Chocolate cyst, Obstetrics and Gynecology FAQ

Post-Surgery Medication for Chocolate Cysts: Is 6 Months Necessary?

Postoperative pharmacological treatment for chocolate cysts? Hello, I underwent laparoscopic surgery for a chocolate cyst in July 2005, and the doctor prescribed DANALOL CAPSULE 200MG (DANAZOL) "PURZER" to be taken three capsules daily for six months. However, I have be...

Dr. Li Guanghan Reply:
Hello: Surgery for endometriosis followed by six months of medication is a standard treatment protocol. The use of Danazol may have side effects related to male hormones, which is reasonable, and these effects will resolve after discontinuation. If the side effects are too severe...

When to Get an Ultrasound After Ovarian Cyst Surgery?

When to perform an ultrasound? Hello, doctor. If the left ovary was removed due to a chocolate cyst, will there be nothing visible on the left side during follow-up ultrasounds? Also, if it has been two years since the surgery and I occasionally feel tightness and dull pain in th...

Dr. Cai Yonglong Reply:
Dear Jing-Ru, This is Dr. Tsai Yong-Lung, the Director of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare. Regarding the removal of the left ovarian chocolate cyst, please note that during future ultrasound scans, the left ovary may...

Understanding Irregular Periods After Ovarian Surgery: A Patient's Inquiry

Menstruation is absent? Hello Dr. Dai, I am 38 years old. Over two years ago, I had a left ovarian cystectomy due to a chocolate cyst, while part of my right ovary was preserved. However, since the surgery, my menstrual cycle has been irregular. For nearly a year, I have not had ...

Dr. Dai Qihan Reply:
Please bring your medical records for further examination and consultation at the outpatient clinic, or consult with the original surgeon. You should be able to receive satisfactory answers.

Impact of Si Wu Tang on Chocolate Cysts and Fertility Concerns

Si Wu Tang and Chocolate Cysts I have a history of chocolate cysts and endometriosis, and after treatment, I had a natural delivery. Recently, I heard a discussion on a television program where a traditional Chinese medicine doctor mentioned that individuals with chocolate cysts ...

Dr. Li Guanghan Reply:
Hello: 1. Female hormones can stimulate the proliferation of endometriosis, so please ask your traditional Chinese medicine practitioner if the herbal medicine you are taking contains female hormones. 2. During pregnancy, the endometrial tissue that is ectopic in the body undergo...

Understanding Chocolate Cysts: Impact on Fertility and Health Choices

Chocolate cyst Hello, Doctor. I am 31 years old, unmarried, and in a stable relationship with my boyfriend. During a recent health check, I discovered that I have chocolate cysts approximately 3 cm in size on both ovaries, and my CA-125 level is 53. I originally planned to study ...

Dr. Li Guanghan Reply:
Hello: 1. One or two trusted physicians are sufficient; there should be no waste of healthcare resources. 2. Endometriosis can cause adhesions in the surrounding tissues, and if the fallopian tubes are affected, it can indeed impact future fertility chances. 3. No. Hsinchu City H...

Common Concerns During Pregnancy: Frequent Urination and Cysts

Issues during pregnancy? Hello Doctor, 1. My menstrual period started on March 9th, and I confirmed my pregnancy in April. Since then, I have been experiencing frequent urination, which the doctor said is normal. I would like to ask about an incident when I woke up in the middl...

Dr. Liang Yinpan Reply:
Hello Juan: 1. Frequent urination in the first three months of pregnancy is generally considered normal, provided there is no urinary tract infection. The appearance of pink discharge that later turns brown indicates a small amount of vaginal bleeding. If there are no further d...

Understanding Ovarian Cysts: From Menstrual Pain to Diagnosis

Chocolate cyst Since high school, I have frequently experienced menstrual pain. After consulting a doctor and undergoing an ultrasound, I was diagnosed with primary dysmenorrhea, and the doctor prescribed painkillers. However, recently the pain has become increasingly severe, occ...

Dr. Xu Junzheng Reply:
Based on your description, it is indeed possible that it is a chocolate cyst. I recommend that you undergo an ultrasound examination after your next menstrual period. Additionally, you may consider a blood test to check the CA-125 level for reference. Thank you.

Can I Get Pregnant After Surgery for Chocolate Cysts?

Can I get pregnant? Hello, I had surgery to remove an endometrioma in July, and the doctor mentioned that there was significant adhesions. After treatment, I was informed that I could have a 70% chance of conceiving. However, it has been four months since the treatment, and I hav...

Dr. Li Guanghan Reply:
Hello: 1. It is indeed the best time to conceive after surgery to remove endometriosis. If you have not become pregnant within a year post-surgery, please consult a gynecologist for further evaluation. 2. If your period is due and has not arrived, please visit a gynecology clinic...

Does Ovarian Cyst Affect Fertility? Understanding Your Concerns

Will it affect fertility? Hello Dr. Mao, In November of 2003, I visited a gynecologist due to irregular menstruation. After about six months of treatment, my menstrual cycle has returned to normal. However, six months later, I discovered that I had a cyst on my ovary. The doctor...

Dr. Mao Yikun Reply:
When discovering a cyst, the most important thing is to distinguish whether it is a malignant cyst. If the chance of malignancy is low, outpatient follow-up is sufficient. In pregnant women, the most common type of ovarian cyst found is a functional cyst, which occurs during the ...

Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns

Examination During my last routine ultrasound examination, the doctor mentioned that there were no issues with my uterus or ovaries. 1) I would like to ask if a routine ultrasound can detect the presence of endometriomas (chocolate cysts)? For the past year, I have experienced ch...

Dr. Lin Zhaopei Reply:
1. Chocolate cysts are not related to chocolate secretions. When endometriosis leads to the formation of cysts on the ovaries, these are referred to as chocolate cysts. The symptoms include 1. dysmenorrhea, 2. infertility, and 3. dyspareunia. 2. The timing of ultrasound examinati...

Understanding Changes in Menstrual Symptoms After Marriage

Premenstrual and postmenstrual? Doctor, since getting married, I have experienced an increase in premenstrual symptoms, including nausea, stomach pain, and bloating. Additionally, I have noticed brown discharge the day before my period starts. My menstrual cycle lasts about 8 to ...

Dr. Lü Lizheng Reply:
The response indicates that the abnormal situation could be related to progesterone or a chocolate cyst. Other possibilities include polyps, fibroids, adenomas, chronic inflammation, adhesions, and more. Sincerely, Lu Lizheng.

Understanding Chocolate Cysts: Diagnosis, Symptoms, and Fertility Concerns

About chocolate cysts? Hello Dr. Mao, About six months ago, I suddenly experienced lower abdominal pain and went to the emergency department at Wan Fang Hospital. After several consultations, the doctors informed me that I had a ruptured ovarian cyst (chocolate cyst approximatel...

Dr. Mao Yikun Reply:
Hello; the diagnosis of a chocolate cyst requires laparoscopy, as other examinations are only for reference. Regarding your two episodes of abdominal pain, I cannot provide a diagnosis without being present, so I apologize.

Optimal Timing for Ultrasound in Managing Ovarian Chocolate Cysts

Timing of ultrasound imaging Hello Dr. Wang, Two months ago, I underwent a comprehensive health check-up, during which my gynecologist performed a pelvic examination, including a transvaginal ultrasound. He mentioned that there is a typical chocolate cyst on my right ovary measu...

Dr. Wang Jionglang Reply:
Dear Duck: Chocolate cysts are common ovarian tumors in young women. Clinical symptoms include abdominal pain during menstruation and a feeling of needing to have a bowel movement. A definitive diagnosis relies on ultrasound. As for whether surgery is necessary, we will consider ...

Understanding Endometriosis: Pain, Fertility, and Treatment Options

Endometriosis Hello, due to my menstrual period, I experience cramping pain around the anal area (there is also some pain normally). A few days ago, I saw a doctor who diagnosed me with endometriosis, noting that my ovaries are tilted backward and adhered. She also mentioned aden...

Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Tainan Hospital, Department of Obstetrics and Gynecology, responded: 1. Endometriosis is a condition where endometrial cells implant and grow outside the uterus. During menstruation, the ectopic endometrium can bleed into the abdominal cavity, causi...

Could Abdominal Pain and Discharge Indicate Endometriosis?

Question Hello Doctor: My menstrual period ended on July 17. However, on July 22, I experienced discharge that contained blood and mucus. Additionally, I have been experiencing pain in my lower abdomen that feels similar to intestinal cramping for the past 3 to 4 months. Could th...

Dr. Chen Changfu Reply:
Dear user: Hello! Based on your symptoms and description of your menstrual period, it does not appear to be a chocolate cyst (endometriosis); it seems to be related to ovulation and its associated symptoms.

Understanding Endometriosis: Causes, Symptoms, and Treatment Options

Endometriosis Hello Dr. Chen: What is endometriosis? Could you provide images to explain the causes of this condition? Thank you!

Dr. Chen Changfu Reply:
Dear readers: Hello! Endometriosis is a condition where endometrial cells are found outside the uterine cavity. These ectopic endometrial cells are also influenced by hormonal changes during the ovarian cycle, leading to menstrual-like bleeding, which results in localized blood a...

Understanding Chocolate Cysts: Causes, Risks, and Treatment Options

Chocolate cyst Hello, Dr. Hsu! I would like to ask: I experience severe pain every month, so I went to the hospital for an examination. Initially, after an ultrasound, the doctor suspected I had endometriosis, but after blood tests and a transvaginal ultrasound, he said I have a ...

Dr. Xu Junzheng Reply:
1. Chocolate cysts are a form of endometriosis affecting the ovaries. 2. Laparoscopy is currently the mainstream surgical treatment for chocolate cysts. 3. Consideration may be given to injections and androgen therapies. 4. No. 5. There should be no direct correlation. ...

Concerns About Fertility After Abortion: Understanding Ovarian Cysts and Fibroids

Want to get pregnant? I discovered I was pregnant for over two months when I was 20 years old, about 14 years ago, and underwent an abortion. Now, at 34 years old and recently married, I plan to conceive. Two months ago, I found out I have a 4x4 cm chocolate cyst on my right ovar...

Dr. Wu Zongcheng Reply:
The Tainan Hospital of the Ministry of Health and Welfare, Dr. Wu Tsung-Cheng from the Department of Obstetrics and Gynecology responds: (1) Having had an abortion does not affect fertility, so there is no need to feel anxious. (2) Endometriomas may impact infertility and require...

Navigating Menopausal Hormone Therapy: Concerns and Alternatives

Challenges in Hormone Replacement Therapy for Menopause The patient is 47 years old and underwent a hysterectomy and left oophorectomy five years ago due to uterine fibroids and endometriosis (chocolate cysts). Since then, she has been taking Premarin 0.625 mg/day and has experie...

Dr. Wei Fumao Reply:
The probability of developing breast cancer after taking medication for more than five years is considered increased. It may be advisable to consider taking half the dosage (one pill every two days). For detailed information on alternative options or specific situations, please c...

Comparing Costs and Benefits of Endoscopic vs. Traditional Surgery for Chocolate Cysts

Could you please provide information regarding the price and differences between endoscopic surgery for chocolate cysts and traditional surgery? Could you please tell me the approximate cost of laparoscopic surgery for chocolate cysts? Are traditional open surgeries still being p...

Dr. Huang Jianxun Reply:
1. The National Health Insurance covers the costs, and patients only need to pay the out-of-pocket difference. 2. Currently, laparoscopic surgery is the primary approach, but it still depends on the patient's condition. 3. Advantages: smaller incisions, less postoperativ...

Previous｜Page ｜Next