What are the symptoms of chocolate cysts is it possible to have children?
We gathered the curiosities about chocolate cysts that we often hear in women and known as cyst disease! Can a woman with a chocolate cyst have …
We gathered the curiosities about chocolate cysts that we often hear in women and known as cyst disease! Can a woman with a chocolate cyst have a child? Ufuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Assoc. Dr. Emre Pabuçcu made important statements about endometriosis and chocolate cysts.
CHOCOLATE CystS ENDOMETRIOSIS IS THE SAME DISEASE?
Endometriosis is a chronic disease that can be monitored in 1 out of every 10 women in the society, can involve women in various tissues, and lowers the standard of living. This disease can spread just like tumors and thus its stage increases. But let’s explain this issue, this disease is not a cancer. Chocolate cysts are the condition seen in the ovaries in the advanced stages of this disease. It can be one-sided or two-sided.
WHAT ARE THE CHOCOLATE CystS SYMPTOMS?
As it will not cause any problems, it may present with severe groin pain, nausea, abdominal pain, severe pain during menstrual periods and infertility. Besides pain, it is also considered among the causes of infertility. Large cysts in particular can rotate the ovary around themselves, disrupt blood flows or burst, creating an emergency.
When is it necessary to treat these cysts, what methods are used in treatment?
Chocolate cysts can be decided by surgery, especially when one-sided and very painful. Again, if the young patient has a good egg reserve and size, the surgery plan can be made. We usually recommend laparoscopy, that is, closed surgery. It is very important to look at the ovarian reserve while making this decision. If the reserve is low, we mean that the AMH value is <1ng / ml, it is necessary to review the surgery decision. Because even in the most skilled hands, there is a decrease in reserve after surgery. This carries the risk of early menopause. Surgery is risky, especially in the presence of 2-sided-large cysts and if there was previous surgery.
HOW TO TREAT CHOCOLATE CYSTS?
These cysts can be treated with hormones in some cases for 3-6 months. Hormones and cysts can be put under pressure if surgery plan will not be performed in women who describe severe and resistant pain especially during menstrual periods.
WILL THE WOMEN WITH CHOCOLATE CYST HAVE CHILDREN?
The important thing is the ovarian reserve and the condition of the tubes. A woman with good reserves and open tubes can conceive spontaneously. If there is an operation plan, pregnancy may be observed spontaneously in the first year, especially in the advanced stages.
IVF is a very effective treatment, but it is not always right to recommend it to everyone. The following 4 issues are very important for IVF decision: Symptoms such as female age, ovarian reserve, duration of marriage, sperm characteristics should be taken into consideration.
If the woman’s age is more than 38 and the reserve is on the border, if there is a 2-sided cyst, if the tubes are clogged and the sperm count is low, it is necessary to proceed to IVF treatment without delay. If these values are OK, age is young and the marriage period is low, waiting or vaccination can be recommended as a treatment method