Patient's question:
Ovarian chocolate cyst 5.7x4.9x5.3cm, painful menstruation for 3 years.Doctor's answer:
Chocolate cysts are lesions formed when the endometrium invades the ovaries, affecting 80% of patients. In 50% of cases, both ovaries are involved. In the early stages, purple-brown spots or small vesicles can be observed on the surface and cortex of the ovary. As the condition progresses, the endometrial tissue within the ovary repeatedly bleeds, forming one or more cysts. The cysts contain dark brown, viscous, old blood, resembling chocolate liquid, hence the name "chocolate cyst." If these cysts grow, the internal pressure can become excessively high, causing small fissures in the cyst wall and minor blood leakage.Endometrial disease is associated with factors such as miscarriage, cesarean section, and intrauterine surgery. Clinical manifestations include dysmenorrhea (painful menstruation), uterine enlargement, menstrual irregularities, and anemia. Western medicine primarily advocates surgical or hormonal treatment. Surgery can only remove visible tumors but cannot eliminate cancer cells in the blood or lymphatic system, leading to high recurrence rates postoperatively. Additionally, surgery may easily disrupt the patient's endocrine balance, causing insomnia, skin aging, irritability, and other symptoms that affect quality of life. Hormonal therapy can only provide symptomatic relief and fails to address the root cause of the problem. Moreover, hormones have significant side effects on the body.