Patient's question:
Menstrual pain, low menstrual volume, lower abdominal pain for three months. Lower back and feet feel cold.Doctor's answer:
Under normal circumstances, the endometrium grows inside the uterine cavity and is influenced by female hormones in the body, shedding once a month to form menstruation. If during menstruation, the shed endometrial fragments flow back 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 affected by sex hormones and sheds repeatedly with the menstrual cycle, causing bleeding. If the lesion occurs on the ovary, local bleeding occurs during each menstrual period, causing the ovary to enlarge and form a cyst containing old blood. This old blood is brown, viscous, and paste-like, resembling chocolate, hence it is also called a "chocolate cyst."For chocolate cysts smaller than 8 cm, medication can be used to shrink them until they completely disappear. For larger cysts, surgical treatment is preferred to prevent them from twisting or rupturing due to physical movement. Additionally, oral contraceptives can help prevent the recurrence of chocolate cysts to some extent. The effectiveness of traditional Chinese medicine is currently unclear. It is recommended to use Western medicine for treatment. Wishing you a speedy recovery!!!