left adnexal cyst

 

left adnexal cyst

 

In this article, we will introduce you to the causes that lead to the formation of left and right adnexal masses. This mass affects the female reproductive system and it can be accompanied by symptoms, which we will fully examine in the following.

 

 

What you will read next:

 

What does Adnexa mean?

What is the cause of the left adnexal masses?

Left adnexal cyst or left adnexal mass?

What are the symptoms of left adnexal masses?

What factors depend on the severity of the symptoms?

Common left adnexal cysts in women before menopause

Diagnosis of left adnexal cyst

Treatment of adnexal cysts

 

 

 

What does Adnexa mean?

The appendages (organs) attached to the uterus, which include the right and left ovaries and the left and right fallopian tubes, as well as the ligaments that hold the set above in place, are called adnexa.

Among the diseases and problems that may occur in the left or right adnexa are (adnexal masses) that occur for various reasons on both sides. Left adnexal cyst is one of these types of bumps

 

What is the cause of the left adnexal masses?

The left adnexa can have various causes, including the following:

  • Ovarian cysts
  • Benign ovarian tumors
  • Ectopic pregnancy (in the fallopian tube or ovary)
  • Malignant ovarian tumors

Keep in mind that most left adnexal masses and cysts are benign.

 

 

Left adnexal cyst or left adnexal mass?

Before reading more, it is better to first know the difference between a mass and a cyst.

In medicine, we call cyst masses that are full of fluid inside them. So the inside of the cysts will always be full of fluid, while in the masses we can have both fluid and solids.

 

What are the symptoms of left adnexal masses?

Women with left adnexal cysts may have clinical symptoms or be asymptomatic in some cases. These symptoms include:

  • Pain in the pelvic area
  • Frequent urination (due to mass pressure in the bladder)
  • Constipation and gastrointestinal problems (due to the proximity of the left adnexal mass to the intestines and pressure on them)
  • Difficulty urinating
  • In some cases, bleeding at the site of the mass or adnexal cyst and causing severe pain
  • In some cases, cysts or masses of the left adnexa cause irregular periods.

 

What factors depend on the severity of the symptoms?

Notice that the onset and severity of the symptom depends on the location of the mass or the left adnexal cyst and its size.

For example, the adnexal mass, which is located near the bladder and is large in size, presses on the bladder and causes frequent urination. Instead, smaller masses usually have no clinical signs.

Another important point is that, in addition to adnexal masses and cysts, there are other diseases and problems that can cause the above symptoms. Therefore, if you have any of the above symptoms, the best way is to see a doctor to examine your pelvis and abdomen.

 

Common left adnexal cysts in women before menopause

In the following, we will examine the types of these cysts that are relatively more common.

 

  • Physiological follicular cysts:

In each menstrual cycle, with each ovulation, the follicular cyst ruptures and the egg is released. This is a normal cycle and usually occurs around the twelfth to fourteenth days of the cycle without pain or annoying symptoms.

Sometimes a ruptured cyst can release blood or fluid that stimulates the cover around the abdomen (peritoneum) and causes pain or discomfort.

In women with polycystic ovary syndrome, a large number of these follicular cysts are seen in the ovary during ultrasound.

These multiple follicular cysts are actually eggs that cannot be released due to hormonal problems.

 

  • Luteal cyst :

When the egg is released from the follicle in the middle of the menstrual cycle, the remaining components of the corpus luteum form and begin to secrete the hormone progesterone.

If, for any reason, the outlet of this secretion is closed, a corpus luteum cyst is formed. This cyst is not seen in postmenopausal women.

 

  • Dermoid cysts:

They are seen in women of childbearing age. They can sometimes be up to four and a half centimeters in diameter; the interesting thing about these cysts is that they can also contain hair, teeth and nails.

 

  • Endometrial cyst:

When cells in the uterine wall are seen somewhere other than their normal location, they are called endometriosis.

Now, if these cells are seen in the ovary or left fallopian tube (left adnexa), they will form a mass called a left adnexal cyst endometriosis.

 

  • Left adnexal abscess:

Cysts full of infectious or inflammatory substances that are caused by various causes such as pelvic infections or other inflammatory diseases of the pelvis.

 

  • Ectopic pregnancy:

When fertilization is done inside the ovary or inside the fallopian tube (left adnexa) and the fertilized cell is implanted in the same adnexa and does not go to the uterus we have a left adnexal mass, which is the result of an ectopic pregnancy. These pregnancies cannot continue until the fetus is fully developed, rupture of this type of left adnexal cyst, resulting in very large and fatal bleeding.

In women of childbearing age, when observing any mass or adnexal cyst, it is best to rule out an ectopic pregnancy first.

 

  • Left adnexal masses and cysts in postmenopausal women

These cysts and masses include the following:

  • Fibroid
  • Fibroids
  • Malignant masses
  • Adenoma cyst:

These cysts are common in women after middle age and are full of fluid and mucous cells.

"Adenoma cyst is also called custuma"(unknown *). This mass is benign and the space inside this cyst is multi-cavity.

This cyst can be very large in size and in 20% of cases it is bilateral, which engages the right and left adnexa.

 

  • Malignant ovarian masses (ovarian cancer):

A lump in the ovary with a number of accompanying symptoms may raise the suspicion of cancer:

(Ovarian tumors are a common type of cancer in women)

  • Frequent constipation
  • Heartburn that does not respond to common treatments
  • Irregular periods
  • Painful intercourse
  • weight loss
  • Weakness and fatigue
  • backache

Some ovarian tumors include:

  • Ovarian teratoma
  •  Dysgerminoma
  •  Endodermal sinus tumor
  • Brional cell carcinoma(**)
  • Choriocarcinoma
  • Stromal and sex cord tumors
  • Takoma  (**)
  • And ...
  • (Ovarian tumors will be examined in detail in a separate topic)

Many tumors, especially gastrointestinal tumors, can metastasize to the ovary and infect it all. These tumors, which are caused by the metastasis of gastric cancers, involve two ovaries. This type of ovarian tumor is also cured by treating the original cancer (stomach cancer).

 

Diagnosis of left adnexal cyst:

 

left adnexal cyst

 

In addition to examination and accurate history, ultrasound is used to diagnose adnexal masses and cysts.

 In the following your doctor may order a series of tests to accurately diagnose the type of cyst and mass of your left adnexa

 

Treatment of adnexal cysts:

The type of treatment depends on the type of cyst and the severity of the symptoms:

  • If the cause of the left adnexal cyst is an ectopic pregnancy, serious follow-up and sometimes emergency surgery will be needed to prevent rupture and heavy, fatal bleeding.
  • Left adnexal cyst surgery is required in the following cases:
  • When the cyst has progressive and continuous growth
  • When the patient's symptoms and pain are increased and cannot be tolerated or bleeding has caused anemia in the patient
  • Debilitating pain that prevents the patient from performing normal daily activities
  • When an ultrasound reveals that there is one or more solid areas inside the space of your left adnexal cyst (in these cases surgery is necessary if malignancy is suspected).

The causes of left adnexal masses (cysts) are summarized below:

  • Ovarian masses:

Ovarian cancers

  • Ovarian cysts:

Simple follicular cyst

Yellow body cyst

Left adnexal abscess:

Luteal cyst

Dermoid cysts

And …

  • Tubular masses:

Ectopic pregnancy

Tumors of the fallopian tube

Tuberculosis of the fallopian tubes

Abscesses

Infections of the fallopian tube (pyosalpinx)

 

 

The final words:

Finally, it should be noted that most left adnexal cysts are benign and the reasons we have listed for left adnexal cysts and masses also cause right adnexal cysts.

Sometimes there are reasons for cysts or masses of the left adnexa that are not related to the female genitals, such as:

 

Intestinal tumors:

Diverticulitis (inflammation of a part of the intestine called the diverticulum, which is more common in older women and on the lower left side of the abdomen)

 

Pelvic kidney:

It is a congenital disease in which the kidney develops below its normal location in the pelvis during fetal development.

 

Appendix:

On the right, masses or tumors of the appendix may present as right adnexal masses.

 

 

 

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