Anechoic cystic ovary

During a physical examination, women may find that their ovarian cysts have no echo, which is very likely to be an ovarian cyst. Women can still detect the early symptoms of ovarian cysts by themselves. For example, I have irregular menstruation and even dysmenorrhea, and I have a lot of hair on my body. Ovarian cysts must be treated as early as possible so that they can heal faster.

1. Abnormal menstruation: oligomenorrhea, amenorrhea, and in a few cases, functional uterine bleeding. It often occurs during adolescence, as a continuation of irregular menstruation after menarche, sometimes accompanied by dysmenorrhea.

2. Hirsutism is common, with an incidence rate of up to 69%. Due to the increase in androgen levels, the vellus hair on the upper lip, lower jaw, chest, back, middle of the lower abdomen, both sides of the upper thighs and around the anus may become thicker and more numerous, but the degree of hirsutism is not proportional to the androgen level (affected by multiple factors such as the number of receptors, estrogen, SHBG and the sensitivity of hair follicles to androgens). It may also be accompanied by acne, excessive facial sebum secretion, deep and rough voice, enlarged clitoris, Adam's apple and other signs of masculinization.

3. Infertility Due to long-term anovulation, patients often suffer from infertility, and sometimes there may be occasional ovulation or miscarriage, with an incidence rate of up to 74%.

4. Obesity accounts for more than 20% of the body weight, and those with a body mass index ≥25 account for 30% to 60%. Obesity is mostly concentrated in the upper body, with a waist/hip ratio > 0.85. It usually starts during adolescence and gradually worsens with age.

5. Ovarian enlargement: In a few patients, enlarged and firm ovaries can be felt through general gynecological examination, but most of them require auxiliary examinations to confirm the diagnosis.

6. Estrogen effect All patients showed good estrogen effect. During examination, a large amount of cervical mucus may be seen. Continuous and large amounts of estrogen can cause rapid endometrial hyperplasia, atypical hyperplasia, and even cancer.