Patient's question:
Detailed medical condition and consultation purpose: Severe pain during every menstrual period, making it impossible to work or live normally. The pain is so intense that I cannot even stand up. The menstrual cycle is 7 days long. I have been experiencing mild lower abdominal pain all the time. This condition has been going on for about a year. After visiting a local hospital, the doctor diagnosed me with chocolate cysts of the ovaries. The ultrasound results are as follows: Right ovary 47?35mm, with several cystic dark areas inside, the largest about 16?12mm in size. Part of the cyst is filled with fine speckled echoes, and another cystic dark area of about 41?42mm in size is seen nearby, filled with fine speckled echoes. Left ovary 39?23mm.Doctor's answer:
Ovarian chocolate cyst is a "mass" but not a "tumor"; it is a type of lesion caused by endometriosis. This cyst can gradually increase in size and sometimes ruptures during or after menstruation, although it rarely becomes malignant. The principle of treatment is that young women with fertility requirements are generally treated with medication and followed up regularly. If the symptoms are severe, the medication is not effective, or there are large cysts on the ovaries, conservative surgery can be performed, such as chocolate cyst aspiration of the ovarian endometrial cyst, endometrial cyst enucleation, or removal of the affected ovary, to preserve normal ovarian function and fertility. However, recurrence is still possible after conservative surgery. Patients should adhere to follow-up and strive to get pregnant as early as possible. For women over 40, who are older and do not have fertility requirements, the entire uterus, one or both ovaries, and fallopian tubes can be removed. Please actively treat according to the specific situation.