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admin | Bv Homeopathic Treatment | 29.02.2016
Dermoid cysts are formed from eggs which despite not being fertilized by sperm, begin to pathologically divide and develop into masses which may possess characteristic human tissues such as fat, bone and hair. Most ovarian cysts are asymptomatic, however they may cause pain and other symptoms if they are particularly large, rupture, undergo torsion or become infected and hence may need surgical removal. Since the ovaries are responsible for producing the ovum (egg), by removing the ovaries, permanent infertility occurs and patients will never be able to conceive.
A variety of deleterious effects on a woman’s long term health including an increased risk of: premature death, cardiovascular disease, cognitive impairment or dementia, Parkinson’s disease, osteoporosis and bone fractures, a decline in psychological well-being and a decline in sexual function.
In order to try and mitigate some of these deleterious effects of a bilateral oophorectomy, Hormone Replacement Therapy (HRT) is usually prescribed, especially in young patients. My quality of life has improved drastically and I can only thank you once more for what you have done for me.
We have been trying for 3 Years and this is the first possible month after my operation that it was possible to fall pregnant and I did. Mr Trehan is the only doctor who has ever listened to me and understood the cause of my symptoms. Thank you so much for everything you did for me in performing the incredible operation earlier this year.
I would like to express our sincere thanks and gratitude for the treatment we received under your care. Our family is now complete, and neither child would be here if it wasn’t for your skill as a surgeon. It quickly became apparent that all I had heard about you from some of your patients, and peers is correct.
I am so thankful that I was able to be treated by my consultant of choice & In my opinion the best gynae surgeon in the country! It has been my first day back at work and I have been inundated with people telling me how much happier I look.
I have seen many doctors over the past 15 years many of them have shown limited compassion, empathy and understanding for endometriosis. Once again I would like to thank you for your expert care and attention and to let you know that everything is well with me.
Despite all the awards you have won for being such an outstanding and innovative surgeon, the biggest thing for me is that you have never lost sight of your patients! I would like to thank you for the genuine concern, commitment and dedicated care you always gave me. Intermittent Positive Pressure Breathing also known as IPPB is a treatment were increased breathing pressures are being delivered through the ventilator which helps to treat the atelectasis, deliver aerosolized medications or even clear secretions.
Follicular cyst:This type of simple cyst can form when ovulation does not occur or when a mature follicle involutes (collapses on itself). Corpus luteum cyst:This type of functional ovarian cyst occurs after an egg has been released from a follicle.
Symptoms such as abdominal pain on 1 side of the body may be present with this type of cyst.
Dermoid cyst:This is an abnormal cyst that usually affects younger women and may grow to 6 inches in diameter. The ultrasound image of this cyst type can vary because of the spectrum of contents, but a CT scan and MRI can show the presence of fat and dense calcifications.

Endometriomas or endometrioid cysts:This type of cyst is formed when endometrial tissue (the mucous membrane that makes up the inner layer of the uterine wall) grows in the ovaries. Polycystic-appearing ovary:Polycystic-appearing ovary is diagnosed based on its enlarged size—usually twice normal—with small cysts present around the outside of the ovary. After the follicle ruptures and releases the egg (ovum), a corpus luteum forms which releases hormones. They may be either “serous” (containing a clear water like fluid) or “mucinous” (containing a thick, viscous fluid). During this procedure, the cyst is specifically separated from the ovary and then removed from the pelvic cavity.
Trehan has demonstrated that no matter how large the ovarian cyst, the ovarian cyst itself can always be removed whilst leaving the ovaries themselves in tact. Further, even after natural menopause, the ovaries produce significant quantities of the male hormones androstenedione and testosterone which are converted to oestrogen in the female body, and these hormones are important for a woman’s health.
Unlike natural menopause, these changes caused by a bilateral oophorectomy are abrupt and dramatic due to the sudden loss in ovarian hormones. However, studies have shown that long term HRT use significantly increases the risk of cardiovascular disease, strokes, deep vein thrombosis (DVT – clots in the legs) resulting in pulmonary embolism (potentially fatal clots which migrate to the lungs) and breast cancer. Trehan’s opinion, under no circumstances should a woman’s ovaries be removed in order to treat ovarian cysts; even if a cyst is present only on one ovary, future problems with the remaining ovary can result in the above problems. Trehan during the laparoscopic removal of large (greater than 10cm in diameter) dermoid cysts on both ovaries in the same patient (ie.
Trehan which described a case in which he removed of a large ovarian cyst during pregnancy can also be viewed by clicking here.
Trehan performs all benign gynaecological procedures, including cystectomies via laparoscopic (keyhole) surgery as it is associated with less post-operative pain and complications, a quicker recovery and a far superior cosmetic appearance when compared to laparotomy (open surgery).
I am now managing to work 30 hours per week which would have been unthinkable only a short time ago. I know it is early days yet, but I wanted to say a huge thank you for you to have made it possible. After suffering for so many years, I am now looking forward to being pain free and can get on with my life. You have that rare combination of expertise and genuine concern for your patient’s well being. You are a true star & will always be a special person to have had an impact on my life. My husband and I again thank you sincerely for your expertise and skill operating and advising us about my endometriosis. Me and my fiancee will always remember you fondly as the man who gave us the best wedding present imaginable.
You understand what it’s like to live with the condition, you are always there for your patients and you have our best interests at heart. I always had complete confidence in you and never ever felt like just another number or statistic.
I have been feeling so much better and my quality of life has improved with my ability to work every day throughout the month. This is also known as lung expansion therapy which is used to treat or prevent pulmonary atelectasis or problems associated to this.

The rupture of this type of cyst can create sharp severe pain on the side of the ovary on which the cyst appears. After this happens, the follicle becomes what is known as a corpus luteum.If a pregnancy doesn't occur, the corpus luteum usually breaks down and disappears. This cyst is similar to those present on skin tissue and can contain fat and occasionally bone, hair, and cartilage.
These cysts are also called mature cystic teratomas.They can also twist around (a condition known as ovarian torsion), causing severe abdominal pain. It affects women during the reproductive years and may cause chronic pelvic pain associated with menstruation. However, in some instances, the follicle may fail to rupture and continues growing, thereby forming a follicular cyst. In some instances, fluid may abnormally accumulate within the corpus luteum, forming a cyst.
During the removal of a dermoid cyst, particular care must be taken in order to prevent material leaking into the pelvic cavity and they are hence placed into a bag prior to removal from the pelvic cavity. By completely separating the cyst from the ovarian tissue and reconstructing the ovarian tissue, the cyst can be completely removed whilst normal ovarian hormone and egg production can be retained.
Your understanding, knowledge and genuine belief in me and my symptoms gave me reassurance finally. IPPP is used mainly for utilizing the positive airway pressure from 15 to 25 minutes which will enhance the lung ventilation by increasing the tidal volume in the patients. This sharp pain (sometimes called mittelschmerz) occurs in the middle of the menstrual cycle, during ovulation.
Polycystic-appearing ovary is different from the polycystic ovarian syndrome, which includes other symptoms in addition to the presence ovarian cysts.
Trehan has demonstrated that all ovarian cysts can be successfully removed via laparoscopic (keyhole) surgery no matter how large they are, even if the patient is pregnant. Trehan’s patients can be confident that their operation will be completed by keyhole means as Mr.
Women with endometriosis may have problems with fertility because 80% of all pelvic endometriosis is found in the ovary (1 or both). Polycystic ovarian syndrome involves metabolic and cardiovascular risks linked to insulin resistance.
Trehan’s conversion to laparotomy rate is amongst the lowest in the medical literature, as are his major complication rates, reoperation rates and readmission rates. Further, over 90% of Mr Trehan’s patients are able to leave the hospital after just an overnight stay in hospital.
The doctor monitors these to make sure they disappear and looks at treatment options if they do not. Polycystic ovarian syndrome is associated with infertility, abnormal bleeding, increased incidences of pregnancy loss, and pregnancy-related complications. Polycystic ovarian syndrome is extremely common and is thought to occur in 4-7% of women of reproductive age and is associated with an increased risk for endometrial cancer.

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