Recently, I saw a news on the Internet that a 30-year-old woman in Zhejiang had dysmenorrhea for five or six years without treatment, thinking that giving birth to a baby could treat dysmenorrhea, and a 15cm chocolate cyst was detected, and the doctor pulled out 500ml of "chocolate" from her stomach.
A chocolate cyst is a lesion of endometriosis. Endometriosis lesions occur on the ovaries, and local bleeding during menstruation enlarges the ovaries and forms cysts containing old blood accumulation, which is brown, viscous like paste, and like chocolate. The main manifestations are dysmenorrhea, chronic pelvic pain, abnormal menstruation, secondary infertility and other symptoms, and severe pain can occur when the cyst ruptures.
Chocolate cysts occur in different people, and the situation is different, some people will affect fertility, some people will not, some people will have obvious symptoms, some people will not, some people will develop the disease quickly, and some people will develop slowly.
Chocolate cysts are mostly caused by menstrual reflux, surgical procedures, etc. Menstrual intercourse, menstrual gynecological examinations, and cervical stenosis can cause menstrual blood to flow backwards, resulting in endometriosis that is stripped during menstruation to form chocolate cysts in the ovaries. Surgical procedures such as cesarean section, abortion, and tubal patency bring the endometrium to the ovaries and are also an important cause of the formation of chocolate cysts.
At present, the treatment of chocolate cyst includes drugs and surgery, mainly surgical treatment, including laparotomy and laparoscopic surgery, and the appropriate treatment method should be selected according to the patient's age, symptoms, lesion range, fertility requirements, etc. In general, smaller chocolate cysts can be treated with oral contraceptives or GnRH-a, and surgery should be performed in large patients or those who want to have children.
In daily life, we should also pay attention to the prevention of chocolate cysts, such as: pay attention to hygiene during menstruation, avoid sexual life, avoid intense sports and heavy physical labor, pay attention to keep warm, avoid feeling cold, especially in autumn and winter, learn to control emotions, maintain an optimistic and cheerful attitude towards life, and do not always sulk, so as to avoid endocrine disorders. People with a history of chocolate cyst should also have regular B-ultrasound re-examinations in order to detect the recurrence of the cyst in time and carry out targeted treatment.