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Discussion in 'All Categories' started by swati shah - Feb 23rd, 2013 1:28 pm.
swati shah
swati shah
hi, i have been diagonised with suspected chocolate cyst on my left ovary which has grown to thrice the size of right ovary. i have immense pain during periods and also while passing stool during those times. my gynec suggested laproscopy but i would like to know if it is absolutely necessary. couldnt it be controlled or treated with medication??
re: endometriosis by Dr J S Chowhan - Feb 25th, 2013 9:00 am
Dr J S Chowhan
Dr J S Chowhan
Dear Swati Sgah

Lots of women have asked what is a chocolate cyst which is also called an endometrioma, it can be one of many types of cysts on ovaries which affect women. A chocolate cysts are a sac or pouch growing on the ovary that contains fluids and infrequently semi-solid material too, whereby it could be known as complex ovarian cyst. Since the endometrial tissue inside the cyst responds to monthly hormones it bleeds and fills the inner of those cysts with unclotted blood. Chocolate cysts acquire name from the dark old blood that grossly resembles chocolate. Other names for chocolate cyst are endometrial cyst, endometrioma cyst, and chocolate ovarian cysts. A women with all the disease endometriosis could have tissue internally the top of her uterus affix to the ovary. These patches of endometrial cells may form small cysts that multiply into even more cysts when stimulated by menstrual hormones. Because cysts spread they are able to get involved with the ovary itself, replacing the traditional tissue required for ovulation. Inflammation and irritation of nearby organs may be a consequence of chocolate cysts spreading around the pelvic cavity.

Countless women is going to be afflicted with endometriomas each year. Approximately a couple of percent of women can have one at some time on their life, typically throughout their childbearing years. Many women are certain to get them within the ovary around the left side from the body. Among the critical difficulty with chocolate cysts is that they have a tendency to reoccur. Usually, how big an endometrioma ranges from about half one inch to four inches or even more across. A lot of women are curious about knowing in case a chocolate cyst will prevent or restrict pregnancy. You'll be able for a lady to still get pregnant even without detaching the endometrioma. The odds to become fertile are incredibly good if you have only one cyst in fact it is small in proportions. The reply is not too clear in more advanced cases where multiple cysts are present and several are bigger a couple of inches in diameter. Some studies have shown pregnancy rates of 50 percent inside the first 36 months following treatment. Further, the likelihood of conceiving are optimized within about few months after successful treatment and healing of the ovaries. In the bottom line, the healthiness of the person and her wishes for childbearing is important factors contributing to the structure of a successful pregnancy.

Chocolate Cysts Symptoms The signs and symptoms of a chocolate cyst are similar to endometriosis symptoms because the underlying disease is the identical. Various other conditions mimic this condition including ovarian cyst symptoms, pcos symptoms, and ectopic pregnancy. Its not all women can have the identical symptoms. In reality, some might have severe symptoms and some have none whatsoever. The extent and harshness of symptoms do not invariably correlate with what lengths the illness has progressed. By way of example, you'll be able with an endometrioma to become present for a long time without symptoms or conversely be very noticeable during the early stages of their growth. Abdominal cramping or swelling during a menstrual period the type of symptom for ladies with endometriomas. Another possible manifestation of a cyst is progressively painful periods. Pain may also be felt while emptying the bowels or bladder.

Sexual intercourse and also other regular activities for example exercising or bending and stretching could possibly be painful. Sometimes a cyst may press upon the ovary causing it two twist until its blood supply is stop. This often ends in intense, sharp pain. Chocolate cyst rupture is yet another supply of severe pain. If your chocolate cyst ruptures the contents may spill out on top of the ovaries along with other organs with the pelvis. This might lead to complications such as adhesions, infection, and intense pelvic pain. A ruptured ovarian cysts can be quite a serious medical emergency and you need to do something without delay in case you have symptoms like excessive bleeding, fever, vomiting or severe pain. Bleeding away from usual menstrual cycle is another sign of endometriomas. A girl may notice her bleeding is occurring at odd times or spotting among periods.

Post-menopausal ladies who have vaginal bleeding also need to be worried about a good a cyst. Excessive bleeding and dark colored discharge from your vagina are also possible signs of a chocolate cyst. Chocolate Cyst Treatment Typical options for chocolate cyst treatment include medication with drugs and surgery. Drugs could be useful when you are relieving symptoms temporarily along with treat or actually get rid of the cyst. Danzol and GnRH are a couple of such drugs frequently used. Surgical procedures are often recommended but has its own problems also. Often during surgery healthy ovarian tissue is taken away with all the cyst resulting in lowered fertility to the woman. Sometimes the entire ovary have to be removed depending on the size and number of cysts. Other complications can also result from surgery for example scarring, adhesions, and cuts towards the rectum or bladder. The scariest thing a female are able to do is usually to have unnecessary surgery that produces injury to ovaries or any other organs.

With regards

J S Chowhan
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