How is a left adnexal cyst treated?

Nov 10, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Follicular cysts are physiological cysts that typically occur during the follicular phase of the ovary. They form when the follicle fails to rupture or release the egg normally, leading to accumulation of follicular fluid within the follicle. These cysts are benign and usually resolve naturally as the menstrual cycle progresses. No specific treatment is required; regular ultrasound examinations are recommended to monitor changes in the cyst.

Generally, left adnexal cysts may be caused by factors such as corpus luteum cysts, follicular cysts, adnexitis, endometriosis, cervical polyps, and others. The appropriate treatment depends on the specific cause to achieve effective results. Prompt medical consultation and treatment according to medical advice are necessary. Detailed information is as follows:

1. Corpus Luteum Cyst: A corpus luteum cyst is a physiological phenomenon occurring during the menstrual cycle, specifically in the luteal phase after ovulation. Hormonal changes, especially increased progesterone levels, may cause luteal cell proliferation in the ovary and subsequent cyst formation. These cysts are typically benign and usually resolve naturally after the menstrual cycle ends. No special treatment is generally required, only regular ultrasound examinations to monitor the size and changes of the cyst.

2. Follicular Cyst: Follicular cysts are physiological cysts that typically occur during the follicular phase of the ovarian cycle. They form when a follicle fails to rupture or release properly, causing follicular fluid to accumulate within the follicle and form a cyst. These cysts are benign and usually resolve naturally as the menstrual cycle progresses. No special treatment is required, only regular ultrasound monitoring to observe changes in the cyst.

3. Adnexitis: Adnexitis refers to inflammation of the ovaries and fallopian tubes, usually caused by bacterial infection. When the adnexa are affected by inflammation, it may lead to tissue proliferation and cyst formation. These cysts are often accompanied by inflammatory symptoms such as pain, swelling, and lower abdominal discomfort. Treatment typically involves medications such as metronidazole tablets, doxycycline hydrochloride capsules, and amoxicillin capsules, under a doctor's guidance, to eliminate bacteria and reduce inflammation.

4. Endometriosis: Endometriosis is a gynecological condition in which endometrial tissue grows outside the uterine cavity, sometimes affecting the adnexal region. Influenced by hormonal changes during the menstrual cycle, this displaced tissue may bleed and proliferate, leading to cyst formation and potentially menstrual irregularities. Under medical guidance, medications such as danazol capsules, triptolide capsules, and norethisterone tablets may be used to inhibit the growth and bleeding of displaced endometrial tissue.

5. Cervical Polyps: Cervical polyps are benign growths resulting from chronic inflammation of the cervix. As the condition progresses, the size of the polyps may increase and potentially affect the adnexal region. These polyps may develop into cysts when irritated and may also cause contact bleeding. Treatment options under medical guidance include polypectomy, cervical conization, and hysteroscopic electroresection.

Maintaining good lifestyle and hygiene habits in daily life can help prevent the occurrence of related diseases.