Chocolate cyst is the cause of infertility?

Gynecology and Obstetrics Specialist Op. Dr. Koray Altunay described the causes, causes and treatment methods of chocolate cysts in most of the women.

Occurrence of uterine inner tissue elsewhere in the body chocolate cyst . The endometrium, which should be in the uterus, is sometimes located outside the uterus to the ovaries, abdominal cavity, uterus and fallopian tubes.

Although the exact cause is not known, the endometrium layer also shows its behavior in the uterus outside the uterus. The endometrium layer, thickened by hormone effects every month, releases tissue residues with some blood. However, when the endometrium is placed in the reproductive organs, the rashes that occur every month cause the adhesion to the surrounding tissues. The effect of this behavior is also referred to as chocolate cyst (endometriosis).

Why does chocolate cyst occur?

Genetic factors are the most common cause of chocolate cyst formation in an area outside the womb (on the ovaries, on the abdomen, on the abdomen). Having seen chocolate cysts in about 10% of women between adolescence and menopausal periods (reproductive period), Op. Dr. Koray Altunay, "About 40% of women with infertility problems appear as a factor causing infertility. The uterine inner gland usually does not turn into chocolate cysts, cancer and other harmful formations that can form in the right or left ovaries and occasionally in both ovaries ache , pain, infertility will not cause a vital problem, "he said.

Which methods are used in the treatment of chocolate cysts?

Maternity and IVF Specialist Op. Dr. Koray Altunay noted that chocolate cystine manifested itself as painful, painful sexual intercourse in many patients, menstrual bleeding in intense abdominal pain, pain in the waist and legs.

Chocolate cysts in the treatment of laparoscopy in general, that is, closed surgery method is used in Op. Dr. Koray Altunay, "Surgical operation is the most effective method for advanced chocolate cyst with severe groin, abdomen and back pain. Generally, cysts are removed by closed surgery, but deformations can be removed by opening if adhesions have occurred. Seldom is surgery applied to the drug treatment, "he said.

In what conditions can the chocolate cyst prevent pregnancy?

Having proved scientifically proven that chocolate cystine prevents pregnancy, Op. Dr. Koray Altunay, in what situations the endometrium prevents gestation, said: "By natural means pregnancy the uterus, cervix, ovaries and tubes are almost fully functioning and there should be no abnormality in these organs. However, the chocolate cysts that form in the ovaries can cause healthy egg laying, and the chocolate cysts in the tubes can prevent the fertilized egg from reaching the uterus.

However, as the woman reduces the egg reserves, the chances of pregnancy decrease naturally. In addition, these cysts that occur outside the uterus during the menstrual cycle cause bleeding where they occur and these bleeds can also cause adhesions. As long as these adhesions are not opened by medical intervention, it may not be possible to obtain pregnancy by natural means. "

If infertility is the cause cyst is investigated egg reserve

In cases where chocolate cysts are detected as a result of examinations performed on women who can not get pregnant, Op. Dr. Koray Altunay, "If the egg reserve is appropriate for pregnancy, the cyst is ovary on one side, and if the woman is not old enough, the cyst is removed with closed operation and the woman is expected to conceive spontaneously for about one year. But if the woman's age is older than 35, if the ovarian reserve is low and the cyst is bilaterally located, the most accurate infertility treatment is the tube baby method. "

In which situations should I apply in-vitro fertilization in chocolate cyst?

In order to obtain pregnancy by natural means, at least one of the tubes must be completely open, indicating that Op. Dr. Koray Altunay, "Eggs need to pass through the tube to reach the womb. If both of the tubes are clogged, pregnancy can be achieved by administering IVF treatment.

Since the male and female reproductive cells are fertilized in the laboratory environment and the womb is placed in the IVF treatment, the tubes need not be open. In particular, women older than 35 years old, with tubular obstruction and chocolate cysts, should apply to in-vitro fertilization without losing any time. "