Almost every woman dreams of experiencing the joy of motherhood. However, on her way to happiness her own health sometimes becomes. A serious problem for conception may be spikes in the ovaries. They represent fusion or cords that connect the ovaries with closely located organs to them or maintain their ligaments with each other. Such constrictions may arise between the ovaries and fallopian tubes, uterine ligaments, intestinal loops. However, the most common are the adhesions between the ovary and the uterus.
The organs of the small pelvis, and the ovaries in particular, are covered with a thin abdominal membrane, due to which they freely move and perform their function. Thus, a mature egg, emerging from the ovary, is quietly captured by the fallopian tube and advances into the uterine cavity. The movement of the reproductive cell through the fallopian tubes is unlikely with ovarian adhesions, and pregnancy is almost impossible. Also, the functioning of the organ is disturbed, because the blood vessels and nerves that go to it are clamped.
Adhesions in the ovaries: causes
Adhesive processes in the pelvic organs are mainly a consequence of the inflammatory process. And that the latter does not spread to other organs located in the neighborhood, the body shows a protective reaction in the form of the appearance of such splices. This protects internal organs from the development of peritonitis. The causes of adhesions in the ovaries are:
- Sexual infections;
- abortions;
- inflammation of the fallopian tubes;
- hypothermia;
- gaps during childbirth;
- endometriosis;
- surgical intervention;
- manipulation in the uterine cavity (installation of a spiral, hysteroscopy, cauterization of the cervix, etc.);
- ectopic pregnancy;
- reception of antibiotics and sulfonamides.
The appearance of adhesions on the ovaries after the operation is a natural phenomenon. The fact is that with the surgical intervention the integrity of the organ is disturbed. Adhesive process - this is a kind of scar appearance when healing a wound. However, if splicing occurs with other organs, a commissural disease develops.
Adhesions in the ovaries: symptoms
To suspect the occurrence of fusion in the ovaries can be on the following grounds:
- Stretching pain in the lower abdomen, in some cases - in the lower back;
- painful periods;
- menstrual cycle disorders;
- pain during intercourse;
- infertility.
Adhesions on the ovaries: treatment
Diagnosis of adhesions in the ovaries can be done with laparoscopy and magnetic resonance imaging. Gynecological examination, ultrasound, hysterosalpingography only provide an opportunity to assume their presence. A gynecologist may suspect an adhesion process in patients who have undergone pelvic surgery or diseases such as oophoritis, endometritis, adnexitis, salpingitis, etc. Women's complaints about painful sensations in the lower abdomen are also taken into account.
The main method of treating this gynecological pathology is laparoscopy, which not only diagnoses, but also separates and removes spikes. This is done using a laser, a jet of water or an electron-blade.
But in how to treat spikes on the ovaries, it is important not only to get rid of adhesions, but also to suppress inflammation and prevent relapses. Auxiliary therapy includes the following drugs:
- antibiotics that fight infection (tetracyclines, sulfonamides);
- fibrinolytic drugs, dissolving fibrin - a sticky substance around which spikes form (chemotripsin, urokinase,
streptokinase, etc.); - anti-inflammatory drugs;
- anticoagulants - drugs that help reduce blood coagulability (citrate, heparin);
- vitamins;
- enzymes.
Balneo- and physiotherapy, as well as reduced physical activity, are shown.
In addition, methods for applying resorbable polymer films to the ovaries and introducing barrier liquids are used for preventive purposes.