How to treat a 4.9 cm chocolate cyst

Patient's question:

I was diagnosed with a cyst two years ago, which was 3.7 cm in size at that time. It was not confirmed to be chocolate cyst back then, and I have been undergoing treatment intermittently. In the past two months, a check-up revealed that it has grown to 4.9 cm and is still chocolate cyst.

Doctor's answer:

Generally, most cysts are benign. When the ovarian cyst is small, it almost shows no symptoms. If left untreated, the cyst will gradually enlarge. When the cyst becomes as large as a fist, it can easily cause torsion of the ovarian root. At this point, venous return is obstructed, the cyst becomes highly congested, leading to severe abdominal pain, accompanied by symptoms such as nausea and vomiting. Ovarian cysts are primarily caused by endocrine disorders and abnormal ovarian function. Based on the size of your cyst, it is generally recommended to undergo surgery.

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