What is the ovarian cyst syndrome? How do you happen? What are its causes? What are the treatments? These and other questions we dealt with at Al -Jazeera Clinic, with Dr. Buthaina Ali Al -Mulla, a gynecologist and childbirth specialist with careful jurisdiction in gynecological urology and pelvic bottom medicine at the Hamad Medical Corporation in Qatar.
What is the ovarian cyst syndrome?
We know the syndrome as a group of pathological symptoms that are present in the patient, as it is not a single symptom, but rather a group of symptoms. It occurs as a result of a disturbance in female and male hormones in women of childbearing age.
A woman’s body contains male hormones and a man’s body contains male hormones, but the proportions vary. Disorder in these ratios leads to this condition.
Are there clear reasons for this syndrome?
There is no single cause or a clear cause, but there are factors that can lead to contact, which can be genetic factors, if there is a family history (a first -degree disease infection with the disease) increases the possibility of ovarian cyst.
The other factor may be weight gain, as it can cause hormonal disorder, and some factors can increase the incidence of ovarian cyst and are related to other health problems such as insulin resistance and type 2 diabetes.
What are the symptoms of ovarian cyst?
Symptoms include irregular menstrual cycle in most cases and delayed, and women married may complain of difficulty in the occurrence of pregnancy, and some women can complain of excess hair, as thick hair grows in the face and body and this problem does not solve traditional hair removal methods, because the origin of the problem is a hormone imbalance.
Hormone disorder can lead to high cholesterol, also may increase the risk of high blood pressure, and can increase the risk of endometrial cancer. So it is a symptom of its symptoms and causes many problems, and is not limited to fertility or the aesthetic aspect.
How is the disease diagnosed?
We start first by taking the sick history and family history of the patient. There are many health problems that can lead to symptoms of ovarian cysts, the irregularity of the cycle, for example, does not necessarily mean that the ovarian cyst, so it is necessary to exclude other diseases before we judge. There are criteria that we use to diagnose the disease called “Rotterdam Criteria”. Then the ovaries are photographed to make sure that there are small bags around the ovary.
What are the effects of this syndrome on the mental health of the affected woman?
Ovarian cysts affects a woman psychologically significantly. For example, the presence of excess hair in the body is a matter offending the woman in a psychological point of view, regardless of the surface treatments that a woman may use to reduce the growth of unwanted hair, if we do not address the basic problem, this problem that affects her psychology will remain.
And if the woman is married, and she has difficulty childbearing, she may suffer from psychological pressure from her thinking about the matter and from the social pressure around her, and that the irregularity of the menstrual cycle disturbs the mood of the woman.
Is there a certain age to appear or begin with the symptoms of this syndrome by appearing?
Women have this syndrome of childbearing age. But after the menstrual cycle is not interrupted, the women do not diagnose the ovaries.
Is there a relationship between food and syndrome?
There is no direct relationship, but we always say an unhealthy lifestyle can lead to ovaries. Unhealthy eating leads to obesity, obesity increases body fat and causes insulin resistance. Obesity is a clear basic point in this case.
But we must note that every fat lady will not suffer from an ovarian cyst and not necessarily that the woman be fat to suffer from the ovarian cyst, that is, it is possible that the lady can be slender and suffer from the ovarian cyst. But the possibility of infection increases in women who suffer from obesity.
Does sport have a relationship with this syndrome?
Yes, of course. One of the things that we advise women is always to maintain a healthy lifestyle in which it reduces sugars, carbohydrates and fats, and we follow an integrated healthy diet. We also recommend exercising. Sport helps to raise metabolism and helps reduce weight. It can help treat the disease. Many women, if they say from 5% to 10% of their weight, can organize the cycle for them.
A balance between estrogen and progesterone
In the woman’s body we have basic hormones, estrogen and progesterone, the balance between them is the one that causes an increase in the endometrium, and if no pregnancy occurs in the form of the menstrual cycle, and when the percentage of estrogen in the body increases, a defect in the whole body occurs and insulin resistance, irregularity in the cycle, and many other things.
The balance between estrogen and progesterone in the body helps to build the endometrium, the function of the endometrium is that the lining of a bed embraces the egg when it is fertilized with the sperm and there is a possibility of pregnancy, implanting the fertilized egg in the endometrium. If no pregnancy occurs, the endometrium falls. When no pregnancy occurs, the proportion of progesterone in the body rises. Progesterone, reflects estrogen, which helps the endometrium and exit it as a menstrual cycle. And when the estrogen hormone is very high, and there is no resistance from the other hormone, the endometrium remains thick for a long time increases the percentage of these cells change and the formation of cancerous cells or non -benign cells. The lady who suffers from ovarian cyst, then the incidence of endometrial cancer increases two to six times. It is necessary when a woman suffers from irregularity in the cycle to take at least every three months the necessary treatments in order to get rid of this existing lining, which may form non -benign cells in the future.
How is this syndrome treated?
Initially, it is necessary that the condition be diagnosed properly, then we start treatment according to the condition, and each lady will have a goal of ovarian cyst treatment. Each treatment plan must be parallel to this goal.
Women do not necessarily have all the symptoms, which are irregular menstruation, excess hair and non -childbirth, and when the woman suffers from regularity of the cycle, we can give her treatments that help in her regularity, and in any case it is necessary to emphasize the need to follow a healthy lifestyle, maintain proper nutrition and exercise until the patient’s weight decreases.
If the problem is not solved by weight, we can resort to treatment of birth control pills, birth control pills, and in which the two hormones mentioned by estrogen and progesterone in different proportions according to their duration in the menstrual cycle, and these pills contain varying levels of hormones. Unmarried girls may condemn when giving them a pregnancy prevention pills to solve the problem, but we say that these pills are the name of the rolling pills, but the substance in it are hormones that help us balance the hormones turbulent in the body. If the lady said I have a whisper and I have difficulty in pregnancy, we can start for a while with these hormones until the menstrual cycle is organized. But we cannot give them hormones for a long time because she wants to carry.
There are also activation medications that help increase ovarian activity, to increase the possibility of pregnancy, if we may not resort to the last option, which is surgical intervention.
Do the treatments offer a final healing, or is the woman who had infected in this condition must continue to take these medications for a long time or for another life?
Not necessarily, cyst can be in a certain age, and the cyst can be for a temporary period, and it can continue if the reasons are not controlled.
If the patient continues in a healthy lifestyle, and the balance returns to the body, symptoms of contact can disappear, the cycle is regular, and unwanted hair does not grow, then she can stop this treatment under medical supervision.