Chocolate cyst, Obstetrics and Gynecology FAQ

Can Tubal Blockage and Chocolate Cyst Surgery Be Done Together?

Fallopian tubes and chocolate cysts? Hello Dr. Lee, can the treatment surgeries for fallopian tube obstruction and endometriomas be performed simultaneously? Since the cost of in vitro fertilization is not cheap, can we first perform the surgeries to see the results? Also, is the...

Dr. Li Guanghan Reply:
Hello: 1. Tubal obstruction cannot always be resolved through surgery. If the obstruction is severe, the benefits of surgery are quite limited. 2. Patients with endometriomas may indeed experience dysmenorrhea, but it cannot be concluded that all patients with dysmenorrhea have e...

Understanding Anemia and Dizziness in Women with Endometriosis

Anemia. Dizziness? Hello Doctor: My menstrual cycle is 21 days, lasting about 3 days each time, but I experience spotting and other discharge afterwards, so it takes about a week to clear up. This means I only have a 2-week gap before my period returns. I started menstruating in ...

Dr. Cai Yonglong Reply:
Dear Ms. Chiu, Greetings from the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare. Unless there are uterine fibroids or severe adenomyosis, a hysterectomy is not necessary. For endometriosis and anemia, since you have already undergon...

Concerns About Ectopic Pregnancy, Chocolate Cysts, and Ovulation Issues

Concerns about ectopic pregnancy, accuracy of pregnancy tests, chocolate cysts, and corpus luteum cysts? Six years ago, I was pregnant and underwent a medical abortion at six weeks due to financial pressures when I was younger. After the procedure, my menstrual cycles became irre...

Dr. Huang Jianxun Reply:
Dear Miss: Determining whether it is an ectopic pregnancy may sometimes require a period of monitoring. I recommend that you closely follow up with a trusted obstetrician-gynecologist, who will appropriately explain your condition. Wishing you safety and health. Sincerely, Dr. Hu...

Managing Chocolate Cysts During Pregnancy: Risks and Considerations

Pregnancy and Chocolate Cysts Currently, I am nearly 36 weeks pregnant and have chocolate cysts on both ovaries, measuring 2 cm on the left and 4.5 cm on the right. I would like to ask the doctor, as the fetus grows larger, it has become impossible to observe the condition of the...

Dr. Xu Junzheng Reply:
It is highly unlikely for a cyst to rupture due to pressure during a natural delivery. I recommend that you remain calm during labor, and follow up after giving birth. Thank you!

Understanding Chocolate Cysts: What You Need to Know

Chocolate cyst What is a chocolate cyst?

Dr. Zhuang Zhijian Reply:
Hello, Miss Hsien-Hsien: Thank you for your inquiry. To address your question and provide some advice, a chocolate cyst is a type of ovarian endometriosis, which occurs when endometrial tissue grows on the ovaries. Over time, this accumulation leads to a painful cyst that resembl...

Understanding Chocolate Cysts: Symptoms, Causes, and Treatment Options

Chocolate cyst What is a chocolate cyst? Does a chocolate cyst cause pain?

Dr. Chen Changfu Reply:
Dear readers: Hello! "Chocolate cyst" refers to a condition associated with endometriosis, where ectopic endometrial cells cause repeated accumulation of menstrual blood in the pelvic cavity (most commonly in the ovaries), resulting in a dark red, viscous appearance. Th...

Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns

Ovarian tumor After the ultrasound examination, the doctor mentioned that there is a 2.9 cm tumor on the right ovary, which is likely a teratoma. A blood test for CA-125 has been done, and the results will be available in a week. Can blood tests definitively determine whether the...

Dr. Zheng Chengjie Reply:
Dear Apple users, hello: CA-125 can serve as a reference indicator for chocolate cysts and ovarian cancer, but it is not absolutely accurate and must be interpreted alongside ultrasound images for a proper diagnosis. If it is a teratoma, surgical removal is recommended; if it is ...

Can You Exercise with Chocolate Cysts on Ovaries? Expert Insights

Chocolate cyst issue? Is it safe to perform hula hoop exercises with chocolate cysts present in both ovaries? Could it have any effects?

Dr. Li Guanghan Reply:
Hello: Ovarian endometriomas should be actively managed, as they can cause adhesions and even obstruct the fallopian tubes, affecting future fertility. You are welcome to come in for an evaluation to see if laparoscopic surgery for excision is appropriate. It is quite strange to ...

Understanding Chronic Pelvic Inflammatory Disease: Symptoms and Diagnosis

Chronic pelvic inflammatory disease (PID) After swimming one time, I started experiencing frequent pain in my lower right abdomen, even sharp, penetrating pain. Since then, my discharge after intercourse has often been yellow or green. Could this be pelvic inflammatory disease? A...

Dr. Zhou Dali Reply:
Many issues cannot be fully addressed through written descriptions. It is advisable for you to visit a trusted gynecological clinic for a thorough examination.

Understanding Endometriosis: Symptoms, Treatment, and Management Tips

Endometriosis Hello, Dr. Hsu: I would like to ask about endometriosis. Last month, I underwent surgery for a chocolate cyst at Shengfeng Hospital, and after re-evaluation, my ovaries have returned to normal. Another doctor prescribed me a month of birth control pills for five mon...

Dr. Xu Junzheng Reply:
To confirm the presence of endometriosis in the rectum, laparoscopy is required; however, if leuprolide can alleviate the symptoms, it seems that surgery may not be necessary for the time being. Thank you!

Understanding Pre-Menstrual Cramps: Causes and Treatment Options

"Cramping one week before menstruation." I have an ovarian chocolate cyst, and I experience abdominal pain about a week before my period. The pain comes in waves and feels somewhat like gastrointestinal discomfort, along with a sensation of needing to have a bowel movem...

Dr. Li Guanghan Reply:
Hello: If there is endometriosis, laparoscopic surgery for excision should be considered. You are welcome to visit us at Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Ovulation: Symptoms, Medications, and Timing

Basal Body Temperature & Ovulation Medications On the first day of my menstrual period (March 9), I started taking ovulation medication on March 14 for five days. On the third day of taking the medication, I noticed a thick white discharge. After the fourth day, I also observ...

Dr. Xu Junzheng Reply:
Ovulation has likely not occurred yet. Please consult a physician for an ultrasound confirmation. Thank you!

Post-Surgery Recovery: Key Questions After Laparoscopic Ovarian Cyst Removal

Could you please provide more details or specify what you would like to know about postoperative recovery? Hello Doctor: I underwent laparoscopic surgery for a chocolate cyst on January 23rd of this year, which was about 6 cm on the right side and adhered to my intestines. I woul...

Dr. Li Guanghan Reply:
Hello; only your primary surgeon is most familiar with the condition inside your abdomen and the surgical process. You should ask your primary surgeon for detailed information, as patients have the right to know. If you still find it difficult to understand the explanation from y...

Understanding Chocolate Cysts: Menstrual Irregularities and Early Menopause Concerns

Issues After Chocolate Cyst Formation Hello Doctor, four years ago I underwent surgery to remove chocolate cysts from both ovaries, but the ovaries were preserved. Two years later, there was a recurrence, and I had to go back to the operating room. A year later, I returned for a ...

Dr. Xu Junzheng Reply:
Is it possible to have an early menopause? Blood tests can be conducted for this. At the age of 37, unless absolutely necessary, it is not recommended to remove the ovaries. Thank you!

Understanding Endometrial Health: Should You Consider a Biopsy?

May I ask you again? Dear Dr. Hsu, I received your reply today... Thank you very much! I apologize for bothering you again, but I have one more question. Last weekend, I was quite anxious and went to another hospital (as you suggested, to seek a second opinion). This time, the d...

Dr. Xu Junzheng Reply:
Endometrial thickening is generally more clinically significant when an endometrial biopsy is performed in postmenopausal women. In premenopausal women, especially those under 40, it is more controversial. If the endometrial hyperplasia is simple hyperplasia, progestin therapy ca...

Understanding Chocolate Cysts: Impact on Fertility and Treatment Options

Chocolate cyst Hello, Doctor Hsu. Last time I inquired about the chocolate cyst issue, which is 4.5 cm on the right side and 2 cm on the left side (doctors usually say this is normal?). Since I cannot undergo a pelvic examination, the doctor has not provided me with the next step...

Dr. Xu Junzheng Reply:
1. The main consideration against surgery is the relatively high recurrence rate of chocolate cysts. 2. It is suggested to think in reverse; it seems more appropriate to consider surgery only when pregnancy is unsuccessful and no other causes can be identified. Thank you!

How to Address Infertility with Ovarian Cysts and PCOS

How should I address my current infertility issue? Hello Dr. Chen, I have a few questions I would like to ask you! Recently, during an ultrasound in the obstetrics and gynecology department, I was informed that there is a 5.5x5.1 cm mass on my left ovary. After examination, the d...

Dr. Chen Changfu Reply:
If you have been trying to conceive for over a year without success, it is necessary to seek treatment for infertility. There are many potential causes of infertility, and it requires careful diagnosis and treatment. Without knowing the underlying cause of infertility, artificial...

Understanding Infertility: Questions About Chocolate Cysts and Treatment Options

Infertility issues? I apologize for the lengthy message, but I would appreciate your response to my concerns. I have been married for over three years, and initially, my husband and I decided to avoid having children early, so we practiced safe periods for intercourse and used wi...

Dr. Li Guanghan Reply:
Hello: For couples experiencing infertility with all tests normal, if an ultrasound raises suspicion of endometriosis, laparoscopy should be considered to confirm the diagnosis and actively treat the condition in order to improve the chances of pregnancy. Hsinchu Hospital, Depart...

Understanding Chocolate Cysts: Symptoms, Risks, and Management Options

Chocolate cyst After my menstrual period on September 3, I was diagnosed with a chocolate cyst on my right ovary measuring 6.6 cm. The doctor recommended monitoring for one menstrual cycle. After my period on September 29, the cyst measured approximately 4.5 cm, and the doctor st...

Dr. Xu Junzheng Reply:
1. There should not be a significant difference. 2. Ovarian cysts can sometimes cause the above symptoms. 3. The likelihood of becoming malignant is very low. 4. It may be caused by premenstrual syndrome. 5. Generally, there is no major concern, but if you are worried, you can wa...

Do I Need Surgery for Endometriosis? Seeking Expert Opinions

I would like to ask? I would like to ask if surgery is necessary for endometriosis. I don't have chocolate cysts, but I experience significant pain with each menstrual period, so my doctor has recommended surgery. Should I consult several doctors to compare opinions, or is s...

Dr. Li Guanghan Reply:
Hello: Welcome to Dr. Lee's clinic for an ultrasound and pelvic examination (if there has been no sexual intercourse, a rectal examination will be performed). If there is no suspicion of endometriosis, we certainly will not recommend surgery. Hsinchu City Hospital, Departmen...

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