Ovarian cyst lower abdominal pain

Ovarian cyst is one of the most common gynecological diseases. When this type of ovarian cyst occurs, it often causes a variety of symptoms. For example, it can cause lower abdominal pain in women, increase abdominal circumference, often lead to menstrual disorders, dysmenorrhea and other symptoms. If you have an ovarian cyst, you must check it out in time and receive regular treatment. Let's take a look at this aspect.

Ovarian cyst lower abdominal pain

What is an ovarian cyst? It is a very common tumor in women. Especially when the cyst twists, there will be more severe abdominal pain, nausea, difficulty breathing, loss of appetite and fever. Ovarian cysts may cause the following:

1. Increased abdominal mass and abdominal circumference: Most patients with ovarian cysts only notice the enlargement of their abdomen when they find that the waistband of their clothes has become smaller, or they feel it occasionally in the early morning, so when they press their abdomen, they will find a mass and abdominal distension and discomfort.

2. Discomfort in the lower abdomen: Because the tumor itself has weight, it is affected by intestinal peristalsis and changes in body position, causing the tumor to move in the pelvic cavity and involve its pedicle and the ligament of the pelvic funnel, causing the patient's lower abdomen or iliac fossa to have a feeling of falling.

It can be seen from this that ovarian cysts will cause lower abdominal pain because of the discomfort in the lower abdomen. This is the initial symptom before the patient feels a lump in the lower abdomen. Due to the weight of the tumor itself, as well as the influence of intestinal peristalsis and changes in body position, the tumor moves in the pelvic cavity, involving its pedicle and pelvic funnel ligament, causing the patient to have a feeling of fullness and heaviness in the lower abdomen or iliac fossa.

What should I do if I have an ovarian cyst?

1. Treatment of benign cysts

(1) General treatment

If it is a simple cyst, without septa, intracystic papillae, calcification and other complex features, it is basically benign and can be observed conservatively. The cyst will usually be smaller or gone when you check it out again 4-8 weeks later. If the cyst does not disappear, but ultrasound shows that it is still a simple cyst, you can still continue to observe closely. If physiological ovarian cysts are accompanied by endocrine symptoms such as menstrual disorders, oral medications can be used to alleviate the symptoms. However, for pathological cysts, no oral medications with clear therapeutic effects have been found so far.

(2) Surgical treatment

Ovarian cystectomy is often performed on young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible.

Salpingo-oophorectomy: For older women (over 45 years old) or postmenopausal women, unilateral or bilateral salpingo-oophorectomy can be performed.

2. Treatment of malignant cysts

For cysts that are considered malignant or have unclear diagnosis, the resected material should be sent for pathological examination after surgery to determine the nature of the cyst under a microscope before considering the next step of treatment. If an ovarian cyst shows complications such as torsion, rupture, bleeding, or infection, emergency surgery should be performed.

Most patients are already in the late stage of the disease when they seek medical treatment, so during treatment, every effort should be made to remove the primary cyst and visible pelvic and abdominal metastases. Currently, a blanket-style removal of the uterus and tumor along with the pelvic peritoneum is often used, such as omentectomy, partial intestinal resection, partial bladder resection, and ureter resection. Consideration should also be given to placing a catheter in the peritoneal cavity to facilitate postoperative intraperitoneal injection of chemotherapy drugs.