"What Causes Multiple Cysts Detected in Transvaginal Ultrasound?"

Transvaginal Ultrasound Examination

Transvaginal ultrasound examination, commonly referred to as TVUS, is a medical imaging technique that utilizes B-mode ultrasound to visualize internal structures through the vaginal canal. The detection of multiple cysts during TVUS may stem from physiological factors, congenital malformations, chronic cervicitis, hydrosalpinx, ovarian cysts, or other underlying conditions. It is recommended to promptly consult a healthcare professional, receive a definitive diagnosis, and adhere to the prescribed improvement or treatment measures under medical guidance. Detailed analyses are as follows:

1. Physiological Factors

During TVUS, if the female is in her ovulation period, hormonal fluctuations may lead to the blockage of cervical gland ducts, resulting in physiological cysts. Generally, no special treatment is required. Maintaining good hygiene, regularly changing underwear, and avoiding infections are recommended.

2. Congenital Malformations

During embryonic development, incomplete degeneration of the vaginal Gartner's ducts can lead to the formation of small mucus-filled cysts within the vaginal wall. These may manifest as multiple cysts upon examination. Again, no specific treatment is necessary, but maintaining good hygiene is advised.

3. Chronic Cervicitis

In chronic cervicitis, the inflammatory process progresses, causing increased secretion of inflammatory substances that irritate the uterine cavity mucosa, leading to congestion, edema, and possibly abnormal proliferation, forming abscesses. Symptoms may include pelvic pain, increased abnormal vaginal discharge, etc. Treatment may involve medications such as Doxycycline Hydrochloride Capsules, Levofloxacin Hydrochloride Capsules, and Azithromycin Tablets.

4. Hydrosalpinx

Frequent sexual activity, iatrogenic injuries, or inflammation in adjacent organs can cause inflammation in the fallopian tubes, resulting in fluid accumulation. TVUS may reveal multiple small cysts in the adnexal region, accompanied by symptoms like irregular menstruation, abdominal pain, and increased vaginal discharge. Recommended treatments may include Dexamethasone Acetate Tablets, Levofloxacin Hydrochloride Capsules, and Amoxicillin Capsules.

5. Ovarian Cysts

Ovarian cysts can arise due to various factors including medications, genetics, and the environment. These cysts can form within or on the surface of the ovaries, accompanied by symptoms like lower abdominal discomfort and bloating. Consultation with a doctor and possible surgical procedures like ovarian cystectomy are advised to remove the cysts and prevent disease progression. During treatment, patients should maintain personal hygiene, regularly change underwear and sanitary products, rest adequately, avoid late nights and strenuous activities to facilitate recovery.