Endometriosis – What is a Chocolate Cyst?
Endometriosis is a benign but progressive chronic disease that occurs when the endometrium layer, which forms the uterine wall, is located in other organs. Endometriosis is a common disease that occurs in one of every 10 women. Although it can be seen at any age, it is most common in women between the ages of 25-35. Cysts caused by endometriosis in the ovaries are called endometriomas or chocolate cysts.
Why Does Endometriosis Occur?
Indeed Endometriosis The exact cause is unknown. The most widely accepted theory is; What happens every month is the outward flow of blood flow from the tubes backwards into the abdomen, and the formation of adhesions and inflammation at the end of the process.
Which Organs Does Endometriosis Affect Most Often?
p>The structures most commonly affected by endometriosis are ovaries, fallopian tubes, bladder, intestines and abdominal cavity. Cysts caused by endometriosis in the ovaries are called endometriomas or chocolate cysts.
What are the Symptoms of Endometriosis?
The most Common symptoms include increased groin pain during menstrual periods, pain during intercourse, pain during urination, bloody urination, and pain during defecation. In addition, it can cause infertility (infertility) due to the damage it causes to the reproductive organs.
1-) Menstrual Period Waist and Abdominal Pain
Painful menstrual periods, also called dysmenorrhea It usually manifests itself as cramps. It may be experienced in the form of back and abdominal pain for a few days. It is a situation that can be seen to increase in severity for a few days.
2-) Experiencing Pain during Sexual Relationship
Chocolate cyst is sexually active, as it causes a painful sexual intercourse. It is possible to answer the question "does it cause reluctance" in this topic. Pain during or after intercourse is common. Feeling pain during intercourse can cause people to feel cold against sexual intercourse.
3-) Painful Going to the Toilet
Urination Experiencing pain when going to the toilet and toilet is another symptom of chocolate cyst. Painful going to the toilet can be experienced more during menstrual periods.
4-) Excessive Menstrual Bleeding
Another symptom of a chocolate cyst is that your menstrual bleeding is more intense than usual. Differences in the amount of bleeding between periods may become significant.
5-) Infertility and Other Symptoms
The reason for this may be endometriosis in couples who cannot have children. Endometriosis can both prevent the union of sperm and egg with the adhesions it will cause in the tubes, and also prevent pregnancy by reducing the ovarian reserve and quality
Other chocolate cyst endometriosis symptomsthe question can be answered as follows: p>
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Nausea
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Skin bloating
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Diarrhea
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Constipation
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Bloody urination
Severe pain can reduce quality of life. Daily life and sleep quality can be affected. As a result of this, declines in mood, depression and not being able to enjoy life represent a very difficult process for women. Although it is thought that the feeling of burnout will not go away, serious improvement is observed in complaints with appropriate treatment.
Symptoms of Deep Endometriosis
Deep endometriosis is the type of endometriosis. It defines the disease caused by endometriotic foci that go deeper than 5mm in the tissue. Contrary to popular belief, this situation is associated with the depth of the location, not the size of the endometriosis or chocolate cyst. The size of endometriosis or chocolate cyst is also evaluated.
Deep endometriosis can be seen in the tissue called peritoneum that covers the floor of the abdomen, on the intestine, urinary bladder, ligaments suspending the uterus, and on nerve fibers. In these areas, removal from the localized area can be performed with surgery.
Treatment of Endometriosis
Medical and surgical treatment options are available. Patient's age, findings, pediatric The condition and the prevalence of the disease are the determining factors in the treatment to be preferred.
The options in medical treatment are painkillers and hormone drugs. Hormonal treatment options include pills, injections, subcutaneous implants and intrauterine devices. We can use these treatments in the treatment of superficial endometriosis and chocolate cysts, which we call endometrioma.
However, surgery can be considered in deep endometriosis, when there is no response to pain, large chocolate cysts or recurrent IVF failures.
Chocolate Cyst Surgery and Endometriosis Surgery
A detailed evaluation must be made before treatment. This examination; Bimauen examination (touch) includes vaginal examination with speculum and examination with ultrasonography. If necessary, MRI may be requested for additional evaluation.
Laparoscopy is a surgical technique also called closed surgery. The image is projected onto the screen with a stick-shaped instrument with a camera and light source at the end of the 1 cm incision made in the navel. Depending on the treatment to be applied, the procedure is performed by placing surgical instruments suitable for laparoscopic operations through two or three 0.5 cm incisions made on both sides of the abdomen. During the procedure, the abdomen is inflated with carbon dioxide (CO2) gas so that all structures can be observed and surgery can be performed. In this technique, which was developed as an alternative to open surgery, surgery is performed through much smaller incisions.
During laparoscopic surgery, both the chocolate cyst (endometrioma) in the ovary and the deep tissue located in other organs in the abdomen. endometriosis foci can be cleared.
How Long Does Endometriosis Surgery Take?
The answer to this question varies according to the scope of the surgery to be performed. While chocolate cyst surgeries take around 1 hour, more than 2 hours may be needed for deep endometriosis surgeries.
When Can I Be Discharged Post-Surgery?
The length of stay in hospital after laparoscopic surgeries is generally 1 day, but this period may be longer after deep endometriosis surgeries.
Is Suture Traces Left After the Surgery?
The largest incision made in laparoscopic surgeries is 1 cm in size. Apart from this, there are also a few half cm incisions. These small traces will also disappear completely over time. It is possible to shorten this period with special gels that you will apply after the surgery, especially with the recommendation of your doctor.
When Can Pregnancy Be Considered Post-Surgery?
The period specified by the doctor for pregnancy decision after laparoscopic endometriosis or chocolate cyst surgery is taken into consideration should be available. Pregnancy can be planned 1 month after cyst surgery.
Chocolate Cysts Are Menstrually Excreted?
Chocolate cysts vary in size from a few cm to 15 cm, sometimes larger reaches dimensions. These cysts of different sizes cannot be removed during the menstrual period. On the contrary, bleeding from these endometriotic tissues during the menstrual period may cause an increase in cyst sizes.
Does Endometriosis Prevent Pregnancy?
Endometriosis pregnancy can prevent. It can both prevent the fertilization of the egg by the sperm by sticking to the uterus, ovaries and tubes, and reduce the success of pregnancy by reducing the ovarian reserves.
Does Endometriosis Recur?
Endometriosis has a risk of recurrence. To prevent recurrence of endometriosis, patients are given suppressive hormonal treatments after surgery
Therefore, it is important to diagnose as early as possible with regular gynecological controls, pelvic examination, and transvaginal ultrasonography.
Does Chocolate Cyst Turn into Cancer?
Although chocolate cysts are benign tumors, they have the potential to turn into ovarian cancer.
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