Pelvic cysts are often caused by incomplete treatment of acute pelvic inflammatory disease and delayed healing. Due to long-term inflammatory stimulation, the surrounding tissues of pelvic organs become thickened and adherent, making it difficult for anti-inflammatory drugs to be effective. Therefore, the condition is stubborn, prone to recurrence, leading to a gradual decline in the patient's physical condition and slow recovery. Pelvic cysts belong to the gynecological diseases of traditional Chinese medicine, such as leukorrhea, mass and dysmenorrhea. The mass mainly originates from the reproductive organs of the pelvis, such as the ovaries, uterus, fallopian tubes, and other organs or tissues, such as the appendix, rectum, bladder, and retroperitoneal tissue. The location, size, hardness, mobility, tenderness, and relationship between the mass and surrounding tissues are very important for clinical treatment and prognosis. Pelvic cysts are often associated with recurrent infections of pelvic inflammatory disease. Patients with pelvic cysts should be treated early to prevent further growth or deterioration of the mass, which may affect fertility.
The main symptoms of pelvic cysts in female pelvic structure are lower abdominal pain, low back pain, extreme fatigue, sexual dissatisfaction, dysmenorrhea, and premenstrual breast pain. The pain often worsens a few days before the menstrual period, and lessens on the first or second day after the period, and there are also a few cases that continue to hurt. The pain also worsens after standing, running, or sexual activity.
If a pelvic cyst has cervical erosion, timely treatment is effective. Severe patients should persistently and seriously perform the kneeling chest position for more than 10 minutes from noon to evening, then rest in the lateral recumbent position, which can generally significantly alleviate or mitigate severe pelvic pain and other symptoms. If the lateral recumbent position therapy is effective but cannot be consolidated, surgical treatment can be considered. When choosing the surgical method, the patient's age, the need for fertility, the duration of symptoms, and whether there are organic lesions should be considered, and the surgical method should be selected accordingly. The round ligament suspension procedure, the broad ligament injury repair procedure, is suitable for young, infertile patients with severe pelvic congestion syndrome due to broad ligament injury. Total abdominal hysterectomy and salpingo-oophorectomy is suitable for women over 40 years old.