLICK TO SEE...>….(01)...(1).….(2).…..(3).…..(4)...…………..

Causes :

Congenital , Aging , Scarring and Spasm

The most common cause of entropion is a part of the aging process, particularly the tissues supporting the lower eyelid.
Scars within surface of the eyelid resulting from inflammation, chronic infections, or trauma may lead to entropion as well.

Entropion can be a congenital condition. In babies, it rarely causes problems because the lashes are very soft and do not easily damage the cornea. In older people, the condition is usually caused by a spasm and weakening of the muscles surrounding the lower part of the eye, causing the lid to turn inward.

Although rare in North America and Europe, trachoma infection can cause scarring of the inner side of the lid, which may cause entropion. Trachoma scarring is one of the three leading causes of blindness in the world. Risk factors for entropion are aging, chemical burn, or prior infection with trachoma.

Symptoms :

*Excessive tearing

*Eye irritation

*Redness and pain around the eye

*Eye discomfort or pain

*Decreased vision if the cornea is damaged

*Sensitivity to light and wind

*Sagging skin around the eye

*Decreased vision, especially if the cornea is damaged

Causes:
Congenital , Aging , Scarring and Spasm

Diagnosis:
A physical examination of the eyes and eyelids confirms the diagnosis. Special tests are usually not necessary.

Treatment:
Artificial tears (a lubricant) may provide relief from dryness and keep the cornea lubricated. Surgery to correct the position of the eyelids is usually effective.

Severe cases with corneal ulcer may require surgery to move conjunctiva over the cornea to protect the eye from perforation.

Prognosis:
The probable outcome is good if treated before cornea damage occurs.

Possible Complications:
Corneal dryness and irritation may predispose the eye to infections or corneal abrasions or corneal ulcers

When to Contact yuor health care provider?:
Call for an appointment with your health care provider if eyelids turn inward, or if there is a persistent sensation of a foreign body in the eye. Rapidly increasing redness, pain, light sensitivity, or decreasing vision should be considered an emergency in a person with entropion.

Prevention :
Most cases are not preventable. Treatment reduces the risk of complications.
Persons who have recently traveled to an area with trachoma present (North Africa, South Asia) should seek treatment if they have red eyes.

Entropion in dogs:-
Canine entropion has been documented in most dog breeds, although there are some breeds (particularly purebreds) that are more commonly affected than others. These include the Akita, Pug, Chow Chow, Shar Pei, St. Bernard, Cocker Spaniel, Boxer, Springer Spaniel, Labrador Retriever, Cavalier King Charles Spaniel, Bull Mastiff, Great Dane, Irish Setter, Poodle and particularly Bloodhound . The condition is usually present by six months of age. Entropion can also occur secondary to pain in the eye, scarring of the eyelid, or nerve damage. The upper or lower eyelid can be involved, and one or both eyes may be affected. When entropion occurs in both eyes, this is known as “bilateral entropion.”

CLICK & SEE
Canine entropion

Upper lid entropion involves the eyelashes rubbing on the eye, but the lower lid usually has no eyelashes, so hair rubs on the eye. Surgical correction is used in more severe cases. A strip of skin and orbicularis oculi muscle are removed parallel to the affected portion of the lid and then the skin is sutured. Shar Peis, who often are affected as young as two or three weeks old, respond well to temporary eyelid tacking. The entropion is often corrected after three to four weeks, and the sutures are removed.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.nlm.nih.gov/medlineplus/ency/article/001008.htm
http://en.wikipedia.org/wiki/Entropion

http://www.stpeter-eye.com/dis_entropion.htm