Ovarian dysfunction - it is the failure of ovarian function, responsible for the formation of pituitary hormones, because of the emergence of foci of inflammation or unstable state in the endocrine system.Hormonal dysfunction of the ovaries different manifestations of a number of states of pathological character.For it is peculiar to a failure of the normal cycle of two types: elongation (over 40 days) and shortening (less than 21 days) in tandem with bleeding occurring in the middle of the cycle (DMC).Bleeding from the uterus, are not included in the period of menstruation, are the hallmark of this disease.
Ovarian dysfunction of the reproductive period, when menstruation cycle ambiguity can translate into such a complication like anovulation (lack of speech egg).Effects of ovarian dysfunction give rise to excessive irritability, malaise, headaches, depression, nausea, leading to vomiting, pain in the abdomen, manifested in a week or two before the period of isolation
In tandem with ovarian dysfunction can meet women's diseases such as endometriosis or fibroids in the uterus and breast.So fellow travelers are more prone to women, whose age stepped over the fourth decade.The cause of the imbalance menstrual cycle can serve as a pregnancy outside the womb-established or the existence of tumor-like formations of the pelvic organs.Symptoms of ovarian dysfunction may be made periodically to subside, but this phenomenon is short-lived.Ignoring the symptoms of the disease, leading to serious complications.
Causes of ovarian dysfunction
reasons ovarian dysfunction, there are quite a few.After all, in fact it is a failure, but rather failure to comply with the functions assigned to this organ.And any conscientious worker debugged operating system, do not take time off from his duties for a reason.Factors that influence the occurrence of ovarian dysfunction of reproductive age, education can be inflammatory lesions in the organs of the reproductive system of women.The ovaries, uterus and fallopian appendages (fallopian tubes) may acquire inflammatory process called oophoritis, endometritis and adnexitis, depending on the location.The culprits of an infectious inflammation may be circumstances beyond the control of women, such as colds, skidding pathogen through the blood stream or lymph from other bodies, strong supercooling.However, harm themselves in this situation can and mistress of the body, not respecting the rights of local hygiene genital or vaginal irrigation technique violated.
Hormonal dysfunction of the ovaries may occur in the event of malfunction of the endocrine system.Thyroid diseases, pathology of the adrenal cortex or diabetes may be accompanied by a woman from birth, and can be purchased in nature.Effects of ovarian dysfunction can lead to obesity.
diverse pathology ovaries and uterus, right up to cancer, can cause a malfunction of the body.Cancer of uterus and cervix may occur as bleeding in the ovarian dysfunction.
nervous exhaustion, over-voltage emotional and physical nature, as well as failure to sound sleep and proper rest can lead to disruptions in the ovaries.
premature termination of pregnancy by artificial or spontaneous way, makes hormones change dramatically.This change in the future flows in the persistent violation of ovarian function, and further to infertility.
If a contraceptive, as the intrauterine device, is installed incorrectly, the sudden addition of pregnancy, a woman may experience ovarian dysfunction.
External factors, such as hops, from one climate to another defeat ray radiation and the effects of harmful factors may be involved in the occurrence of this problem.
Symptoms and signs of ovarian dysfunction
for the work and the regulation of ovarian meet three guys living in the pituitary gland, but rather in the front lobe.The first - a follicle stimulating hormone.The name said it all.This hormone is responsible for the acquisition, growth and maturation of follicles in the ovaries.Second - luteinizing hormone.He is not responsible for anything else but for cyclical.Thanks to him the woman is able to calculate when it should not wear white pants.The third hormone called prolactin.It is a brave soldier responsible for a beautiful neckline and the arrival of milk after childbirth.With the birth of the baby, a resident named pituitary prolactin, deploys a party in the blood of women.Its amount increases enormously, which leads to food for the baby.As long as the party continues, ovulation does not occur.This is a lack of focus pregnant mothers, support breastfeeding.It is understood that its increase until pregnancy is the pathology and leads to absence of release of the egg.If three of our children, in the right proportion at a certain stage of the menstrual cycle are doing their job, then ovulation occurs.
Based on the stories of three residents of the pituitary gland, working for the benefit of the ovaries can be judged that the first sign of ovarian dysfunction is an interruption in the regular menstrual cycle.If the residents of the pituitary gland can not cope, the egg does not go to the scene at the right time.Lack performances egg entails a lack of progesterone, which is also called the "pregnancy hormone" and an overabundance of estrogen.
Symptomatic ovarian dysfunction, as mentioned above, is a failure of menstruation cycle.Violations occur in cyclical and as menstruation.Selections are abundant or, conversely, lean character.However, if the bleeding ovarian dysfunction may occur in the middle of the cycle, and does not refer to menstruation.
For clarity, the picture is worth recalling what the parameters of the normal menstrual cycle.Its duration varies from 21 to 35 days, inclusive, from the genital tract last at least 3 and no more than 7 days.50-100 ml blood loss is small for the entire period of bleeding.Menstrual blood is dark red in color, may have minor slizeobraznye clots.This period passes without any changes in the somatic condition of the woman.It should not feel pain, weakness, blurred vision, dizziness, loss of consciousness.During menstruation, we can not forget about the rules of the local intimate hygiene.Normally, there should be no odor.The gasket should be changed every 2-4 hours.Tampons should be used only in extreme cases since they traumatic effect on the cervix.Deviations from the parameters set by Mother Nature, are a signal for access to highly qualified specialists.
Since there have been serious irregularities in the preparation and release of the egg into the light, there is often a truncation of pregnancy in small terms.A large number of women with ovarian dysfunction face a lack of pregnancy.
pain, during the menstruation cycle or the week before he accompanies women with dysfunction.In the middle of the cycle, the date of the alleged touring the egg, the woman may also feel slight pain in the abdomen.
One of the striking features of a failure of the ovaries are optimal acyclic uterine bleeding.They occur with increased frequency - the length of the interval is less than 20-22 days, or a reduced rate - the length of the break more than 38-40 days.They usually massive 100-150 ml of blood, and last at least a week.
Excessive irritability, malaise, headache, depression, and even this week - two to the "red calendar days" are not the norm for this and are the reason for the visit to the doctor.
But certainly the most alarming and disturbing symptom is the absence of menstruation at all.Many such happy coincidence, and postpone trip to the doctor, but we must remember that not all that convenient - right.
Ovarian dysfunction and pregnancy
By the idea of pregnancy in ovarian dysfunction must be approached with all the intelligence and wit.You will need to restore the cyclical and sometimes the very existence of ovulation.Treatment and preparation takes place under the watchful eye of the gynecologist-endocrinologist.
In order to establish of touring the egg in a woman wanting to know motherhood is assigned to direct the course of ovulation stimulants.Preparations are hormone, their dose is calculated individually, it increases only when necessary and very carefully.Starting ovulation takes place under the control of blood biochemical parameters and clinical data.
using ultrasonic method of diagnosis, the doctor observes the speed and perspective of recruitment and maturation of the follicle.When it reaches the size of 1.8 cm, the desired degree of maturity, as well as the thickening layer lining the uterus to 8-10 mm, conclude that everything is ready for the launch of ovulation.The amount of 10 000 IU intramuscularly administered to human chorionic gonadotropin, which produces an egg at stage.
«persuade" egg hormone therapy conducted over three menstrual cycles.In the next three cycles using a synthetic progesterone - "pregnancy hormone" from 16-25 days.Monitoring is carried out by measuring basal body temperature (to become hotter), and of course the ultrasound machine.
Ovarian dysfunction is not a sentence for a woman.The current gynecology in 90% of cases solves the problem of failure of menstruation cycle and develop a regular, and sometimes the very existence of ovulation.Pregnancy comes and bears, but its management should be carried out with passion from the earliest periods.If necessary, with periodic controls hormonal levels.
modern woman, it is preferable to monitor their gynecological status, to continue to not have problems with the appearance of progeny.Prophylaxis and prevention of gynecological disease is the leading purpose of the modern community of Obstetricians and Gynecologists.For symptoms of ovarian dysfunction does not bring much discomfort, and treatment of this disease are not engaged.
Ovarian dysfunction is not life threatening, but it is threatened by cancer, which can be omitted, on the background of ambiguous bleeding.And in mastitis or uterine fibroids few pleasant moments.Visit your doctor every six months, submission of preventive tests, such as a smear on the purity of the vagina and cervix with onkotsitologiyu, as well as common blood and urine tests, can help prevent the development of disease.
diagnosis of ovarian dysfunction
first suspected ovarian failure of normal operation can obstetrician-gynecologist at the planned (every six months) examination in the antenatal clinic in collecting history.Either method can be unplanned, on the initiative of the patient, as it is found at the signs of the disease, which bothered her.The doctor - a gynecologist, within the women's clinic, should exclude the presence of a pathology associated with surgery, such as the presence of tumors or ectopic pregnancy.Next, the most appropriate and correct to redirect women to consult a gynecologist - endocrinologist.
At the first meeting, the doctor will ask detailed talk about complaints that bother the patient, as well as no surprise that the doctor will want to know about other diseases, beginning with childhood.You will need to talk about surgical interventions, if any, and to provide, where possible, extracts from the stories disease.Honestly tell about their obstetric - gynecological status: whether the pregnancy, childbirth or abortion.Also, a woman before going to the gynecologist is take intimate hygiene, since it will be inspected on a chair.With a need to have a one-time pelenochku.
Such seemingly questioning is very important and is called the medical history of the disease.Set the information received and pelvic examination in the mirror, will become an assistant in the initial diagnosis.Next doctor make the plan a survey for setting more precise - a clinical diagnosis.
It must be remembered that this is an endocrine pathology character, so ultrasound will include not only the pelvic exam, and careful consideration of the adrenal and thyroid glands.You have to understand that the US is not wholly a source of diagnostic and its results should be evaluated in conjunction with those of other surveys.Only gynecologist may eventually make the diagnosis, but not the doctor of functional diagnostics.
also taken seeding the growth of the bacterial flora of the vagina.This analysis helps to eliminate the factor of the local inflammatory process.The results are highly sensitive crop examined under a microscope.
Laboratory woman surrenders PCR - analyzes the many sexually transmitted infections.Sexual partners, if any, must also be tested for the disease, which is transmitted through sexual contact.
One of the most expensive, but at the same time the most important is the analysis for the content in the blood and urine of female sex hormones.These are the three residents of the pituitary gland and estrogen plus progesterone.Delivery of these hormones takes place in a certain time cycle, so take them on their own do not try.The doctor carefully explained on which day of the female cycle and the maintenance of the hormone will have to pass tests.
doctor wants to look at a picture of your brain.To prevent the formation in the area of the pituitary gland in the survey plan may get more serious methods.MRI - study is based on the measurement of the response of the nuclei of a hydrogen molecule to the impact of electromagnetic waves on the fabric to maintain the constancy of the magnetic field.There are several methods of MRI, obstetrician-gynecologist will tell you what you need to pass it to you.You may also need a study stratified area of the pituitary gland in the brain by means of computer tomography.In case of formation of the pituitary gland, more tests will be assigned.
brain Electroencephalography performed to eliminate violations cross electric oscillations of a complex web of neurons.The procedure is absolutely painless, though, and looks awesome.Attached to the scalp from 19 to 256 electrodes using a special gel.Treatment time depends on the size of the study.
At the discretion of the doctor gynecologist to do research with a special microscope - hysteroscope.We examine the uterine wall and climbs a small piece of the cervix for a thorough examination at the cellular level.Either use scraping two zones: the mucous coating of the cervical canal and the coating inside the uterus.The resulting biological material is sent for histological examination in the laboratory.
survey plan chosen specifically for each patient individually, and not necessarily that all of the above will be assigned, in confirming the diagnosis of ovarian dysfunction.Success in the diagnosis and correction of the main disorders of ovarian function is dependent on the severity of symptoms in women.Timely paying attention to menstrual cycle disruptions, access to a doctor and the purpose of the survey design, and further treatment is the key to a positive outcome.In chronic course of the process for the prevention of serious complications, it is recommended 2 times more likely to visit a gynecologist - endocrinologist, even if there is the negative dynamics in the state.
treatment of ovarian dysfunction
In the final exhibiting clinical diagnosis of ovarian dysfunction gynecologist-endocrinologist appoints a treatment plan.The challenges that face the tandem of doctor and patient is to eradicate the causes of the disease state, restoring normal levels of hormones responsible for the regulation of ovulation and menstruation cycle, as well as the prevention of emergency conditions, such as bleeding.Treatment of ovarian dysfunction performed in a hospital or at home, depending on the severity of the disease.
treatment of women with uterine bleeding is divided into two stages.