We collect information to make medicine more understandable for you

Please Help us - click on the advertisement

Hypoplasia of ovaries

Hypoplasia of ovaries – an anatomic and functional underdevelopment of female gonads – ovaries. At a hypoplasia of ovaries the hypomenstrual syndrome or , decrease a libido, infertility is noted. The hypoplasia of ovaries is diagnosed by the general and gynecologic survey, results of ultrasonography of bodies of a small pelvis, hormonal researches, a laparoscopic biopsy of ovaries, definition of a karyotype (set of chromosomes). Treatment of a hypoplasia of ovaries demands performing cyclic hormonal therapy.

Please Help us - click on the advertisement

Hypoplasia of ovaries

The hypoplasia of ovaries is more often noted against the background of the general or sexual infantility; it can be combined with a hypoplasia of a uterus, aplaziy uterus and vagina (Rokitansky-Kyustnera's syndrome), a hypoplasia of kidneys, an underdevelopment of other bodies. Besides, the hypoplasia of ovaries meets at a disgeneziya of gonads – the genetic diseases caused by qualitative and (or) quantitative pathology of sexual chromosomes (Shereshevsky's syndrome – Turner, etc.). In these cases the parenchyma of ovaries is presented mainly or exclusively connecting fabric.

The acquired hypoplasia of ovaries is a consequence of adverse effects on an organism during ontogenesis, especially at children's age or during the pubertatny period. Development of a hypoplasia of ovaries can be promoted by inflammations of gonads (an ooforita, an adneksita), termination of pregnancy, violations of food (hypovitaminosis, anorexia), chronic intoxications, children's infections (parotitis, a rubella, measles, scarlet fever, etc.), quinsies, to an endokrinopatiya (inflammatory damages of a hypophysis and hypothalamus, adenoma of a hypophysis, a prolaktinom, a hypothyroidism, etc.), radiation by radioactive materials. More rare the hypoplasia of ovaries happens is caused by pre-natal defeat of the follicular device owing to pregnancy pathology at mother.

According to an etiology and level of defeat the gynecology allocates a hypoplasia of ovaries of the central (gipotalamo-hypophysial) genesis; peripheral (yaichnikovy) genesis and idiopathic (not clear) origin. At a hypoplasia in ovaries reduction of expressiveness of a follicular layer is noted. In hypoplastic ovaries of primary egg cages and primordialny follicles can not be absolutely or be noted the termination of their maturing and growth that defines a picture of clinical manifestations.

Please Help us - click on the advertisement

Symptoms of a hypoplasia of ovaries

At patients with a hypoplasia of ovaries various disorders of menstrual function – primary, sometimes secondary , or a hypomenstrual syndrome, an anovulyatorny cycle can be observed. The listed violations at a hypoplasia of ovaries are followed by infertility.

Patients are put on female type, but have slightly expressed evnukhoidny signs. At a hypoplasia of ovaries secondary sexual characteristics are usually expressed poorly – poor pilosis on a pubis and in axillary hollows, flattening of mammary glands, not expressiveness of an areola and nipples is noted. Lack of the first periods (menarche) by 15-16 years is characteristic. Sexual desire at women is lowered, frigidity is quite often observed. Other signs of a hypoplasia of ovaries come to light when carrying out comprehensive gynecologic examination.

Please Help us - click on the advertisement

Diagnostics of a hypoplasia of ovaries

At gynecologic survey the hypoplastic structure of external genitals, the tonyoky not pigmented small vulvar lips, existence of a narrow inextensible and short vagina, infantilism of a uterus pays attention. When performing ultrasonography, OUSE-gisterosalpingoskopii or and gisterosalpingografiya is confirmed reduction of the sizes of ovaries and a uterus, the twisting, thin, extended uterine tubes are defined.

Basal temperature has monophase character. The research of cervical slime at a hypoplasia of ovaries allows to reveal gipoestrogeniya signs – the negative or poorly expressed symptom of "pupil". Low level of estrogen (in certain cases - gonadotropny hormones) is confirmed at laboratory blood test. Conducting test with progesterone at a hypoplasia of ovaries usually yields negative result, testifying to the expressed estrogenic insufficiency. The test combined estrogen-gestagennaya positive that testifies to functional safety of endometrium.

For identification of the central form of a hypoplasia of ovaries resort to conducting pharmacological tests with a menopauzny human gonadotrophin, a horionichesky gonadotrophin, clomifene, lyuliberiny; to performance of a X-ray analysis of the Turkish saddle, brain MRT. If necessary the diagnostic laparoscopy and a biopsy of ovaries is carried out.

Please Help us - click on the advertisement

Treatment and forecast of a hypoplasia of ovaries

At a hypoplasia of ovaries treatment pursues the aims of restoration of hormonal and reproductive functions. A therapy basis at a hypoplasia of ovaries is cyclic hormonal therapy. At the first stage hormonal therapy is directed to creation of an estrogenovy background, and after emergence of menstrualnopodobny reaction - to normalization cyclic - hypophysial yaichnikovo-uterine processes. Hormonal therapy is carried out under control of a follikulometriya. At the same time at a hypoplasia of ovaries vitamin therapy, physical therapy (magnetotherapy, magnetolaser therapy, laser therapy, , etc.), gynecologic massage, balneoprotsedura are appointed.

Under the influence of hormonal therapy characteristic female sexual characters develop. Women with a hypoplasia of ovaries have to be observed at the gynecologist-endocrinologist for timely detection of gipotalamo-hypophysial tumoral processes and hyper plastic violations in the sexual device under the influence of hormonal therapy.

At induction of a two-phase menstrual cycle at patients with a hypoplasia of ovaries chances of pregnancy make from 30 to 60%; at the same time the probability of development of polycarpous pregnancy is not excluded. At a deep hypoplasia of ovaries motherhood is possible thanks to to auxiliary reproductive technologies - EKO with use of a donor ovum. The embryos received by artificial insemination (way IKSI, PIKSI or IMSI) freeze (a cryopreservation of embryos), and then carry out cryotransfer and replanting of embryos in a uterus. If necessary the donor embryo can be used. Course and conducting pregnancy at patients with a hypoplasia of ovaries is accompanied by risks of not incubation. In such cases resort to the surrogacy help.

Please Help us - click on the advertisement

Hypoplasia of ovaries - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

Information published on the website
it is intended only for acquaintance
also does not replace the qualified medical care.
Surely consult with the doctor!

When using materials of the website the active reference is obligatory.