What are the harms to the body after getting chocolate cysts?

Patient's question:

Lower abdominal pain, lower back pain, and fatigue. Examination revealed a 36 cm ovarian cyst in the right lower abdomen.

Doctor's answer:

Hello, ovarian chocolate cyst is a mass but not a tumor. It is a type of lesion of endometriosis, and the early symptoms are not very obvious. Generally, it can only be detected through a gynecological examination. However, as the condition progresses, patients may experience abnormal menstrual pain. Dysmenorrhea is the most prominent symptom of endometriosis and is also the easiest to overlook. Additionally, there may be pain during intercourse, which is also a clear signal and may be accompanied by spotting.
Ovarian chocolate cysts not only cause women immense pain during each menstrual period but also the biggest problem they cause is infertility. This is because they can damage the tissues in the body. If they are near the gastrointestinal tract, they can cause diarrhea and stomach pain; if they are in the ovaries, they can affect the function of the ovaries and fallopian tubes, leading to infertility.

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