Post-Operative Concerns After Chocolate Cyst Surgery: Danazol Effects - Obstetrics and Gynecology

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Postoperative care for chocolate cysts?


Dear Doctor: I underwent laparoscopic surgery to remove a chocolate cyst on July 14, and I started taking Danazol on July 20.
Today, I am still experiencing dark brown bleeding, which becomes more noticeable when I use the restroom or exert myself.
Is this related to the oral medication? My last menstrual period was on June 26.
Will I still have my menstrual period while taking this medication?

Xiao Pingguo, 20~29 year old female. Ask Date: 2016/07/27

Dr. Lin Wenbin reply Obstetrics and Gynecology


It is necessary to assess the surgical condition using ultrasound and blood tests for evaluation.

Reply Date: 2016/07/27

More Info


After undergoing laparoscopic surgery to remove a chocolate cyst, it's understandable to have concerns about post-operative symptoms, especially when starting a medication like Danazol. Danazol is a synthetic androgen that is often used to treat endometriosis and related conditions, including chocolate cysts. It works by suppressing the growth of endometrial tissue and can help alleviate symptoms associated with these conditions.

Regarding your question about the dark brown discharge you are experiencing after starting Danazol, it's important to note that this medication can indeed affect menstrual cycles and cause changes in bleeding patterns. Danazol can lead to a reduction in menstrual flow or even amenorrhea (the absence of menstruation) in some patients. However, it can also cause breakthrough bleeding or spotting, especially in the initial stages of treatment. This could explain the dark brown discharge you are noticing, particularly if it is more pronounced when you exert yourself, such as during bowel movements.

The timing of your medication initiation—starting Danazol six days post-surgery—may also play a role. After surgery, the body undergoes healing, and it is not uncommon to experience some irregular bleeding or discharge as the tissues recover. The combination of surgical recovery and the hormonal effects of Danazol may contribute to the symptoms you are experiencing.

As for your menstrual cycle, Danazol can alter the regularity and nature of your periods. Given that you last had your menstrual period on June 26, and considering the timing of your surgery and the start of Danazol, it is possible that your menstrual cycle may be disrupted. Some women may find that their periods become lighter or stop altogether while on Danazol, while others may experience irregular bleeding. It is essential to monitor your symptoms and discuss any significant changes with your healthcare provider.

In summary, the dark brown discharge you are experiencing could be related to the effects of Danazol, the post-operative healing process, or a combination of both. It is advisable to keep an open line of communication with your healthcare provider regarding your symptoms. They may recommend follow-up appointments, ultrasound evaluations, or blood tests to ensure that your recovery is progressing well and to rule out any complications such as infection or retained tissue.

If the bleeding persists or worsens, or if you experience any additional concerning symptoms such as severe pain, fever, or an unusual odor, it is crucial to seek medical attention promptly. Your healthcare provider can offer guidance tailored to your specific situation and may adjust your treatment plan if necessary.

In conclusion, while Danazol can have side effects that impact menstrual cycles and bleeding patterns, it is essential to consider the context of your recent surgery and ongoing recovery. Regular follow-ups with your healthcare provider will help ensure that you are on the right track toward healing and managing your condition effectively.

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