Patient's question:
Two months ago, a check-up revealed I had chocolate cysts of about 2 cm. A few days ago, I went for a confirmation check and found that the cysts had grown by 0.6 cm, and the doctor said both ovaries were affected. I just got married and don't know how to treat it properly.Doctor's answer:
Hello: Ovarian chocolate cyst is a "mass" but not a "tumor"; it is a type of lesion of endometriosis. Under normal circumstances, the endometrium grows inside the uterine cavity and, influenced by female hormones in the body, sheds once a month to form menstruation. If the endometrial fragments shed during menstruation flow backward with the menstrual blood 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 and bleeds repeatedly with the menstrual cycle. If the lesion occurs on the ovaries, there is local bleeding during each menstrual period, causing the ovaries to enlarge and form a cyst containing old blood. This old blood is brown, viscous, and resembles a paste, hence the name "chocolate cyst." This cyst can gradually enlarge and sometimes rupture during or after menstruation, but it rarely becomes malignant.As for treatment, surgical intervention is primarily used.