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Chocolate Cyst Treatment (Ovarian Endometrioma)

At Pristyn Care, we provide advanced care for chocolate cysts. Book an appointment with expert female Gynecologists near you for chocolate cysts treatment.

At Pristyn Care, we provide advanced care for chocolate cysts. Book an appointment ... Read More

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What are chocolate cysts (Ovarian Endometrioma)?

Chocolate cysts (Ovarian Endometrioma) are non-cancerous cysts filled with old and thickened menstrual blood, inflammatory enzymes, and endometrial tissue. They are usually found in women of reproductive age. It is found in 17 to 44% of women with endometriosis. Chocolate cysts vary greatly in size. Small-sized chocolate cysts don’t usually require any specific treatment. While large-size and recurrent cysts require surgical treatment.

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Why is it important to treat chocolate cysts?

Chocolate cysts (Ovarian Endometrioma) are of different sizes. Small-sized and asymptomatic cysts do not cause any major harm and usually dissolve on their own. But if the cysts continue to grow and get filled up with fluid and menstrual blood, they can twist on the pedicle and become too big. These enlarged cysts can interrupt the ovarian blood supply which can lead to severe complications such as acute pelvic pain, and vaginal bleeding. In such cases, emergency treatment is required. If you experience any of the above-mentioned symptoms, then do consult with gynecologist and seek emergency help. If the enlarged fluid-filled chocolate cysts are left untreated, then they may burst and increase the risk of infection in the surrounding tissues.

Are you going through any of these symptoms?

Best treatment center for chocolate cyst surgery in India

Pristyn Care is one of the most reputed surgery care providers in India. We are associated with multiple gynecological clinics and hospitals in almost all the major cities of India. If you are looking for the best treatment center for chocolate cyst surgery, then you must consider Pristyn Care. Here are some reasons why you should choose Pristyn Care for chocolate cyst surgery in India: 

  • We house a team of expert and highly experienced female gynecologists to provide the best treatment for chocolate cysts
  • We provide a dedicated medical coordinator to assist you throughout the treatment procedure. 
  • To ease the financial burden, we provide No-cost EMI service along with multiple payment options, including cash, credit card, debit card, and cheque. 
  • We provide the most advanced and USFDA-approved technology to remove chocolate cysts. 
  • We offer a free cab facility to and from the hospital on the day of surgery to make the patient’s commute easier.
  • We have a dedicated insurance team to assist you in claiming your insurance policy.

Diagnosis and Treatment of Chocolate Cyst (Ovarian Endometrioma)

Diagnosis of Chocolate Cyst (Ovarian Endometrioma) 

Diagnosis usually begins with a physical examination in which the doctor examines the swelling and redness caused by the cyst. If a doctor suspects a case of chocolate cysts, then he/she might recommend a few diagnostic tests to confirm it. Some common diagnostic tests that doctors recommend are as follows: 

  • Pelvic ultrasound: The doctor recommends this test to identify whether the cyst is present or not. But this test can’t necessarily determine the type of cyst. 
  • Needle biopsy: To perform a needle biopsy, the doctor inserts a needle through the vagina into the chocolate cyst. After that, the doctor extracts the fluid and debris from inside the cyst. The doctor examines the extracted fluid under a microscope. This test helps in identifying the type of cyst
  • Blood test: This test is usually performed to check for abnormalities linked to the hormones. It also helps in determining the levels of protein markers associated with ovarian cancer. 

Treatment of Chocolate Cyst (Ovarian Endometrioma)

The treatment of a chocolate cyst depends on several factors, including age, symptoms, and the future plans for pregnancy. Moreover, the treatment of chocolate cysts is broadly categorized into medication and surgical treatment: 

Medication: In medication, the doctor prescribes birth control pills to stop ovulation that helps in preventing the development of new cysts. In some cases, the doctor recommends non-steroidal anti-inflammatory drugs (NSAIDs) to manage chocolate cyst pain. Medication helps in temporarily managing the pain, but it can’t necessarily cure the cysts. 

Surgery: There are two surgical techniques that are used to remove chocolate cysts – Laparotomy and Laparoscopy

Laparoscopic surgery: This surgery is performed to remove chocolate cysts using a laparoscope. During the surgery, the doctor makes an incision through which they insert a laparoscope. A laparoscope is a long thin, tube-like medical device with a light and camera on its end. During this surgery, there is a chance of the removal of healthy ovarian tissue along with the cysts. This might affect ovarian function negatively. Laparoscopic surgery is performed under the influence of spinal or general anesthesia. 

Laparotomy surgery: It is an open-cut surgery that involves a large incision. It is the  traditional surgical method to remove a chocolate cyst. During laparotomy, a large cut is made in the tummy which gives the surgeon better access to the cyst. After that surgeon removes the cysts and stitches or staples the incision. The surgeon sends the cyst sample to the laboratory to check whether it’s cancerous. This surgery is performed under the influence of general anesthesia.

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When to consult a doctor for Chocolate Cyst (Ovarian Endometrioma)?

If the cyst is enlarged and recurrent, then there are higher chances that it can rupture and cause infection. Consult your doctor and seek emergency help if you experience any of the following symptoms: 

  • Painful periods
  • Heavy menstrual periods
  • Severe pelvic pain
  • Nausea, vomiting, or constant bloating
  • If cysts are painful and recurrent 
  • Pain during sexual intercourse
  • Feel fullness or heaviness in your abdomen

What size of the chocolate cyst is considered as dangerous?

Small and asymptomatic chocolate cysts (Ovarian Endometrioma) do not cause any harm as they dissolve on their own.  If the number of cysts is high or the cysts are larger than 4 centimeters, then the risk of complications such as severe pain, bleeding inside the pelvis, and infection of the surrounding tissues is much higher. The larger the cyst, the greater the risk of rupture. If you experience symptoms such as severe pelvic pain and irregular periods, then you must consult with gynecologist. Any delay in the treatment can increase the chances of infection in the nearby organs and may also put you at the risk of cancer.

What questions do I need to ask my gynecologist before chocolate cyst treatment?

It is extremely important to ask your gynecologists some questions before chocolate cyst treatment. It helps you understand the treatment procedure and its risks and complications. Here is a list of questions that you must ask your gynecologist before the treatment: 

  • How effective is medication for chocolate cyst treatment?
  • What should I avoid if I have a chocolate cyst?
  • What if chocolate cysts are left untreated?
  • What to expect during the surgery?
  • How effective are home remedies for a chocolate cyst?
  • How can I cure chocolate cysts fast?
  • What is the main cause of chocolate cysts?
  • Does insurance cover the cost of chocolate cyst treatment?
  • What is the best treatment option for a chocolate cyst?
  • What are the different surgical methods for chocolate cyst removal?
  • What are the chances of recurrence of chocolate cyst after the surgery?
  • Do chocolate cyst surgery affect my fertility?
  • How do I prepare myself for chocolate cyst surgery?
  • What precautions do I need to take to avoid the chances of a chocolate cyst in the future?

What are the risks and complications associated with chocolate cyst surgical treatment?

Chocolate cyst treatment provides relief from the pain and other symptoms like bloating, bleeding, and pelvic pain. But like any surgical treatment, chocolate cyst surgery is also linked with several risks and complications. Some of the common risks and complications of chocolate surgery are as follows: 

  • Chances of internal bleeding in some cases of operative error.
  • If the chocolate cyst bursts during the surgery, then its composition, like menstrual blood, fluid and mucous, spreads to the surrounding tissue and increases the risk of infection in the nearby organs like the bladder. 
  • Chances of excessive vaginal bleeding, abdominal swelling, or pain.  
  • Chances of allergic reaction to anesthesia, such as – nausea, vomiting, sore throat and muscle aches
  • Chances of blood clots
  • Chances of hemorrhage

FAQs around Chocolate Cyst (Ovarian Endometrioma)

Are chocolate cysts cancerous?

No, most of the chocolate cysts are benign and asymptomatic and may not require any specific treatment as they dissolve on their own. The chances of chocolate cysts turning into cancer are quite high in women of post-menopausal age.

How can I prevent chocolate cysts (Ovarian Endometrioma)?

There is no specific way to prevent chocolate cysts. However,  you can adopt a few lifestyle changes to reduce the chance of a chocolate cyst occurrence. Some lifestyle changes are as follows: 

  • Exercise regularly to improve metabolism and hormone regulation
  • Avoid smoking and drinking alcohol
  • Get enough sleep and stay hydrated
  • Eat healthy and balanced meals

Which is the best treatment option for chocolate cysts?

The treatment procedure for chocolate cysts depends on the number and size of the cysts. Small and asymptomatic cysts do not require any specific treatment. A doctor will likely prescribe medication if the cyst is small and shows mild symptoms. While in severe cases, when the cyst is large and recurrent, surgery is required. In such cases, delaying treatment can lead to serious complications.

What are the signs and symptoms of chocolate cysts?

The common signs and symptoms of the chocolate cyst are as follows – 

  • Irregular periods
  • Pelvic pain
  • Painful and crampy periods
  • Pain during sexual intercourse

What are the risk factors for chocolate cysts (Ovarian Endometrioma)?

Some common risk factors for chocolate cysts include – 

  • Immune disorders
  • Retrograde menstrual flow
  • Hormonal problems
  • Fertility drugs

How do you know if the chocolate cyst has burst?

You might experience the following symptoms if the chocolate cyst burst: 

  • Sudden, sharp pain in the lower belly or back
  • Vaginal spotting or bleeding
  • Abdominal bloating

If you experience any of the following symptoms, then consult your gynecologists and seek emergency care.