How is chocolate cystic treatment?

The disease can often have an effect of neutropenia because it is not correctly diagnosed or taken seriously for many years, ache , sexual pain and especially a lot of misgivings as a cause of poor quality of life. Bahçeci Tube Baby Center, Obstetrics and Gynecology Specialist, indicating that endometriosis is the most common manifestation of chocolate cysts. Dr. Gürkan Arıkan said that these cysts do not need to be taken in any case before infertility treatment. Bahçeci Tube Baby Center Doctors. Dr. Gürkan Arikan described his illness as "the laying cells forming the inner lining of the uterus were settled outside the uterus and the blood of menstruation formed and accumulated there."

This condition is most commonly seen in the ovaries and the accumulation of color and consistency chocolate cyst "Having chocolate cysts is found in 5 to 10 percent of women and in 30 percent of those who have difficulty in having children," said Arıkan. In fact, 80 percent of women suffering from chronic abdominal pain and infertility present a risk of becoming unable to conceive after chocolate cysts, saying, "There are deep or superficial endometriosis foci in chocolate cysts or abdomen."

Foci of about 10 endometriosis patients can cause painful nodules (deep endometriosis) extending from the uterus to the intestine, extending to deep tissues or even to the pelvic bone. If only the ovaries complain of endometriosis and the main problem is severe infertility, it is known that it does not negatively affect the treatment of IVF, that is, it does not decrease the success of the treatment.

Assoc. Dr. Arıkan summarized the formation mechanisms of the disease, usually found in women over the age of 35, as follows: "Menstrual blood contains parts of the lining of the uterus, which does not just flow out of the vagina, but also reaches the abdomen through the tubes. Sometimes these cells adhere to the abdomen to form endometriosis foci .

These cells are also located outside of the uterus by birth. This pathway leads to the formation of deep endometriosis foci.

Cells forming the intrathoracic lining tissue are implanted in other areas in the abdomen by physicians, such as cesarean section, myom surgery with open surgery, and form endometriosis foci.

In general, these cells are destroyed by the body's immune mechanisms. However, if these mechanisms do not work well, and genetic predisposition increases risk. Each person's pain threshold is different. Some endometriosis foci are very enriched from nerve tissue, so they can cause chronic and especially severe pain during menstruation. Patients who are affected by chocolate cyst may have pain, infertility and mass. Sometimes chocolate cysts can be detected at routine gynecological checks without any complaints. The most important complaint is pain in the crotch and lower abdomen. Menstrual pain, independent pain from men, pain during sexual intercourse and other symptoms of infertility disease are the forefront.

Because Ayrica gives different signs to the endometriosis organ, many of the patients are exposed to misdiagnoses and misdiagnoses such as chronic urinary tract infections (cystitis), bowel disease (irritable colon, diverticulum), psychological disorders for many years ".

Assoc. Dr. Gürkan Arıkan stated that if the pain complaint in the chocolate cysts is the anterior plasma and the person has a negative impact on the quality of life or if progress can not be made in infertility treatment, the surgery may come on the agenda. The diagnosis of chocolate cyst can be made with 90% sensitivity by ultrasonography. If there is a view to create anxiety about cancer during ultrasonography, cystine removal is foreseen. Deep endometriosis foci are often felt by experienced physicians during examination and can be detected by magnetic resonance (MR) imaging in case of doubt. The definitive diagnosis can only be made by operation.

Arıkan emphasized that the golden standard of cysts or deep endometriosis foci is the gold standard closed surgery (laparoscopy). The advantages of this method compared to the open surgery are as follows: "Protecting the abdominal aesthetic because it is not open like incision. minimal pain after surgery The patient can be discharged the next day and can immediately return to his social life ".

Removal of chocolate cysts by surgery may damage the healthy ovarian tissue pregnancy chances are reduced. After the operations that are not done in the well-earned hands, the risk of seeing these negativity increases, Assoc. Dr. Gürkan Arikan, said about the disease: "The chocolate cysts in the ovary are almost always good, and the possibility of cancer on the surface of these cysts is 4-6, which is very low.

However, if postmenopausal long-term estrogen treatments are administered to women with deep endometriosis foci and uterus removed, these foci may be predicted to show a similar reaction to uterine cancer.

50% of the patients are self-conceived within 1 year after the removal of the chocolate cysts in the ovary by closed surgery methods. Nevertheless, specialists primarily avoid avoiding ovarian reserve by avoiding operative treatment.

Recent studies have shown that the probability of pregnancy certainly increases after the removal of deep endometriosis foci and endometriosis foci, such as the intestinal region, by closed methods.

For this reason, the right strategy for effective treatment is sometimes to concentrate on pain medication and pregnancy, and occasionally to perform closed surgery ".