Last August, chocolate cysts were detected, and now they have shrunk a little.

Patient's question:

Last August, chocolate cysts were detected, measuring 5.54.4. After taking medication for half a year, the size is now 5.43.7. Please give some advice.

Doctor's answer:

Hello, chocolate cyst is a type of endometriosis. When the cyst is small, medication can be used for treatment, and regular follow-up is sufficient. However, if the cyst is large, there is a risk of rupture or pedicle torsion at any time. Once it ruptures, the endometrial implants can spread to any part of the pelvic cavity, worsening the condition. Therefore, it is recommended to surgically remove the cyst if it is larger than four or five centimeters.

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