Chocolate Cyst/ Endometrioma: Definition, Causes, Symptoms, Diagnosis, and Treatment

Definition of Chocolate Cyst/ Endometrioma
Ovarian chocolate cyst is one of the lesion of endometriosis, it’s a fragment of endometrium implanted on the surface of the ovary, forming ectopic lesions, every menstrual period has local bleeding, it enlarges ovarian, formed cyst that contains accumulate blood, this kind of blood is brown, mushy, resemble chocolate, so they call it “chocolate cyst”. The cyst wall is poor and brittle, with a tendency to spontaneously rupture.
Endometrioma is the presence of endometrial tissue in and sometimes on the ovary. It is the most common form of endometriosis. More broadly, endometriosis is the presence of endometrial tissue located outside the uterus. The presence of endometriosis can result in the formation of scar tissue, adhesions and an inflammatory reaction. It is a benign growth. An endometrioma is most often found in the ovary. It can also develop in the space behind the uterus, the surface of the uterus, and between the vagina and rectum.

Causes of Chocolate Cyst/ Endometrioma
The incidence of chocolate cyst is mainly related to childbirth, multiple abortion, etc. The shed endometrium after birth is implanted in the cervix, vagina and pelvic cavity, and repeatedly induced abortion will suck it into the pelvic by negative pressure. In addition, some small operations of gynecology, such as oviduct ventilation or water, the cervical perm, freezing and so on, may cause menstrual shedding of endometrium implant here, so the endometriosis forms later.
Symptoms of Chocolate Cyst/ Endometrioma
Ovarian chocolate cyst symptom has individual difference, a few patients do not have any symptoms, most people start out with abnormal dysmenorrhea, dysmenorrhea is the most obvious symptom of endometriosis, but it is the most easily overlooked precursor. Then, pain during intercourse is an obvious sign, moreover, you can't get pregnant without contraception. In infertile women, endometriosis causes high rate of infertility and abortion.
Diagnosis of Chocolate Cyst/ Endometrioma
Vaginal 4D Ultrasound
6 Checkups of Electrochemical Luminescence Hormone
CA125 Auxiliary diagnosis
Electronic laparoscope
Pathology Final Diagnosis
Treatment of Chocolate Cyst/ Endometrioma
Chocolate cysts in addition to making women miserable during each period, the biggest problem is lead to infertility. Because it can damage tissues in the body, if it's near the stomach, it can cause diarrhea and stomach pain; if its in the ovarian, it can affect ovarian, oviduct function, cause infertility. Severe chocolate cysts even fundamentally subvert women's maternal duties. Chocolate cyst is the most difficult benign tumor to be treated. It sticks and flows everywhere, and it gets worse every time you are having period. After treatment it is easy to relapse, difficult to heal. Chinese, western medicine therapy, operation are very traumatic, and with slow recovery, postoperative adhesion is very serious will aggravate the original condition, so it is not recommended to choose surgery. The surgical removal of the uterus and ovaries has cured certain number of patients, but removing the organs can be very painful for women entering menopause early.
Beijing Antai Hospital has domestic first-class endoscopy experts and international advanced hysteroscopy, laparoscope and interventional therapy technology, to form a team of assisted pregnancy and laparoscopy that meets world health organization standards, the treatment of ovarian chocolate cyst was performed under the miniature laparoscopic cyst stripping, at the same time apply biological anti-mucous membrane, does not operate, does not remove the ovary, will not have a relapse, does not affect the fertility, Beijing Antai Hospital encourages patients' families to watch the operation on site, intraoperative CD will give to the patient after operation, Beijing Antai Hospital uses the most delicate small instrument, the most professional technology, the most economical price to return every patient with the most precious health.


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