Today Of 8 to 10 females chocolate cyst (Endometrioma) can lead to infertility while reducing ovarian capacity. Liv Hospital Ankara Professor of Obstetrics and Gynecology Dr. Esat Orhon, the 10 important topics that should be known about chocolate cyst ...
· If the endometriosis cells are cast in the form of menstruation, if they are found in an organ, for example in the ovary, flow out and accumulate in the ovary. Over time, the menstrual bleeding turns into a thick, brownish and sticky liquid tissue. Since this fluid is in the color of chocolate sauce, "chocolate cyst" has taken its name.
· This disease is seen in women who have menstruation. For this reason, it is not seen in pre-adolescent girls and women who have been cut from menstrual bleeds.
· It is not a situation that is caused by the person's own fault. There is no interest in using drugs, foods and especially chocolate.
· Causes different complaints in patients. Menstrual bleeding can be painful. Sexual intercourse because the uterus may cause adhesions in the internal organs ache It can be. If you have caused intestinal adhesions, you may have pain during the large toilet. The most annoying situation is if it causes adhesions in the tubes and ovaries pregnancy to be able to have trouble getting it.
· During periods of pregnancy and breastfeeding when the menstrual bleeding stops for a while, the chocolate cyst may shrink or disappear completely. However, because it is a breeding disease with menstrual bleeding, it is very likely to repeat it in the future.
· Treatment options are determined by the patient's personal condition. This is a very important criterion if it leads to bleeding menstruation. If the patient is a student and comes to the house with permission from the school, or if a working woman is getting permission from the workplace, this is an illness that will be "loss of work power" and should be treated absolutely.
· If the patient has no pregnancy expectancy, daily pills and menstrual bleeding can be remedied. If the child wishes, the use of medicines that increase ovulation may be successful. If you have a large chocolate cyst size or have caused organ adhesion, you may need to remove cysts and adhesions by laparoscopy or open surgery. If surgical treatment is to be applied, only cysteine removal should be done to protect intact parts of the egg. The aim of surgical treatment should be to get rid of both chocolate cysts and to protect the fertility.
· Chocolate cysts can lead to a decrease in ovarian capacity. In this case, if the tubes are open and robust, vaccination, if the tubes are clogged, in-vitro fertilization may be necessary.
Regardless of how you are treated, there is always the possibility that the chocolate cyst will recur in the same ovary or other ovary. Birth and long-term breastfeeding may reduce or postpone this possibility.
· A woman with endometrioma should be examined at appropriate intervals, should have an ultrasonography and have a CA-125 blood test at the required intervals.
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