If there is a family history of chocolate cysts...
Chocolate cysts, which are defined as endometriosis and develop on the floor of the outer part of the uterus in the sub-abdominal region, are an important health problem for women of reproductive age. It manifests itself when the tissue called the endometrium in the uterus settles in the ovarian tissue. Chocolate cysts occur in more than 300 million women around the world. In our country, approximately 2.4 million women are faced with this health problem. Women who have chocolate cysts in their families, especially in their sister or mother, are at 6 times more risk of developing chocolate cysts compared to other groups.
The immune system is effective in the formation of disease
The menstrual process in women when the 'endometrium' layer in the uterus is thrown out, the same layer can be poured back into the abdominal cavity through the tubes. While this refluxing blood cleans up in women with a healthy immune system, chocolate cysts form in those with a problem in the immune system. The endometrium layer in the abdominal cavity adheres to the tubes, ovaries, even intestines or urinary bladder and causes inflammation. Bleeding, tissue healing and adhesions in the abdomen occur in the later stages of the disease.
Watch out for the symptoms!
Inguinal pain that may be during menstrual periods or continuous
Pain in sexual intercourse
Infertility in women whose cause cannot be determined may manifest itself as the symptoms of chocolate cyst.
One of the most important causes of infertility
Chocolate cyst is one of the most important causes of infertility in women who cannot have children. It is seen at a rate of 17%. Since the disease creates inflammation in the abdominal cavity and causes adhesions in the tube and ovaries, it disrupts the compatibility of the inner wall of the uterus for pregnancy and leads to a decrease in ovarian reserve and thus infertility.
Surgery is now secondary. /p>
The treatment of chocolate cysts was performed with surgery until 10 years ago in the world and in our country. However, considering the negative effects of surgery on ovarian reserve, surgery is now considered the first choice for women who have a pregnancy plan. is laboring. Surgery is not recommended for patients, except in certain situations such as severe pain or suspected cancer. In cases where surgery is necessary, eggs are collected before surgery and stored by freezing. Egg retrieval is a viable option after surgery to protect the patient's egg reserve against the risk of possible ovarian damage. It is recommended that women who have chocolate cysts in both ovaries should not delay their desire to have a child. If pregnancy does not occur in pregnancy, an IVF specialist should be consulted. The patient's ovarian reserve, whether the tubes are open, and the sperm status of the patient's partner are evaluated. According to the results of the tests, the treatment and follow-up method to be applied to the patient is determined. In infertile women over 35 years of age with chocolate cysts, time is of critical importance.
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