Patient's question:
Medical history and treatment outcomes: Recently, I have been experiencing dull pain in the lower right abdomen, which intensifies in the morning. In early November 2005, I visited a hospital in Beijing and was diagnosed with bilateral ovarian cysts, measuring 6.5 cm on the right and 6.0 cm on the left. Subsequently, I continued treatment at Peking Union Medical College Hospital. Ultrasound revealed a uterus measuring 6.56.14.0 cm, with an endometrial thickness of 0.9 cm. The left adnexa measured 6.15.3 cm, showing no echoes, while the right adnexa measured 8.95.3 cm, also showing no echoes. The two were connected, with thick walls filled with dense bright spots. The cervix displayed several anechoic areas, the largest measuring 4.1 cm. The ultrasound suggested 1. Bilateral adnexal cystic masses, consistent with dermoid cysts, and 2.Doctor's answer:
Chocolate cyst is a type of lesion of endometriosis. If the lesion occurs on the ovary, there is local bleeding during each menstrual period, causing the ovary to enlarge and form a cyst containing old blood. This old blood is brown, viscous like paste, resembling chocolate, hence the name chocolate cyst. The main symptom is dysmenorrhea, accompanied by dyspareunia, infertility, and ovarian endometrial cysts.Treatment: For young women with fertility requirements, medication is generally used along with regular follow-up and examinations. If the symptoms are severe and the effect of medication is not significant, or if there are large masses in the ovary, conservative surgery can be performed, such as chocolate cyst aspiration of the endometrial cyst, endometrial cyst enucleation, or removal of the affected ovary, to preserve normal ovarian function and fertility.