Understanding Chocolate Cysts: Key Questions for Women Over 40
Chocolate cyst Dear Doctor, I have chocolate cysts on both ovaries, each approximately 4 cm in size. I currently do not plan to become pregnant. Some doctors have suggested monitoring the situation, while others recommend addressing them promptly while they are still small to av...
Dr. Cao Guotao Reply:
Hello, for general ovarian tumors, surgery is typically considered if the size exceeds 5 centimeters. Additionally, it is important to consider whether there are any other symptoms or discomfort. If there are none, a period of observation may be appropriate. If you do not have an...[Read More] Understanding Chocolate Cysts: Key Questions for Women Over 40
Understanding Adhesion Issues After Ovarian Surgery: Patient Concerns
Regarding adhesion issues? Hello, Director Cao: I underwent surgery for a chocolate cyst on February 2nd. Due to my poor ovarian function and significant adhesions, the procedure was performed via traditional laparotomy. It has now been two weeks post-surgery, but I experience cr...
Dr. Cao Guotao Reply:
Hello, adhesions from surgery typically occur later on and are rarely seen immediately after the procedure. I believe your condition is likely still related to the recovery period post-surgery and some pain from the wounds. These symptoms will gradually improve, as it has only be...[Read More] Understanding Adhesion Issues After Ovarian Surgery: Patient Concerns
Understanding Chocolate Cysts: Symptoms and Risk Factors Explained
Suspected chocolate cyst? In the past four menstrual cycles, I have experienced severe stomach pain after eating fried or spicy foods, to the point where I cannot get up and end up vomiting the food I ate. This has never happened before. After examination, there were small bliste...
Dr. Cao Guotao Reply:
Hello, you may have a small cyst on your ovary, so the doctor recommends monitoring it. As for whether it is a chocolate cyst, that cannot be determined online. Wishing you good health.[Read More] Understanding Chocolate Cysts: Symptoms and Risk Factors Explained
Understanding Chocolate Cysts: Treatment Options and Pregnancy Considerations
Chocolate cyst Hello Doctor: In late August 2015, a chocolate cyst approximately 5 cm was discovered on my right ovary. After more than two months of traditional Chinese medicine treatment, it was found to remain stable without any increase or decrease in size. A friend mentioned...
Dr. Cao Guotao Reply:
Hello, there is a chocolate cyst on the right ovary measuring about 5 cm, which has not changed over time. General observation is sufficient, and I believe surgery is not necessary. Wishing you good health.[Read More] Understanding Chocolate Cysts: Treatment Options and Pregnancy Considerations
Understanding Chocolate Cysts: When to Consider Laparoscopy?
Chocolate cyst Hello, Doctor! In July of this year, I was diagnosed with a left ovarian chocolate cyst measuring 4.4 x 2.9 cm, with a CA-125 level of 44.03. The doctor prescribed Provera for six months, and in December, my CA-125 level was 44.12, with no change in the size of the...
Dr. Cao Guotao Reply:
Hello, your left ovarian chocolate cyst is not large, and there are no significant symptoms. Since the size of the cyst has not changed, monitoring and follow-up are sufficient. Wishing you good health.[Read More] Understanding Chocolate Cysts: When to Consider Laparoscopy?
Dietary Considerations and Concerns for Chocolate Cyst Patients
Dietary Issues Related to Chocolate Cysts Hello, doctor. Six years ago, I had a cyst that was over ten centimeters removed, and it has recurred in recent years. I have been undergoing regular follow-ups every year, and now I have developed a 6 cm tumor. Recently, I have started e...
Dr. Lin Wenbin Reply:
1. This is a constitutional issue, and it is difficult to identify any related foods. 2. Treating the chocolate cyst first can lead to improvement. 3. Having endometriosis increases the likelihood of infertility. 4. It is necessary to investigate the cause of frequent urination, ...[Read More] Dietary Considerations and Concerns for Chocolate Cyst Patients
How to Properly Use Birth Control Pills for Menstrual Regulation
How to take birth control pills? Hello, I have a chocolate cyst and I am currently taking Diane-35 contraceptive pills for treatment (I have been taking the medication for one month). I would like to ask if I can wait more than ten days after finishing the 21 pills before continu...
Dr. Lü Lizheng Reply:
If it is not for contraception, it can be spaced out a bit longer. However, it should not be spaced too long, as some individuals may experience irregular bleeding. Sincerely, Dr. Li-Cheng Lu, Taoyuan Hospital.[Read More] How to Properly Use Birth Control Pills for Menstrual Regulation
Understanding Post-Miscarriage Bleeding: What to Expect and When to Worry
Uterine bleeding issues 2 Hello Dr. Tsao, I am in North America, and just meeting with a doctor costs several thousand New Taiwan Dollars (not including tests and treatments). It has been two months since my miscarriage, and after intercourse, I experience continuous light blee...
Dr. Cao Guotao Reply:
Hello, it has been two months since your miscarriage. After having intercourse, if you experience continuous light bleeding, you may consider observing for about two weeks. If there is no improvement, further examination may be necessary, including a Pap smear as one of the optio...[Read More] Understanding Post-Miscarriage Bleeding: What to Expect and When to Worry
Impact of Metformin on Hormones and Menstrual Symptoms in Women with PCOS and Adenomyosis
Chocolate cysts and adenomyosis? Indeed, metformin can affect hormones and indirectly influence menstruation. If a doctor has endometriosis and ovarian cysts, could taking this medication impact hormone levels and potentially exacerbate symptoms related to menstruation?
Dr. Lü Lizheng Reply:
Metformin is not expected to change adenomyosis or chocolate cysts, nor is it guaranteed to affect symptoms. Many other factors, such as insufficient sleep, lack of exercise, diet, and weight, can contribute to menstrual discomfort. If there is any impact, it would likely be thro...[Read More] Impact of Metformin on Hormones and Menstrual Symptoms in Women with PCOS and Adenomyosis
Managing Chocolate Cysts: Surgery vs. Medication for Young Women
Treatment of chocolate cysts? Hello Dr. Lu, A few days ago, I was diagnosed with a chocolate cyst approximately 4 cm in size on my right ovary. My mother, concerned about a potential misdiagnosis, took me to another hospital for a second opinion. The results were similar, but th...
Dr. Lü Lizheng Reply:
The 4 cm chocolate cyst was likely discovered through ultrasound. However, since the cyst is still small, it could also be a corpus luteum cyst or a follicular cyst. It is recommended to observe it for 3 months to see if the cyst decreases in size before deciding on further manag...[Read More] Managing Chocolate Cysts: Surgery vs. Medication for Young Women
When to Consider Surgery for Chocolate Cysts: Mild vs. Moderate Cases
Chocolate cyst What conditions necessitate surgery for a chocolate cyst? How can it be distinguished as moderate or mild?
Dr. Cao Guotao Reply:
Hello, for gynecological patients, whether it is a uterine or ovarian tumor, the surgical principle is based on a 5 cm threshold. Tumors larger than 5 cm may be considered for surgery, and those with symptoms can also be considered for surgery. Asymptomatic cases may be monitored...[Read More] When to Consider Surgery for Chocolate Cysts: Mild vs. Moderate Cases
Understanding the Differences Between Chocolate Cysts and Fibroids
Chocolate cysts/myomas I have seen three obstetricians and gynecologists, and they all told me that I have an approximately 8 cm chocolate cyst. Later, at a larger hospital, the doctor informed me that it is not a chocolate cyst but a fibroid, and I need to have one ovary removed...
Dr. Lü Lizheng Reply:
Please confirm the suggestions with a large hospital or medical center. Sincerely, Lu Li-Cheng, Taoyuan Hospital.[Read More] Understanding the Differences Between Chocolate Cysts and Fibroids
Understanding Menstrual Changes After Laparoscopic Surgery and Medication
The future of the menstrual cycle after the use of Liu Pulin? Hello, doctor. I underwent laparoscopic surgery to remove a chocolate cyst at the end of February and received a dose of Leuprolide. Due to my inability to return for regular injections, I received a long-acting (three...
Dr. Xu Junrui Reply:
The main effect of Liu Pulin medication is to induce a phenomenon of "pseudo-menopause" in the ovaries, thereby achieving ovarian rest and suppressing the effects of endometriosis. While it is true that the long-acting formulation has an efficacy duration of three month...[Read More] Understanding Menstrual Changes After Laparoscopic Surgery and Medication
Understanding Chocolate Cysts and Uterine Removal: What to Expect Post-Surgery
Total hysterectomy and chocolate cysts? Dear Doctor, I have been experiencing severe bleeding due to adenomyosis and have completed a total hysterectomy while preserving my ovaries. Prior to the surgery, I had chocolate cysts on my ovaries, which were also addressed during the pr...
Dr. Lin Wenbin Reply:
Yes, as long as there are ovarian hormones, there is a possibility of endometriosis. After surgery, it is important to have the physician perform blood tests and provide appropriate medication treatment.[Read More] Understanding Chocolate Cysts and Uterine Removal: What to Expect Post-Surgery
Understanding Chocolate Cysts: Treatment Options and Recommendations
Chocolate cyst Hello Doctor: I am currently being evaluated for a suspected chocolate cyst, measuring 5 cm on the left and 2.5 cm on the right. Which treatment do you recommend, taking progesterone or surgery? I have been experiencing significant bleeding that has caused dizzines...
Dr. Lin Manying Reply:
Surgical or pharmacological treatment should be based on your fertility needs, age, and the effectiveness of medication. It is recommended to discuss this with your physician.[Read More] Understanding Chocolate Cysts: Treatment Options and Recommendations
Does Eating Ice Cream During Menstruation Have Negative Effects?
Does eating ice during menstruation have any effects? I would like to ask the doctor if eating ice during my menstrual period has any adverse effects. I have previously read online that it may cause incomplete menstrual flow or affect the menstrual volume; is this true? Is chocol...
Dr. Zhang Kunmin Reply:
Hello, the factors that affect the stability of female hormone secretion include emotions, diet, age, and others. However, they are not significantly related to the dietary habits you mentioned, nor do they cause incomplete menstrual flow. Endometriosis is associated with retrogr...[Read More] Does Eating Ice Cream During Menstruation Have Negative Effects?
Understanding Chocolate Cysts: Causes of Pain and Post-Surgery Care
Chocolate cyst Doctor, I have a chocolate cyst on each side, with the left one being larger. However, I've recently been experiencing unexplained pain in my lower right abdomen. 1. What could be the cause of this? Can chocolate cysts cause pain? 2. If surgery is performed, a...
Dr. Lin Wenbin Reply:
Endometriosis located on the ovaries is referred to as a chocolate cyst. It can cause menstrual pain, and in severe cases, pain may occur even outside of menstruation. After surgery, medication treatment is still necessary due to a high recurrence rate. Regular follow-up appointm...[Read More] Understanding Chocolate Cysts: Causes of Pain and Post-Surgery Care
Can I Have an Abortion at a Clinic with Fibroids and Cysts?
Could you please provide the content you would like me to translate? I have three uterine fibroids (4, 3, and 2 cm) and a 10 cm chocolate cyst on my ovary. I accidentally became pregnant and am now 9 weeks along. After consideration, I plan to undergo an abortion along with surge...
Dr. Lü Lizheng Reply:
Due to being 9 weeks pregnant and fearing that the gestational period will extend further, I support proceeding with a medical abortion first, followed by tumor resection. Sincerely, Dr. Li-Cheng Lu, Taoyuan Hospital.[Read More] Can I Have an Abortion at a Clinic with Fibroids and Cysts?
Can Abortion and Chocolate Cyst Removal Be Done Together?
Can a surgical abortion be performed simultaneously with the removal of an ovarian chocolate cyst? I have three small fibroids in my uterus (approximately 4, 3, and 2 cm), and there is a 10 cm chocolate cyst on my ovary. I am unexpectedly pregnant and currently 8 weeks along. Con...
Dr. Lin Wenbin Reply:
1. Surgery for ovarian endometriotic cysts can be performed in conjunction with laparoscopic and abortion procedures. However, it is important to note that surgery for uterine fibroids is not recommended during pregnancy, as the uterus is very soft and prone to bleeding at that t...[Read More] Can Abortion and Chocolate Cyst Removal Be Done Together?
Can I Consume Plant-Based DHA and Protein with Chocolate Cysts During Pregnancy?
Chocolate cyst I am currently pregnant and want to supplement with plant-based DHA and Amway's protein powder, which contains soy lecithin and soy protein. I have a chocolate cyst; can I consume these? Thank you.
Dr. Lin Wenbin Reply:
Patients with chocolate cysts may experience relief or improvement during pregnancy. It is important to maintain a balanced diet during pregnancy, prioritizing nutrients from everyday foods over supplemental sources. If there is a deficiency in certain nutrients, please consult w...[Read More] Can I Consume Plant-Based DHA and Protein with Chocolate Cysts During Pregnancy?