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Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

Endometrioma Treatment

Endometrioma Treatment

In short terms, chocolate cyst, more often known as endometrioma cyst, endometriosis disease is called the Cystic structure of the ovary. Because of the presence of a dark brown, tar-like liquid inside the cysts, it is also known as a chocolate cyst. In women suffering from endometriosis who apply for Endometrioma treatment, it is possible to encounter these cysts when endometrial tissue forms in the area outside the uterus.


Of course, the sentence established for many diseases applies here; treatment should be planned according to the complaint caused by the disease and the needs of the patient. In this way, two types of treatment plans arise; the first is the medical method, that is, drug therapy. The second is surgery, that is, surgery.


Symptoms Requiring Endometrioma Treatment (Chocolate Cyst Treatment)

The most common complaint in patients applying for Endometrioma treatment is severe groin pain during menstruation. Approximately 60-70% of patients experience this pain. These pains occur more severely than normal menstrual pains, and the severity of pain may increase over time. In addition, some patients may experience very intense and excessive bleeding during menstruation. Endometriosis (chocolate cyst) can also cause pain during or after sexual intercourse.

Patients may also experience pain during defecation or urination. In addition, infertility problems may occur in some women due to endometriosis (chocolate cyst). Most patients do not consult a doctor for diagnosis and treatment when the severity of other symptoms is low or there are pains mixed with normal menstrual pains. The first diagnosis of Endometrioma disease is usually made by consulting a specialist doctor due to the problem of infertility. Some of the most common symptoms of endometriosis (chocolate cyst) include:

  • Abdominal cramps/swelling during the menstrual cycle
  • Abnormal bleeding/spotting
  • Periods of severe pain
  • Excessive vaginal bleeding
  • Pain during sexual intercourse
  • Feeling of pain in the legs
  • Backache
  • Chronic pain in the groin
  • Dark vaginal discharge
  • Painful bowel movements when going to the toilet
  • Pain during exercises such as bending and stretching
  • Back pain
  • Infertility in some women


In Who?

Endometriosis, a disease that occurs in about 10% of women, most often occurs in the age group of 25-34 years Dec. A chocolate cyst is decidedly more likely to occur among women suffering from endometriosis. Endometriosis (chocolate cyst) can occur in 25-30% of women with endometriosis, both ovaries.


How Is Endometriosis Treated?

Endometrioma treatment (chocolate Cyst Treatment) is a method that can be treated with medication and surgical intervention. Sometimes, both decks may need to be used together. In cases where medication does not work, surgical intervention may be resorted to.

Drug treatment: nonsteroidal anti-inflammatory drugs can be used to prevent intense and severe pain that people experience during their menstrual periods. Hormone supplements can also be made to patients to relieve these pains caused by Endometrioma (chocolate cyst). Endometrial tissue first thickens with the effect of hormones produced in the body during the menstrual cycle, and then breaks down and is removed from the body with menstrual bleeding. But people who are considering pregnancy do not resort to the use of hormone supplements.

Surgical treatment: in patients who cannot be treated with medication or whose desired result cannot be achieved with medication, treatment resorts to laparoscopic surgery. Laparoscopic surgery is performed by making a small incision in the area of the navel while the patient is under general anesthesia. Thanks to this small incision, the area where the cyst is located are reached and the cyst is removed and the treatment is completed. Laparoscopic surgical treatment of Endometrioma requires a technique that requires extreme expertise. In this treatment, it is extremely important to apply treatment without creating a decrease in ovarian reserve.



If you have endometrioma, are experiencing symptoms, or have infertility, your doctor may suspect endometriosis. During a pelvic examination, you can also find a cyst. Ultrasounds are a convenient method of determining the presence of cysts, but they do not help in determining the type of cyst you have. To find out if a cyst is an endometrioma, your doctor will want to take fluid from the cyst and test it during a needle biopsy.

During the biopsy, your doctor takes a sample by extending the needle from the vagina to the endometrioma. Fluid and tissue samples are then examined in detail under a microscope to determine whether they contain endometrial cells, an important indicator for endometrioma. Endometrioma treatment is performed within the determined results.


What Causes Endometrioma (Chocolate Cysts)?

There is a lot of research on chocolate cysts. One theory is that these may be a result of endometriosis. The wall of these cysts acts as the wall of the uterus. It grows and then spills out in response to a monthly increase and decrease in female hormones. Instead of leaving the body, this tissue is trapped in the cavity of the cyst. Here it can create inflammation and disrupt the ovaries.


How Are Chocolate Cysts Diagnosed?

In the following cases, your doctor may order a pelvic ultrasound:

  • If you notice a cyst during a pelvic exam
  • If they suspect you have endometriosis, depending on your symptoms
  • If you are experiencing unexplained infertility

An ultrasound can detect if there is a cyst. But it cannot definitively determine what type of cyst it is. To definitively diagnose a chocolate cyst, your doctor will take fluid and tissue samples from inside the cyst. This is usually done with the help of a needle biopsy.

Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

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