Do You Need Surgery for Chocolate Cysts? Exploring Treatment Options
Chocolate cyst I would like to ask the doctor, is surgery always necessary for a chocolate cyst? Can the body absorb it on its own? I am very afraid of surgery; are there any medications that can treat it? Thank you.
Dr. Lin Wenbin Reply:
Endometriotic cysts, commonly known as chocolate cysts, may not require surgical intervention if they are small and do not cause discomfort or if the patient is still able to conceive. Particularly after pregnancy, the body may absorb them on its own. While medical treatment alon...[Read More] Do You Need Surgery for Chocolate Cysts? Exploring Treatment Options
Post-Surgery Treatment Options for Endometriosis: Addressing Concerns
Follow-up treatment for endometriosis? Hello Doctor: I underwent laparoscopic surgery for a 5 cm chocolate cyst and a 0.5 cm uterine fibroid at the end of February this year. I also received six doses of Lupron, with the last injection on July 25, 2012. In between, I took Letrozo...
Dr. Lin Wenbin Reply:
Endometriosis can be treated post-surgery with adjunctive therapy using GnRH agonists, or steroid hormone anti-progestins such as Danazol or Gestrin (oral), or general female hormone preparations like oral contraceptives. If the injection therapy is deemed ineffective, additional...[Read More] Post-Surgery Treatment Options for Endometriosis: Addressing Concerns
Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Examination issues Can ultrasound examination detect endometriosis? When is the best time to perform a blood test for checking endometriosis?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. When it occurs in the ovaries, it forms what is known as a "chocolate cyst," and when it grows within the uterine muscle, it is referred to as &q...[Read More] Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Understanding Endometriosis: Ultrasound and Blood Test Insights
Please provide the content you would like translated into English? Does a transvaginal ultrasound examination detect endometriosis? Does a pelvic ultrasound examination detect endometriosis? Can blood tests detect endometriosis? When is the blood test most accurate?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. If it grows on the ovaries, it forms what is known as a "chocolate cyst," and if it grows within the uterine muscle, it is referred to as "a...[Read More] Understanding Endometriosis: Ultrasound and Blood Test Insights
Should You Seek Medical Attention for Gynecological Concerns?
Should I seek medical attention? Dear Dr. Zhang: Due to poor gynecological conditions (previously had a chocolate cyst treated with traditional surgery and adhesions treated with laparoscopy), I went to the hospital for ovulation induction injections and followed the doctor'...
Dr. Zhang Yongxuan Reply:
It should belong to the latter.[Read More] Should You Seek Medical Attention for Gynecological Concerns?
Understanding the Root Causes of Luteal Phase Deficiency in Women
The underlying factors of luteal phase deficiency? Hello Dr. Chang, I had surgery to remove my ovary last July, and afterwards, I received six injections of Leuprolide. My first menstrual period after the surgery was in February of this year, and I didn't have my second peri...
Dr. Zhang Kunmin Reply:
Hello, the presence of a chocolate cyst can inherently disrupt ovarian function. After surgery, the administration of injections or oral medications to prevent recurrence may cause the ovaries to rest for a period of time. Following the cessation of medication, it may take some t...[Read More] Understanding the Root Causes of Luteal Phase Deficiency in Women
Understanding Urgent Miscarriage: Clarifying Diagnosis and Symptoms
What is an imminent miscarriage? I have a chocolate cyst and last week I went to see a gynecologist due to abdominal pain. The diagnosis given was imminent miscarriage, but my abdominal pain is due to the chocolate cyst, not a miscarriage. Why was this diagnosis made?
Dr. Lü Lizheng Reply:
Hello, there are many possibilities. Please discuss directly with the attending physician to get answers more quickly. Wishing you peace and health. Sincerely, Dr. Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology, Taoyuan General Hospital, Ministry of Health a...[Read More] Understanding Urgent Miscarriage: Clarifying Diagnosis and Symptoms
Should You Choose Surgery or IVF for Chocolate Cysts and Infertility?
Should surgery be performed first or should assisted reproductive technology be pursued directly? Hello Doctor, I am 35 years old and have chocolate cysts measuring 5 cm and 2 cm on my left and right ovaries, respectively. I have been struggling with infertility for a year. I ini...
Dr. Lü Lizheng Reply:
Dear Xiaoyu, Hello. 1. After the surgical removal of the cyst, there should still be a chance for natural conception. 2. I personally recommend that you first undergo surgery to address the cyst. 3. If you proceed directly with assisted reproductive technology without addres...[Read More] Should You Choose Surgery or IVF for Chocolate Cysts and Infertility?
Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns
Ovarian cyst Hello Doctor, I would like to ask you about something. About 3 to 4 years ago, I had a whole-body CT scan and found something on my left ovary. Later, when I went to see a gynecologist, the tumor had shrunk (if I remember correctly, it was around 4 to 6 cm!). Does th...
Dr. Li Guanghan Reply:
There are many possibilities for describing "something in the ovary," such as a chocolate cyst, teratoma, corpus luteum cyst, or tumor, among others. It is recommended to come in for a consultation, where an ultrasound will be performed, and if necessary, blood tests fo...[Read More] Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns
Understanding Bladder Injury Risks and Recovery After Laparoscopic Surgery
Laparoscopic bladder perforation I just underwent laparoscopic removal of a chocolate cyst, but the surgery did not go smoothly as my bladder was accidentally punctured and required repair by a urologist. To allow the bladder to rest, I need to keep a catheter in place for about ...
Dr. Lü Lizheng Reply:
Hello, laparoscopic removal of a chocolate cyst is a relatively complex procedure, and there is a possibility of injuring the bladder. Fortunately, the bladder has a strong ability to recover, and it rarely leaves lasting complications, so there is no need to worry too much. Wish...[Read More] Understanding Bladder Injury Risks and Recovery After Laparoscopic Surgery
Understanding Chocolate Cysts: Post-Surgery Menstrual Changes Explained
Chocolate cyst Hello Dr. Lee, I underwent laparoscopic surgery for a chocolate cyst on my right ovary last year and received six months of Lupron treatment. My menstrual cycle has returned for the fourth time, but the flow is significantly lighter compared to normal. There was on...
Dr. Li Guanghan Reply:
Hello: If you have received Leuplin for six months after surgery and then had your menstrual period return four times, it has been about a year since the surgery. You should schedule a follow-up appointment for monitoring and evaluation. Wishing you peace and good health.[Read More] Understanding Chocolate Cysts: Post-Surgery Menstrual Changes Explained
Post-Operative Diet and Hormonal Treatment for Chocolate Cysts
Chocolate cyst What is the recommended diet after chocolate cyst surgery? Is it necessary to receive hormone injections post-surgery? Should I take contraceptives or progesterone? If needed, which option is safer and has fewer side effects? Thanks.
Dr. Dong Yuhong Reply:
Hello: There are various treatment options for endometriosis, including surgery, post-operative injection therapy, and contraceptives, among others. The choice of treatment should be discussed with your attending physician, who will typically consider your medical history, the se...[Read More] Post-Operative Diet and Hormonal Treatment for Chocolate Cysts
Understanding Abdominal Pain and Abnormal Bleeding in Women
Abdominal discomfort with bleeding? Hello, doctor. I am 38 years old and unmarried. Recently, I have experienced bleeding during my ovulation period for two consecutive months (the bleeding lasts until my period starts). When my period came recently, I had left lower abdominal di...
Dr. Zhong Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The treatment provided by your current physician is very reasonable and appropriate. I recommend that you follow the doctor's orders and patiently await the fin...[Read More] Understanding Abdominal Pain and Abnormal Bleeding in Women
Can You Take Evening Primrose Oil with Endometriosis?
Can evening primrose oil be consumed? I have endometriosis (chocolate cyst) which is benign, and I am currently taking oral contraceptives for treatment. Previously, I heard my doctor mention evening primrose oil, but he only briefly mentioned it, and I didn't think much of ...
Dr. Li Guanghan Reply:
Dear Sir/Madam: Be very cautious with dietary supplements that have uncertain ingredients and effects. If your primary physician does not actively recommend them, there is no absolute necessity to take them. Dr. Li Guanghan, Department of Obstetrics and Gynecology, Hsinchu Hospit...[Read More] Can You Take Evening Primrose Oil with Endometriosis?
Understanding Endometriosis: Surgical Options and Risks Explained
Endometrial ectopic tumor I would like to ask: In 2001, I underwent surgery for an endometrioma (chocolate cyst) that was 12 cm in size, based on my doctor's recommendation. In 2004, I had another surgery for a similar cyst that was 7 cm. Now, I have been diagnosed with a ne...
Dr. Li Guanghan Reply:
Hello: 1. Whether an ovarian cyst requires surgery can be considered based on the following points: A: Is there any suspicion of malignancy? B: Are there any symptoms? C: Will it affect fertility? 2. Any surgical procedure carries the risk of adhesions. 3. An ovarian cyst develop...[Read More] Understanding Endometriosis: Surgical Options and Risks Explained
Understanding Ovarian Cysts: Symptoms, Concerns, and Management Tips
Ovarian cyst At the end of February, I felt a lump on my left ovary. After seeing a gynecologist, I was told it was an ovarian cyst measuring 4.9 cm, with a CA125 level of 21. I had my period on March 4 and April 13, and for over two months, the lump hasn't decreased much. S...
Dr. Huang Jianxun Reply:
The ovaries undergo cyclical changes each month due to the menstrual cycle and hormonal fluctuations, including the development of follicles, ovulation, and the formation of corpus luteum cysts. These cyclical variations observed over several months are considered physiological c...[Read More] Understanding Ovarian Cysts: Symptoms, Concerns, and Management Tips
Understanding CA-125 Levels and Follow-Up for Ovarian Chocolate Cysts
CA-125 and its implications? Hello, I have been diagnosed with chocolate cysts on my ovaries measuring 3.4 and 3.0 centimeters during a clinic examination. My CA-125 level is 29.07. What further tests or follow-up treatments do I need? Thank you for your hard work!
Dr. Li Guanghan Reply:
Hello: Since you are 50 years old, I recommend that you take the time to visit the obstetrics and gynecology department at a hospital near your residence. If you have had sexual intercourse, you may consider undergoing a transvaginal ultrasound, or if deemed necessary by the phys...[Read More] Understanding CA-125 Levels and Follow-Up for Ovarian Chocolate Cysts
Can I Get a Vaginal Ultrasound During My Period? Expert Advice on Chocolate Cysts
excuse me? Hello Doctor, I previously had an abdominal ultrasound at the clinic which revealed 3 to 4 chocolate cysts, each measuring 5 to 6 centimeters. The doctor at the clinic advised me to go to a larger hospital for a transvaginal ultrasound, but my menstrual period started ...
Dr. Li Guanghan Reply:
Hello: It is recommended to come for an examination after your menstrual period has ended. A blood test for CA-125 is more accurate. If you have had sexual intercourse, a pelvic exam, Pap smear, and vaginal ultrasound can be performed. Thank you! Wishing you peace and good health...[Read More] Can I Get a Vaginal Ultrasound During My Period? Expert Advice on Chocolate Cysts
Do I Need Surgery for Chocolate Cysts? Key Considerations and Risks
Does a chocolate cyst require surgery? Hello Doctor: I am 34 years old and plan to conceive within a year. Last year, I discovered chocolate cysts measuring 5.3 x 3 cm and 2 x 2 cm on both ovaries. Aside from experiencing abdominal pain on the first day of my menstrual cycle, I h...
Dr. Li Guanghan Reply:
Hello: The information provided is for reference only and should not replace the advice of your attending physician. (1) A. Desire to conceive B. Presence of symptoms (such as dysmenorrhea, dyspareunia) C. Suspected malignancy D. Other indications (2) A. Adhesions affecting ferti...[Read More] Do I Need Surgery for Chocolate Cysts? Key Considerations and Risks
Understanding Uterine Adenomyosis: Pain Management and Treatment Options
Uterine adenomyosis Is it harmful to the body to take painkillers long-term due to severe pain during menstruation? If one has given birth, is it possible to avoid surgery postpartum? Can diet improve the symptoms? If one has this condition, should they still consider receiving t...
Dr. Cai Yonglong Reply:
Dear Fheji, Your symptoms are quite evident; you are likely experiencing endometriosis. Long-term use of painkillers is not advisable, and you should consult a gynecologist for an accurate diagnosis, which may include ultrasound and blood tests. If the condition is severe or if ...[Read More] Understanding Uterine Adenomyosis: Pain Management and Treatment Options