Patient's question:
On the right ovary, two cystic masses are visible (possibly chocolate cysts), measuring 2.32.1 cm and 1.31.1 cm respectively. Both have rough walls and poor internal echo. In the left adnexal region, one cystic mass is observed, measuring 3.62.4 cm, with thin walls, good internal echo, and visible septal light bands.Doctor's answer:
Chocolate cyst (endometrioma) is a type of endometriosis. Currently, medications used to treat endometriosis usually cause the patient's menstrual cycle to cease during the course of treatment, 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 very thick, chocolate-like substance, and its absorption process is extremely slow. Clinically, it is common to see patients with many years of menopause still having persistent chocolate cysts. Therefore, while drug treatment may reduce the size of the chocolate cyst, completely eliminating it is relatively difficult. If symptoms do not improve after drug treatment, local lesions worsen, or fertility has not been restored, or if the chocolate cyst diameter is greater than 5-6 cm, especially for those who urgently desire fertility, laparoscopic surgery to remove the chocolate cyst may be considered.