Chocolate ovarian cyst, when to have surgery

Patient's question:

Started experiencing menstrual irregularities in 2010, and traditional Chinese medicine regulation showed significant effects.
In 2013, an ovarian cyst was detected. Menstruation was often delayed, accompanied by abdominal and lower back pain.
In July 2015, menstruation had not occurred for nearly two months. An ultrasound revealed hemorrhagic changes in the left ovary and suspected chocolate cysts on the right. The doctor recommended laparoscopic surgery.

Doctor's answer:

There are many methods for treating chocolate cysts, and the specific treatment chosen varies depending on the individual patient's condition.
1. Conservative treatment: Only the endometrial implants are removed, including the excision of endometriomas from the ovaries, while preserving the ovaries and uterus. However, conservative treatment has a recurrence rate of about 58%.
2. Drug therapy: Pregnancy is a very effective treatment for this condition, but it is difficult to conceive with this condition. Therefore, if pregnancy is achieved, it can be a "two birds with one stone" solution. If pregnancy is not possible, false pregnancy or false menopause therapy can be adopted.
3. Surgical treatment, which can be performed using hysteroscopic and laparoscopic techniques.

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