- Multifollikulyarnye ovaries - not a disease, but requires examination
Multifollikulyarnye ovaries - is a term that came with the introduction of general clinical practice of ultrasound (US). The most common are multifollikulyarnye ovaries are normal, but sometimes they are difficult to distinguish from polycystic ovary - a disease that requires treatment and monitoring gynecologist.
Causes of ovarian multifollikulyarnyh
Multifollikullyarnye ovaries (MFYA) - is a sign that in healthy women may appear at puberty
Puberty child - stages of a complex path
As well as in patients receiving oral contraceptives (OC). At the same time about a week after the start of the menstrual cycle in ovarian tissue in the US can be seen up to 7 follicles with the same degree of maturity, whereas normally by this time should be allocated "leader" - one follicle, which matures the egg coming out of the ovary middle of the menstrual cycle as a result of ovulation.
Multifollikulyarnye ovaries in adolescents - a phenomenon often enough, but after a regular menstrual cycle is established, all the signs MFYA the majority are girls.
Symptoms persist multifollikulyarnyh ovaries when in the anterior pituitary underfunded luteinizing hormone (LH). LH is released in the second half of the menstrual cycle. The main objectives of this hormone is to stimulate ovulation, then the female sex hormone secretion of the second half of the menstrual cycle, progesterone. With a lack of LH increasingly allocated pituitary follicle-stimulating hormone (FSH), which stimulates the maturation of follicles, which leads to the simultaneous maturation of multiple follicles.
Multifollikulyarnye ovaries and ovulation is related as follows: a few at a time of maturing follicles secrete large amounts of female sex hormones estrogen, which delays passage of the menstrual cycle in the second phase. Sometimes the second phase of the menstrual cycle does not occur due to insufficient secretion of LH (LH stimulates the release of release of an egg from the ovary - ovulation). Since ovulation occurs, the egg in the ovary is formed by the so-called anovulatory menstrual cycles. And this is fraught with infertility (no ovulation
Ovulation - How to determine as accurately as possible?
- There is no egg to fertilize nothing).
Reducing LH levels may be due to rapid weight loss or, conversely, obesity, oral contraceptives, endocrine diseases (diabetes, thyroid disease, various diseases of the pituitary gland and hypothalamus), feeding the baby
Breastfeeding - a personal choice
feeding (pituitary hormone prolactin suppresses ovulation), prolonged high physical or emotional stress, heavy stress, adolescence.
In some cases, an ultrasound MFYA can be confused with a serious disease - polycystic ovaries (PCO), which requires long-term treatment and surveillance. Multifollikulyarnye polycystic ovaries and sometimes impossible to distinguish at a single ultrasound, so ultrasound is performed several times during the menstrual cycle. It is important to promptly identify MFYA and, if necessary (if there is a disruption of the menstrual cycle) to treat.
In most cases, multifollikulyarnye ovaries and pregnancy - a phenomenon compatible as MFYA often still is one of the variants of the rules and does not prevent the onset of pregnancy and pregnancy and childbirth. But this is only the case when the syndrome is not accompanied by a menstrual irregularities.
Symptoms of ovarian multifollikulyarnyh
Multifollikulyarnyh ovarian syndrome, is not accompanied by a decrease in the secretion of LH and menstrual irregularities, it can be seen only in the US for the fifth-seventh day of the menstrual cycle
The days of the menstrual cycle: Four phases
and this is a normal variant. If at the same time there is a disruption of the menstrual cycle, they appear long menstrual cycles and rare but significant menstrual bleeding. If such violations last long, may develop iron deficiency anemia.
In that case, when ovulation does not occur at all, multifollikulyarnaya transformation manifested ovarian infertility.
Diagnosis "Multifollikulyarnye ovaries" - this is actually not a diagnosis, and the conclusion of US. In the case where the detection of an ultrasound MFYA accompanied by a violation of the menstrual cycle, a woman carefully examined to determine the cause of violations. First of all, the blood examined for hormones. Since the hormonal system, which provides reproductive function of women is complex device failure can be caused by different reasons. It can be as a consequence of dysfunction of the pituitary, and dysfunction of the hypothalamus (part of the brain responsible for the operation of the whole endocrine system) and other endocrine glands, including the ovaries (between endocrine glands and pituitary gland there is a direct and Feedback).
Particular attention is paid during the ultrasound examinations that enable MFYA distinguished from polycystic ovary syndrome (PCOS).
Echographic signs of ovarian multifollikulyarnyh - a normal size and thickness of ovarian capsule and number of follicles did not exceed 7-8, and their relatively small size (4-8 mm). If polycystic by ultrasound can see a significant permanent (sometimes twice), ovarian enlargement, and the presence of greatly thickened capsule. The number and appearance of follicles in the PCO are also different: with PCOS are more than 10 times and the value of twice higher than that at MFYA. All these differences allow to distinguish functional disorders resulting from the MFYA from organic (in violation of the tissue structure and persistent hormonal disorders) for PCO.