How to deal with the recurrence of chocolate cysts

Patient's question:

How to deal with the recurrence of chocolate cysts, surgery was done in February

Doctor's answer:

Hello: Endometriosis is a relatively common gynecological disease, and its incidence has been increasing in recent years. It refers to a condition caused by endometrial tissue growing outside the uterine cavity. The ovaries are the most common site of endometriosis, accounting for about 80% of cases. followed by ligaments of the uterus and pelvic peritoneum covering the surface of the uterus, rectum, or bladder.
　　Ovarian chocolate cyst is a "mass" but not a "tumor"; it is a type of lesion caused by endometriosis. Under normal circumstances, the endometrium grows inside the uterine cavity and is influenced by female hormones in the body, shedding monthly to form menstruation. If during menstruation, endometrial fragments shed with menstrual blood flow backward through the fallopian tubes into the pelvic cavity and implant on the surface of the ovaries or other pelvic areas, forming ectopic cysts. This ectopic endometrium is also influenced by sex hormones and sheds repeatedly with the menstrual cycle, causing bleeding. If the lesion occurs on the ovaries, there is local bleeding during each menstrual period, leading to ovary enlargement and the formation of cysts containing old blood. This old blood appears brown, viscous like paste, resembling chocolate, hence the name "chocolate cyst." This cyst can gradually enlarge and sometimes rupture during menstruation or postmenstruation, but it rarely becomes malignant.
　　The main symptoms of endometriosis are dysmenorrhea, which is characterized by progressive dysmenorrhea that is secondary and progressively worsens. Secondary symptoms include infertility, menstrual disorders, and dyspareunia. The main causes of its onset are related to childbirth, multiple miscarriages, etc. After childbirth, shed endometrium implants in the cervix, vagina, pelvic cavity, and repeatedly