Corpus luteum cyst: symptoms, diagnosis and treatment

(ICD-10 classification N83) is a fluid-filled protrusion that forms on the surface of one or both ovaries of women, in most cases from a follicle. Anatomically, the cyst looks like a thin-walled cavity in the form of a sac. The size of this formation ranges from a few to 15–20 centimeters in diameter.

In 90% of cases, the cyst is functional, or follicular. The reason for its appearance is the “overripening” of the follicle - a special formation in which the female reproductive cell develops. The thing is that each menstrual cycle, one of the two ovaries normally produces one egg, which, when mature, must leave the follicle into the fallopian tube, and the ruptured follicle becomes the corpus luteum, which produces the hormone progesterone. This is the essence of ovulation.

A cyst is formed if the follicle does not rupture, but fills with fluid and remains in the ovary. Sometimes its size begins to create inconvenience, blocking the exit to the fallopian tube and causing discomfort. But most often, the follicular cyst resolves during the next menstruation, without leaving any visible marks.

A functional cyst can also be caused by an expansion of the corpus luteum. It has the same principles of formation and is called a corpus luteum cyst.

Another type of functional cyst is a hemorrhagic cyst, when blood vessels rupture inside the follicle or corpus luteum and hemorrhage occurs, accompanied by pain.

There is also a dysontogenetic cyst, which is formed as a result of disturbances in the growth and development of the ovaries during puberty, as well as a tumor cyst, which gives rise to ovarian cancer.

Corpus luteum cyst of the ovary

The corpus luteum is a cyclically formed gland in the ovary, which appears at the site of the ovulated Graafian vesicle (follicle) and produces the hormone progesterone. The name of the gland was given by the lipochrome pigment present in its cells and giving them a yellowish color. The corpus luteum develops in the ovary during the second (luteal) phase of the menstrual cycle. At the flowering stage, the corpus luteum reaches a size of 1.5–2 cm and one pole rises above the surface of the ovary.

In the absence of fertilization, the corpus luteum at the end of the luteal phase undergoes involutive development and stops producing progesterone. When pregnancy occurs, the corpus luteum does not disappear, it continues to grow and function for another 2-3 months and is called the corpus luteum of pregnancy.

Types of ovarian cysts: their signs and symptoms

By their nature, ovarian cysts are functional and organic.

Functional ovarian cysts

Functional cysts include follicular cysts and corpus luteum cysts; most often they spontaneously resolve within several menstrual cycles. If functional cysts are small in diameter, do not put pressure on surrounding organs and do not cause pain, they are usually not treated. For large cysts, hormonal treatment is carried out; most often, hormonal contraceptives are prescribed, which normalize hormonal levels and promote the resorption of the cyst.

Functional cysts, as a rule, do not have an effect on the course of pregnancy. When pregnancy occurs, they usually resolve before 16-19 weeks.

In addition, at short stages of pregnancy, the doctor very often diagnoses the presence of a corpus luteum cyst, which promotes pregnancy due to the increased production of progesterone (pregnancy hormone). Such cysts decrease in size and resolve after the placenta has formed, that is, after 12 weeks of pregnancy.

Organic ovarian cysts

Organic cysts are cysts that do not resolve on their own and most often require surgical treatment. These include endometrioid cysts, cystadenomas, dermoid and paraovarian cysts.

Endometrioid cysts

These are benign organic cysts, they grow slowly and are easily treated surgically. Inside them is endometrial tissue, the inner lining of the uterine cavity, which changes monthly and is shed during menstruation.

The endometrium is a hormonal-dependent tissue; accordingly, all the same processes take place inside the cyst as in the uterine cavity, that is, the endometrium grows in the first phase of the menstrual cycle, matures in the second phase and is rejected with bleeding during menstruation. Due to these processes, there is a gradual increase in the diameter of the endometrioid cyst.

Most often, small endometriotic ovarian cysts are asymptomatic and are accidentally found during ultrasound. Large cysts can cause pain that worsens during menstruation. They are often double-sided and can reach significant sizes. Endometrioid cysts have a small risk of degenerating into a malignant ovarian cyst, most often occurring in women over 40 years of age.

The presence of endometrioid ovarian cysts can prevent pregnancy and is an indication for surgical treatment. First, the cyst is removed, and then hormonal therapy is performed, since endometrioid cysts are prone to reappearing. The most commonly prescribed drugs are hormonal contraceptives and medications that induce artificial menopause. In the absence of hormonal stimulation, endometrioid cells die, which prevents the recurrence of the disease. Depending on the diameter and number of endometrioid cysts, the presence of foci of endometriosis on the fallopian tubes and internal tissues of the abdominal cavity, a drug is selected.

Cystadenomas

This is a fairly common type of ovarian cyst; most often cystadenomas are unilateral small cysts. Depending on the contents, a distinction is made between serous cystadenoma, which contains a clear, light-straw-colored liquid, and mucinous cystadenoma, with thick mucus inside.

Cystadenomas

These are benign cysts, but they can become malignant, which determines the tactics of their treatment: surgical removal of the formation.

During pregnancy, cystadenomas can increase in volume and cause constant abdominal pain.

Dermoid cyst (mature teratoma)

This is a congenital tumor of the ovary, it is a round formation in the ovary and contains in its structure elements of hair, skin, nails, and fat. Such cysts can be of different sizes - from a few centimeters to giant formations. However, most often they are small and therefore do not manifest themselves clinically. Small dermoid cysts, as a rule, do not have an effect on conception and pregnancy; however, since there is a small probability of malignant degeneration of teratomas, their treatment is surgical.

Paraovarian cysts

This is a fluid-filled formation that is located between the ligaments of the uterus, next to the ovary. A paraovarian cyst is most often small in size and does not shrink over time or under the influence of medications. However, it may increase. Most often this occurs due to prolonged overheating - for example, if a woman likes to visit the sauna, abuses body wraps, and often takes baths with a water temperature of more than 38 degrees C. The progression of a paraovarian cyst is also facilitated by tanning under the sun or in a solarium.

This type of formation, when small in size, usually does not affect the course of pregnancy and does not require any treatment. If the cyst is actively growing, surgical removal is indicated.

Features of a corpus luteum cyst

An ovarian luteal cyst is formed from a corpus luteum that has not undergone regression, in which, due to circulatory disorders, fluid of a serous or hemorrhagic nature accumulates. The size of an ovarian corpus luteum cyst is usually no more than 6–8 cm. An ovarian corpus luteum cyst occurs in 2–5% of women of reproductive age after the establishment of a two-phase menstrual cycle.

Clinical gynecology differentiates corpus luteum cysts that develop outside of pregnancy (from an atretic follicle), as well as corpus luteum cysts that arise during pregnancy. The corpus luteum cyst of the ovary is often unilateral, single-cavitary; has a capsule lined from the inside with granular luteal cells, filled with reddish-yellow contents. The spontaneous disappearance of the ovarian corpus luteum cyst occurs within 2-3 menstrual cycles or in the second trimester of pregnancy.

Danger of disease

An ovarian corpus luteum cyst can cause serious complications:

• Cyst rupture. It develops very rarely. The pathology is characterized by acute pain, dizziness, vomiting, and fainting. Internal bleeding develops, hemorrhage into the abdominal cavity and directly into the ovary itself;
• Ovarian torsion. It may occur if the size of the yellow cyst is about 5 cm in diameter. The causes of the disease are a sharp change in body position during physical exercise and sexual intercourse. Torsion can be complete or partial. Emergency surgical treatment is usually required;
• Attachment of infection. An infected ovarian corpus luteum cyst is formed, which requires mandatory treatment.

The disease can also lead to menstrual irregularities. The delay in menstruation is up to 2 weeks. In this case, uterine bleeding may occur.

But the most terrible complications for women from ovarian corpus luteum cysts are the development of infertility and spontaneous miscarriage. If the disease is severe and requires emergency removal of the ovary, the chances of becoming pregnant in the future are reduced by approximately 50%.

Causes of formation of ovarian corpus luteum cyst

The reasons for the formation of ovarian corpus luteum cysts are not completely clear. It is believed that the formation of a corpus luteum cyst is caused by hormonal imbalance and impaired blood circulation and lymph drainage in the ovarian tissues. The risk of luteal cyst formation increases while taking drugs to stimulate ovulation in case of infertility or preparation for IVF (for example, clomiphene citrate) and emergency contraception.

The possibility of the formation of a cyst of the corpus luteum of the ovary under the influence of heavy physical and mental stress, harmful production conditions, malnutrition (mono-diet), frequent oophoritis and salpingo-oophoritis, and abortion cannot be ruled out. All these factors can lead to endocrine imbalance, and, consequently, the formation of an ovarian corpus luteum cyst.

Methods for treating ovarian cysts

Treatment of cysts is carried out in two ways - conservatively, that is, with the help of medications, and operatively, that is, surgically.

Conservative therapy

Conservative therapy in this case is based on the use of hormonal drugs. Hormonal contraceptives are widely used to treat cysts; MARVELON is most often prescribed.

Hormonal contraceptives are prescribed for the treatment of functional ovarian cysts and in the postoperative period after removal of remaining ovarian cysts to prevent their re-formation.

For endometrioid ovarian cysts in the postoperative period, in order to prevent relapse, hormonal agents that cause artificial menopause are usually used.

Surgery

Surgical treatment for functional cysts is required only in case of complications, such as cyst rupture or torsion. Organic cysts most often require surgical intervention.

Surgeries to remove ovarian cysts are performed using laparoscopic access (special instruments inserted into the abdomen through small incisions under video camera control). Laparoscopy is also possible during pregnancy, if complications arise from an ovarian cyst. Only for large cysts is it necessary to make an incision on the anterior abdominal wall.

A feature of ovarian surgery is the removal of a cyst or tumor within healthy tissue, that is, the ovarian tissue, which contains many follicles, must remain intact, and the cyst, along with its capsule, is carefully “removed” from the ovary. In rare cases, a so-called ovarian resection is performed, that is, part of it is removed. If the cysts are very large, then in some situations it is practically impossible to find ovarian tissue. In this case, the entire ovary is removed.

After surgical treatment using laparoscopic access, the woman recovers quickly, usually a week after the operation she can already go to work.

Management of pregnancy with ovarian cyst

Planning a pregnancy usually depends on the type of cyst. Most often, conception is recommended 3-6 months after surgery.

During pregnancy, ovarian cysts are monitored using ultrasound and Doppler studies - studying the blood flow in the ovary and in the cyst, monitoring the tumor marker CA-125, the concentration of which increases sharply if the cyst degenerates into a malignant tumor.

If surgical treatment is necessary during pregnancy, it is safest to perform laparoscopy at 16-18 weeks.

Symptoms of ovarian corpus luteum cyst

Symptoms of an ovarian corpus luteum cyst are mild. Luteal cysts often develop over a period of 2–3 months, after which they spontaneously and suddenly involute.

An ovarian corpus luteum cyst detected during pregnancy does not pose a threat to the woman and the fetus. On the contrary, the absence of the corpus luteum of pregnancy in the early stages can cause spontaneous abortion due to hormonal deficiency. Reverse development of ovarian corpus luteum cysts during pregnancy also most often occurs spontaneously by 18–20 weeks. gestation: by this time, the formed placenta completely takes over the hormone-producing functions of the corpus luteum.

Small cysts may not show any symptoms, but as they increase in size, symptoms will certainly appear. All external manifestations and complaints of women who have an ovarian cyst can be divided into several groups:

• Painful sensations.
  Pain can occur on the right or left, in the lower abdomen or in the sacral area. The severity varies from a dull aching sensation to severe shooting pains that can radiate to the side, leg, lower back or anus.
• Menstrual irregularities.
  Against the background of an ovarian cyst, any changes in menstruation are possible. Most often there are: heavy and frequent menstruation; rare and scarce; absence of critical days for several months; unsystematic arrival of menstruation.
• Endocrine manifestations.
  Hormonal disorders associated with ovarian cysts can manifest themselves in a variety of symptoms: obesity; hair growth that is atypical for a woman (dark hairs above the upper lip, the appearance of hair on the chest around the nipples and from the pubis to the navel); skin changes (acne, seborrhea); sexual disorders (lack of libido, pain and discomfort during sexual intercourse); the occurrence of gynecological problems (endometrial hyperplasia, uterine polyp, uterine fibroids); impaired reproductive function (infertility, miscarriage).
• Changes in neighboring organs.
  An ovarian tumor of medium and large size (more than 6–10 cm in diameter) can compress the pelvic organs, which will manifest itself as disturbances in urination and defecation (intestinal obstruction, difficulty emptying the bladder). Large tumors (more than 15 cm) extending beyond the pelvis can put pressure on the overlying organs.

Sometimes an ovarian corpus luteum cyst can cause slight pain, a feeling of heaviness, fullness, and discomfort in the abdomen on the developmental side. A luteal cyst that produces progesterone can cause delayed menstruation or, conversely, prolonged menstruation due to uneven shedding of the endometrium. Luteal ovarian cysts never become malignant.

Most often, symptoms develop with a complicated course of the corpus luteum cyst of the ovary - torsion of the pedicle, hemorrhage into its cavity or ovarian apoplexy. In all these cases, a clinical picture of an acute abdomen is observed - cramping acute pain of a diffuse nature, vomiting, tension and sharp pain in the abdomen, positive peritoneal symptoms, gas and stool retention, disappearance of peristaltic noises, intoxication, etc.

Questions and answers about corpus luteum cyst

Question: Is it possible to treat corpus luteum cysts simultaneously using gynecological and therapeutic programs? What will be the results and the planned cost of treatment? Answer: We consider a woman/girl as a whole and treat not the disease, but the sufferer (sick)! We provide a combination of gynecological and therapeutic treatment programs. And in fact, we always adjust the treatment program for corpus luteum cysts taking into account concomitant diseases of the gastrointestinal tract, cardiovascular, neuroendocrine and respiratory systems. The procedures are combined in such a way that each subsequent one potentiates (strengthens) the effect of the previous ones. The cost of a combined (combined) treatment program, as a rule, exceeds the cost of the main treatment program by no more than 15%. Sincerely, Chief Physician of the Resort Clinic for Women's Health, Ph.D. honey. Sciences O.Yu. Ermolaev.

Question: How is the gender of a child planned? What tests are needed? How does the service work? Answer: Planning the sex of the fetus is carried out using the method of mathematical analysis based on the information received from you about previous pregnancies, dates of birth of children, characteristics of menstrual function, etc. No preliminary examination is required. Planning the sex of the fetus is carried out upon the woman’s personal appearance.

Question: I'm pregnant. Duration 10 weeks. I was diagnosed with a corpus luteum cyst of the right ovary, 5.2 cm in diameter. How dangerous is this? Is surgery necessary? M.Ch., Karachaevsk. Answer: Corpus luteum cysts often occur during pregnancy. The biological role of the corpus luteum and corpus luteum cyst during pregnancy is the production of the hormone progesterone, which is responsible for the maintenance and development of pregnancy. If the corpus luteum cyst is removed, the pregnancy will be terminated. A corpus luteum cyst during pregnancy, as a rule, resolves (disappears) on its own by 18-20 weeks, when the functions of the corpus luteum are taken over by the placenta (the baby's place in the uterus).

Women from Cherkessk, Karachaevsk, Ust-Dzheguta, Teberda, Dombay, Zelenchukskaya, Ispravnaya, Kardonikskaya, Storozhevoy, Kyzyl-Oktyabr, Kumysh, Kamennomost, Pravokubansky, Uchkeken, Krasny Kurgan, Pregradnaya, Khabez, Kurdzhinovo and others come to us for treatment of corpus luteum cysts. settlements of the Karachay-Cherkess Republic.

Question: Can a corpus luteum cyst cause a delay of more than 8 days? However, the pregnancy test is negative. A.D., Nalchik. Answer: A corpus luteum cyst can cause a delay in menstruation for more than 8 days.

Women from Nalchik, Prokhladny, Baksan, Maisky, Tyrnyauz, Terek, Chegem, Khasanya, Adiyukh, Belaya Rechka, Atazhukino, Zhankhoteko, Zayukovo, Islamey, Kuba, Belokamenskoye, Zolsky, Malki, Prirechny, Oktyabrsky, Elbrus come to us for treatment of corpus luteum cysts , Tyrnyauz, Kashkhatau, Nartkaly, Anzorey, Zalukokoazhe and other settlements of the Kabardino-Balkarian Republic.

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Question: I am 12 weeks pregnant. When I registered, they discovered a corpus luteum cyst on the left ovary. I am very worried about my child. Will this affect him? R.Zh., Cherkessk. Answer: A corpus luteum cyst does not pose a danger to the fetus.

Question: Can a corpus luteum cyst give a positive pregnancy test result? S.V., Pyatigorsk. Answer: With a corpus luteum cyst resulting from pregnancy, the pregnancy test will be positive.

Women from Stavropol, Pyatigorsk, Lermontov, Mineralnye Vody, Novoaleksandrovsk, Novopavlovsk, Georgievsk, Mikhailovsk, Svetlograd, Nevinnomyssk, Kislovodsk, Zheleznovodsk, Essentuki and other cities of the Stavropol Territory come to us for treatment of corpus luteum cysts.

Question: Dear Oleg Yurievich! Is it necessary to follow a diet for two months before conceiving a child of the planned gender? I would just like to conceive in the next month. Answer: Following a diet for 2 months before the date of expected conception is an important component of preparation for conceiving a fetus of the intended sex .

Question: Why in your Clinic is uterine repositioning performed on a couch and not on a gynecological chair? Answer: First of all, we consider the convenience of the patient, not the doctor and midwife. Many girls and women feel fearful and uncomfortable in the gynecological chair. Secondly, most often pain in women occurs in positions lying on their back, stomach, side or standing, that is, in an extended position of the torso. Thus, repositioning the uterus on a gynecological couch is a comfortable and rational feature of our Clinic.

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Question: On what day of the cycle does a corpus luteum cyst form? E.P., Makhachkala. Answer: A corpus luteum cyst forms after ovulation, from 16 to 28 days from the start of menstruation.

Women from Makhachkala, Derbent, Dagestanskie Ogni, Buinaksk, Kizlyar, Izberbash, Karata, Khasavyurt, Kizilyurt, Yuzhno-Sukhumsk, Kaspiysk, Leninkent, Semender, Novy Khushet, Bavtugay, Dubkov, Novy Sulak, Komsomolsky, Tserkhimakhov come to us for treatment of corpus luteum cysts , Lutkun, Hamamatyurt, Botlikh, Verkhniy Kazanishche, Karamakhov, Gergebil, Maali, Mekhelta, Kuli and other settlements of the Republic of Dagestan.

Question: There are still 8-9 days until your period. An ultrasound revealed a corpus luteum cyst 4 cm in diameter; pregnancy was not determined. What is the probability of pregnancy? M.T., Grozny. Answer: It is possible to determine the presence of pregnancy before the expected date of menstruation based on a blood test for hCG content.

Women from Grozny, Argun, Gudermes, Urus-Martan, Shali, Achkhoy-Martan, Bamut, Orekhovo, Dolinsky, Gikalovsky, Komsomolsky, Krasnostepnovsky, Pervomaisky, Raduzhny, Sadovoy, Vinogradny, Bragun, Novogroznensky, Chkalovo, come to us for treatment of corpus luteum cysts. Krasnaya Gorka, Yuzhny, Bratsk, Kalaus, Znamensky, Levoberezhny, Obilny, Savelyevskaya, Guli, Lyazhga, Olgeti, Dzhugurta, Shatoy, Shelkovskaya and other settlements of the Chechen Republic.

Question: Can there be an enlargement of the uterus with a corpus luteum cyst? Z.B., Baksan. Answer: Corpus luteum cyst produces progesterone. Progesterone increases blood supply to the uterus, thereby increasing the size of the uterus by 3-5 mm. Ultrasound examination after 3 days of delayed menstruation allows you to determine intrauterine pregnancy and identify other causes of uterine enlargement: ectopic (tubal, ovarian) pregnancy, postpartum uterine hypertrophy due to carrying a multiple pregnancy or a large fetus, internal endometriosis, uterine chorionepithelioma, hydatidiform mole, uterine fibroids .

Question: To treat a corpus luteum cyst, what documents are needed? Answer: To treat a corpus luteum cyst, it is advisable to have copies of the results of a previously conducted clinical and laboratory examination (copies of ultrasound, X-ray, computer, laboratory and other studies), copies of consultations with other specialists, copies of epicrisis (conclusions) of surgical and conservative treatment. In other words, the most complete amount of medical information about your health status. If necessary or desired, it is possible to perform a clinical and laboratory examination in our Clinic.

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Question: Is it possible to issue a sick leave certificate at the Clinic for the period of treatment for a corpus luteum cyst? Answer: At the Women's Health Resort Clinic, sick leave (sick leave) is not issued.

Question: “The resort clinic for women’s health operates both for paid services and in the voluntary health insurance system.” In the voluntary health insurance system, is it covered by medical policies? Can you explain please! Answer: We accept Insureds at SOGAZ, AlfaStrakhovanie, Alliance, Ingosstrakh under policies issued by these insurance companies. You can find out detailed information about which medical institutions your insurance company works with by calling your insurance company’s hotline number. If the Women's Health Resort Clinic is not on its list, you can leave a request and, perhaps, your insurance company will meet you, enter into an agreement with us, and we will be happy to accept you. Sincerely, Chief Accountant of the Women's Health Resort Clinic.

Question: How can I get to the Clinic under POLIS for treatment of a corpus luteum cyst? What is needed for this: a referral from a doctor, or is just a desire and an insurance policy enough? Answer: You should contact your insurance company to obtain a cover letter. If you have a covering letter, you will be able to carry out the necessary examination and treatment of a corpus luteum cyst in our Clinic. At the appointment you must have your passport and insurance policy with you. Sincerely, Chief Accountant of the Women's Health Resort Clinic.

Question: In the Reviews section about the treatment carried out at the Clinic, I found several lines about proper nutrition. And from the Accommodation section it is clear that the Clinic does not have inpatient beds. So, is there still organized nutrition, or are these just recommendations regarding nutrition? Answer: At the Women's Health Resort Clinic, the possibility of a balanced (nutritious) diet has been thought out and implemented: we cooperate with medical and public catering establishments that prepare healthy, tasty and varied food. Home delivery of food is possible.

We work seven days a week and on holidays:

Monday - Friday from 8.00 to 20.00, Saturday, Sunday, holidays from 8.00 to 17.00.

Treatment of corpus luteum cyst by appointment by multi-line phone 8 (800) 500-52-74 (toll-free within Russia), or +7, or [email protected]

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Diagnosis of ovarian corpus luteum cyst

Diagnosis of an ovarian corpus luteum cyst is carried out taking into account anamnesis, complaints, gynecological examination data, ultrasound, and laparoscopy. Vaginal examination reveals a tight elastic formation on the side of the uterus or behind it, which has limited mobility and sensitivity to palpation. Echoscopically, a corpus luteum cyst is defined as an anechoic, homogeneous, round formation, 4 to 8 cm in diameter, with smooth, clear contours, sometimes with a fine suspension inside.

To accurately recognize a luteal cyst, a dynamic ultrasound is performed in the first (follicular) phase of the menstrual cycle. Carrying out color Dopplerography (CDC) is aimed at excluding vascularization of the internal structures of the cyst and differentiating retention formation from true ovarian tumors.

As with other identified ovarian tumors and cysts, a study of the CA-125 tumor marker is indicated. To exclude or confirm pregnancy, a determination of human chorionic gonadotropin and a pregnancy test are performed. In cases where it is difficult to differentiate a corpus luteum cyst from other neoplasms (ovarian cystoma, theca lutein ovarian cysts with chorionepithelioma and hydatidiform mole, etc.) and ectopic pregnancy, diagnostic laparoscopy is required.

Thus, for the examination and diagnosis of this pathology, the following is used:

• CT (computed tomography) and MRI (magnetic resonance imaging).
• Transvaginal ultrasound examination.
• Laparoscopy, with simultaneous removal of a cyst when detected.
• Hormone analysis: LH and FSH, estrogen and testosterone.
• Puncture of the pouch of Douglas (posterior vaginal vault) if internal bleeding is suspected due to a ruptured cyst.
• Analysis for tumor marker CA-125 to exclude ovarian cancer.
• Pregnancy tests are also mandatory, not only because the treatment for pregnant and non-pregnant women is different, but also to exclude ectopic pregnancy, the symptoms of which are similar to those of an ovarian cyst.

Our advantages

• Our medical center employs doctors with extensive practical experience.
• We have a special innovative design of operating rooms: infection-resistant seamless monolithic blocks, 5 levels of sterility, thanks to a complex ventilation system.
• The gynecology department is equipped with the latest generation equipment - surgical equipment from recognized global manufacturers of medical equipment - “Karl Storz”, “Covidien”, “Erbe”, etc.
• All procedures are carried out in the most comfortable conditions for the patient.

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Treatment of ovarian corpus luteum cyst

Patients with a small and clinically silent corpus luteum cyst of the ovary are recommended to be observed by a gynecologist, ultrasonic dynamic control and color circulation for 2–3 menstrual cycles. During this period, the cyst may undergo regression and completely disappear.

Symptomatic and recurrent ovarian corpus luteum cysts can also resolve under the influence of conservative anti-inflammatory therapy, selection and prescription of hormonal contraceptives, balneotherapy (therapeutic baths and vaginal irrigation), peloid therapy, laser therapy, SMT phoresis, electrophoresis, ultraphonophoresis, magnetic therapy.

During the period of treatment for ovarian corpus luteum cysts, physical activity and sexual activity are limited in order to avoid torsion or rupture of the tumor-like formation. If the luteal cyst does not resolve within 4–6 weeks, the issue of its surgical removal is decided.

Planned intervention for a corpus luteum cyst is most often limited to laparoscopic enucleation of the cyst within the unchanged ovarian tissue and suturing its wall or resection of the ovary. In case of complications (necrotic changes in ovarian tissue, bleeding, etc.), emergency laparotomy with oophorectomy is indicated.

Leading specialists in the treatment of corpus luteum cysts in the Southern Federal District

Ermolaeva Elvira Kadirovna is a well-known and recognized specialist in the treatment of corpus luteum cysts in the North Caucasus. She is a gynecologist, ultrasound doctor, physiotherapist-resortologist. Elvira Kadirovna is approached by women who want to improve the aesthetics of the genital organs, reduce the size of the vagina and refresh intimate relationships from all regions of Russia and foreign countries.

Ermolaev Oleg Yurievich Candidate of Medical Sciences, operating gynecologist with 25 years of successful experience in treating corpus luteum cysts. Able to see relationships that elude others.

Shchepkin Petr Sergeevich Gynecologist, specialist in the treatment of corpus luteum cysts. Experienced ultrasound doctor.

About the doctors of the Clinic in detail...

The resort clinic for women's health operates both for paid services and in the voluntary health insurance system.

We work seven days a week and on holidays:

Monday - Friday from 8.00 to 20.00, Saturday, Sunday, holidays from 8.00 to 17.00.

Treatment of corpus luteum cyst by appointment by multi-line phone 8 (800) 500-52-74 (toll-free within Russia), or +7, or [email protected]

The cost of treating a corpus luteum cyst is 35,850 rubles*.

Make an appointment with a gynecologist

With respect for the religion and different habits of our Patients, we achieve high efficiency and comfort of treatment.

We are at your FULL DISPOSAL if you have any doubts or wishes.

Prevention and prognosis for ovarian corpus luteum cyst

Prevention of the formation of functional ovarian cysts is facilitated by timely and complete treatment of inflammation of the organs of the reproductive system, as well as correction of disturbed hormonal balance. Observation by a gynecologist-endocrinologist and ultrasound control when identifying an ovarian corpus luteum cyst allows you to take the necessary measures in a timely manner and prevent complications.

An ovarian corpus luteum cyst does not pose a threat to a developing pregnancy. With spontaneous regression or planned removal of the ovarian corpus luteum cyst, the prognosis is favorable.

Prevention

The best prevention for the development of ovarian cysts is periodic examinations by a gynecologist and a transvaginal ultrasound to assess the condition of all organs of the female reproductive system. Every six months, every woman needs to visit a gynecologist to avoid the development of not only cysts, but also other diseases, including cancer.

Timely consultation with a doctor helps to identify the disease at the earliest stages and begin treatment immediately.

In addition, a woman should avoid excessive stress and sports activities, which disable the hormonal system and can trigger the development of ovarian cysts. Take care of your health, and if unpleasant symptoms appear, trust a specialist.

Gynecologists at MC “Health” are ready to help patients with any problems in maintaining women’s health. An ovarian cyst of any kind is not a death sentence. Our specialists will conduct a full examination, determine the type of cyst and prescribe appropriate treatment as soon as possible.

Reviews

Olga, 35 years old 12/15/2016
An endometriotic ovarian cyst was just removed. There were a lot of fears before the operation. Moreover, there was an operation to remove appendicitis and the anesthesia did not affect me; I felt all the pain, but I could not move. Before the operation, I talked with the anesthesiologist and said that if this happens, I won’t chew it again. Everything went well. If you have such a cyst, I advise you to remove it. You can’t play sports, you can’t steam or sunbathe with such a cyst, it can burst. You walk around like a crystal vase, afraid that it will burst. It can cause infertility and develop into oncology; during pregnancy with such a cyst, fetal death may occur.

Lisa, 25 years old 01/19/2017

I, too, was recently diagnosed with a cyst, but they can’t determine which one, 7 cm long and 5 cm in diameter!!!!!! I drank escapelle a year ago, perhaps it was because of it, because I had a hormonal disorder, and was prescribed rigevidon!!!!!!! I don’t know whether it will help or not!!!!!!!!!!! tell me what else besides hormonal drugs can be used to treat a cyst?????????

Marusya, 28 years old 02/25/2017

Elizaveta, I would advise you to contact the Doctor Nearby clinic on Ozernaya. There doctors specialize specifically in women's diseases. I myself was hospitalized there with a cyst and was very pleased.

Margot 03/30/2017

2 weeks ago my cyst burst during sex, the pain was terrible, I couldn’t get up, they would turn around - in short, it was very painful. We called an ambulance. I was referred to gynecology and a ruptured cyst was diagnosed. In general, the operation was performed at night, and everything ended successfully. Before this, a year ago I was diagnosed with a follicular cyst, I was treated for about half a year with pills, injections, etc. During the next examination, it was determined that it had successfully resolved. I was deregistered and now...

Diagnosis of cysts

The first stage of diagnosing cysts is an examination by a gynecologist in a chair; the doctor may detect unilateral (less often bilateral) enlargement of the ovary; with large cysts, pain is sometimes noted during the examination.

To diagnose ovarian cysts, ultrasound examination of the pelvic organs is widely used, which makes it possible to determine the type of cyst, since all the formations described above have their own distinctive features.

In some cases, to make a correct diagnosis, it is necessary to conduct repeated ultrasound examinations during one or more menstrual cycles. In case of controversial issues, the doctor may additionally recommend an MRI of the pelvic organs.