Patient's question:
On the right ovary, two cystic masses are visible (possibly chocolate cysts), measuring 2.32.1cm and 1.31.1cm respectively. Both have rough walls and poor internal echo. In the left adnexal region, one cystic mass is observed, measuring 3.62.4cm, with thin walls, good internal echo, and visible septal light bands.Doctor's answer:
Chocolate cyst (endometrioma) is a type of endometriosis. Currently, drugs used to treat endometriosis generally stop menstruation during the medication period, and symptoms such as dysmenorrhea can be alleviated. The drugs can also inhibit the growth of ectopic endometrium. However, as the name suggests, the fluid inside the cyst is a thick, chocolate-like liquid, and its absorption process is extremely slow. Clinically, it is common for patients who have been menopausal for many years to still have "chocolate cysts." Therefore, drug treatment may cause the size of "chocolate cysts" to shrink, but it is relatively difficult to eliminate them. If symptoms do not improve after drug treatment, local lesions worsen, or fertility has not been restored, or if the diameter of the "chocolate cyst" is greater than 5-6 cm, especially for those who urgently want to conceive, laparoscopic surgery to remove the cyst may be considered.