Are chocolate cysts and endometriosis the same disease?
Actually, yes. Endometriosis is a chronic disease that can be observed in 1 in 10 women in society, can involve various tissues in women, and reduces their standard of living. This disease can spread, just like tumors, and thus its stage increases. But let's be clear about this, 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 unilateral or bilateral.
How do chocolate cysts cause symptoms?
Although it does not cause any problems, it can cause severe groin pain, nausea, abdominal pain, menstrual periods. It may cause severe pain and infertility. In addition to pain, it is also among the causes of infertility. Especially large cysts can rotate the ovary around themselves, disrupting blood flow, or bursting, creating an emergency situation.
When is it necessary to treat these cysts? Which methods are used?
When chocolate cysts are unilateral and very painful, surgery can be decided based on their size. Again, if the patient is young, has good egg reserve and is large in size, a surgery plan can be made. We generally recommend laparoscopy, that is, closed surgery. It is very important to look at the ovarian reserve when making this decision. If the reserve is low, by which we mean that the AMH value is <1ng/ml, the decision for surgery should be reconsidered.
Is it possible to treat chocolate cysts with medication?
Yes. In some cases, these cysts can be treated with hormones for a period of 3-6 months. Especially in women who describe severe and persistent pain during menstrual periods, cysts can be suppressed with hormones if surgery is not planned.
Can women with this cyst have children?
Yes it could be. What is important is the ovarian reserve and the condition of the tubes. A woman with good reserves and open tubes can become pregnant spontaneously. If there is a surgery plan, spontaneous pregnancy can still be observed in the first year, especially in advanced stages.
When would you recommend in vitro fertilization?
In vitro fertilization is a very effective form of treatment, but it is always right to recommend it to everyone. bend down. The following 4 issues are very important to decide on in vitro fertilization:
female age
ovarian reserve
Duration of marriage
sperm characteristics
If the woman's age is >38, the reserve is at the limit, there are bilateral cysts, the tubes are blocked and if the sperm count is low, it is necessary to proceed to in vitro fertilization treatment without delay. If there is no problem with these values, if the age is young and the marriage period is short, waiting or vaccination may be recommended as a form of treatment.
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