Patient's question:
Patient is 21 years old. One month ago, bilateral ovarian cysts were discovered.Hospital examination report suggests possible chocolate cysts. One side measures 10585103, the other side measures 857072.
One year ago, the patient had an induced abortion (initially medication abortion failed, followed by surgical abortion).
Doctor's answer:
Hello: According to your description, the general approach for treating chocolate cysts of the ovary currently involves medication and surgical treatment. Medication-based treatments include: pseudopregnancy therapy, pseudomenopause therapy, etc. However, these can only alleviate symptoms and control progression, and the condition tends to recur after medication is stopped. Therefore, surgical treatment is often recommended for chocolate cysts of the ovary. Surgical options include laparoscopic surgery and open surgery. Young patients who wish to have children may undergo cystectomy combined with ovarian reconstruction. For those who do not wish to have children, a semi-conservative surgery is performed, which involves total hysterectomy and removal of the affected adnexa.