Patient's question:
Last October, I had laparoscopic surgery to remove an endometrioma. After the surgery, I took Mifepristone for a month, and after a follow-up check-up, everything was normal. I started preparing to get pregnant, but I haven't been able to conceive yet. I would like to consult whether this surgery could affect fertility. If I need to go to the hospital, what tests should I undergo? Note: My husband has been checked and is in good health.Doctor's answer:
Chocolate cysts gradually increase in size and may rupture during or after menstruation, but they rarely become malignant. Chocolate cysts can be observed under the view of a hysteroscope, revealing endometrial-like tissue. Due to the old blood stagnation retained within the cyst, which has a consistency similar to chocolate paste, it is referred to as a "chocolate cyst."Advice: It is recommended that you visit a formal infertility hospital as soon as possible to identify the cause and adopt corresponding treatment measures based on the diagnosis. Avoid treatment to prevent unnecessary missteps. Pay attention to dietary adjustments, ensuring adequate intake of nutrients such as fatty proteins, B vitamins, folic acid, iron, and calcium. Maintain a light diet and consume more fresh vegetables and fruits.