What is a chocolate cyst?
Chocolate cyst is a type of growth that occurs on the ovaries. This is due to endometrial cells, which usually form the uterus lining, separate and travel to the outside of the ovaries, where they attach, grow and sometimes replace part of the ovaries. They are also called endometriomas, full of old blood, which forms a strong brown substance that resembles chocolate. This condition causes endometrial cells, usually found only inside the uterus, also grow on the outside. Once these groups of external endometrial cells are formed, there is a potential that can relax and migrate into the ovaries. Chocolate cysts are sometimes referred to as ovarian endometriosis. Hormonal fluctuations during the menstrual cycle affect their size, so the pain can come and the course of the moon. They usually do not cause infertility directly, but may disrupt ovulation. Sometimes these types of cysts break, causing a material similar to chocolate to escape into the pelvic cavity where it gets there tospaces between organs. Trip can be very painful and the material leakage can cause the affected organs to join together.
The diagnosis of chocolate cyst may include a few steps. Usually, the patient's history will be reviewed to see if it had cysts earlier or whether it had endometriosis. The doctor can perform a physical examination to test the masses on the ovaries. The blood test called Ca 125 will then usually be used to search for evidence of cysts; However, the same test is also used in the diagnosis of ovarian cancer, so that biopsy may also be necessary for real confirmation. Ultrasound, usually performed transvaginally, can also help confirm the presence of cysts.
If the chocolate cyst becomes painful or there is no need to burst, treatment may not be necessary. In cases where the condition becomes problematic, surgery may be required. The convenient option is to remove only the cyst using PRoledures called Cystectomy. In extreme cases where the cyst is too large or too many, the removal of the ovary may be required. This procedure is known as ooferectomy.