Chocolate cyst, Obstetrics and Gynecology FAQ

Post-Menstrual Bleeding: Understanding Causes and Concerns for Women

Bleeding 7-14 days after the end of menstruation? Hello, I am 26 years old and have a steady partner. My menstrual cycle was very regular until about six months ago. Now, I usually experience bleeding (or spotting) about 7 to 14 days after my period ends (typically around 14 days...

Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Obstetrics and Gynecology Department at Tainan Hospital, Department of Health, responded: (1) Spotting a few days after the end of menstruation is related to hormonal secretion abnormalities, commonly referred to as "ovulatory bleeding." Thi...

Understanding Chocolate Cysts: Symptoms, Risks, and Diagnosis

Chocolate cyst I previously had an ultrasound at a health center, where a 3cm x 5cm mass was detected. The doctor suspects it might be a chocolate cyst. What is the likelihood that it is indeed a chocolate cyst? Besides experiencing menstrual pain, I also feel abdominal discomfor...

Dr. Huang Jianxun Reply:
Whether a 3cm x 5cm mass is a chocolate cyst requires further evaluation through ultrasound to provide accurate information for discussion. You are welcome to visit the obstetrics and gynecology outpatient clinic for consultation.

Laparoscopy for Endometriosis: Costs, Coverage, and Fertility Outcomes

Laparoscopy Hello, I would like to ask the doctor about my situation. I have been married for over two years and have not become pregnant. Last year, I was diagnosed with endometriosis, but the doctor said it was mild, so I did not pay much attention to it. I underwent one cycle ...

Dr. Huang Jianxun Reply:
1. Yes, for the portion of costs covered by health insurance, please consult each hospital to determine the exact amount you need to pay, as there may be differences even among hospitals that offer health insurance coverage. 2. If infertility is indeed caused by endometriosis, un...

Understanding Abdominal Pain After Miscarriage: Causes and Concerns

Abdominal pain Dear Dr. Chen, I had a miscarriage over three months ago (14 weeks pregnant), but I have been experiencing persistent pain in my lower abdomen on both sides. I consulted two doctors; one suggested it might be a chocolate cyst, while the other indicated it could b...

Dr. Chen Fuhao Reply:
Dear online user: The question you raised has a similar case documented in our obstetrics and gynecology department's records from February 10, 2002, to February 10, 2003, under case number 29. This may serve as a reference for you, and we hope it is helpful. Thank you.

Understanding Cervical Bleeding and Ovarian Cysts: Key Insights for Women

Cervical bleeding and ovarian cyst? In the past, there have been instances of bleeding occurring between my menstrual periods. Currently, for the past two months, I have experienced bleeding a few days after exercising around the time of ovulation, especially this month when I ha...

Dr. Dai Qihan Reply:
Hello: Abnormal vaginal bleeding requires a pelvic examination to determine the source of the bleeding. As for the cause, an abdominal ultrasound and a laparoscopy with biopsy for pathological examination are necessary to confirm the diagnosis. A Pap smear is a routine examinatio...

Understanding Early Menopause: Symptoms, Concerns, and Solutions

Early onset menopause Isn't menopause typically after the age of 50? I had endometriosis and an ovarian chocolate cyst at the age of 34, and I underwent traditional surgery at Chang Gung Memorial Hospital. Afterward, I experienced a recurrence of abdominal pain, and medicati...

Dr. Zhan Deqin Reply:
1. The average age of menopause for women in Taiwan is around 49-50 years old. 2. Medications used to treat endometriosis that have anti-estrogen effects may lead to menopausal-like symptoms, and estrogen supplementation may be necessary. 3. Based on what you described, it is pos...

Understanding Uterine Adenomyosis: Pain Management and Pregnancy Concerns

Uterine adenomyosis Hello Dr. Chen, I started experiencing menstrual cramps when I got my first period at the age of 12. By the time I was 25, the pain became unbearable, and I began receiving monthly pain relief injections at the obstetrics and gynecology department. In May of ...

Dr. Chen Fuhao Reply:
Hello Ms. JJ: Your question can be summarized as follows: A chocolate cyst, also known as endometriosis, is a diagnosis often given to women experiencing dysmenorrhea or infertility. Normally, the endometrium exists only within the uterine cavity, but when it is found in abnormal...

Understanding Progesterone's Role in Early Pregnancy and Ovarian Cysts

The function of progesterone? Hello, I am currently pregnant for the first time, approximately six weeks along. In the early stages, I experienced brown discharge and had a day of bleeding. After visiting the doctor, I was prescribed medication to support the pregnancy, but I hav...

Dr. Wang Hanzhou Reply:
Moresafe is specifically prescribed for patients undergoing threatened abortion, so there are no major concerns. Chocolate cysts do not affect fetal growth.

Understanding Abnormal Menstrual Flow and Chocolate Cysts: What You Need to Know

Abnormal menstrual bleeding Hello Doctor: In June of this year, I was diagnosed with 4-5 cm chocolate cysts on both ovaries. I have consulted two doctors, and both recommended surgery. One suggested laparoscopic surgery, while the other recommended traditional open surgery. I...

Dr. Lin Zhaopei Reply:
If laparoscopic surgery is feasible, it should be the primary choice because it 1. reduces adhesions and 2. decreases pain. Bilateral ovarian chocolate cysts can affect ovulation and luteal function; if luteal function declines prematurely, it may result in mild bleeding.

Understanding Vaginal Itching and Ovarian Tumors: Common Concerns

I'm sorry, but I need specific content to translate 1. It is not uncommon to experience itching in the vulvar area during or after sexual intercourse, especially if there is contact with semen. This can be a normal reaction, but if the itching persists or is accompanied by o...

Dr. Huang Jianxun Reply:
Hello Ms. Kero: 1. Please be aware of any fungal infections from outside hospitals. 2. The ultrasound images of ovarian tumors, while each has its characteristics, can sometimes be difficult to differentiate. 3. It is important to monitor whether a 5-6 cm ovarian tumor is c...

Understanding Chocolate Cysts: Surgery, Fertility, and Recovery Insights

Chocolate cyst Hello Dr. Wu, I would like to ask about the situation one month after the removal of a chocolate cyst that was approximately 9 centimeters in size. Is this considered severe? Will it increase the chances of conception? Will the surgery affect the menstrual cycle? I...

Dr. Wu Zongcheng Reply:
1. Chocolate cysts refer to endometriosis within the ovaries, and a 9 cm chocolate cyst is considered a large tumor. After surgery, follow-up treatment and monitoring should be undertaken. 2. After complete treatment of endometriosis, the chances of conception increase. 3. Th...

Effective Treatments for Endometriosis and Chocolate Cysts Explained

Treatment methods for endometriosis and chocolate cysts? The correct treatment methods for endometriosis and chocolate cysts depend on the severity of the condition and the symptoms presented. Common treatment options include: 1. **Pain Management**: Nonsteroidal anti-inflammato...

Dr. Dai Qihan Reply:
Due to the brevity of the information you provided, it is difficult to give an accurate online response. A chocolate cyst is a tumor that develops as a result of untreated endometriosis over a long period. Because of the varying sizes, a detailed ultrasound examination is necessa...

Understanding Chocolate Cysts: Causes, Risks, and Treatment Options

Chocolate cyst Hello Doctor: 1. It has been in my body for two years. Due to some factors, I haven't seen a doctor until now. After a long time, it pressed on my bladder and caused inflammation, which is why I sought medical attention. Is the bladder inflammation really rela...

Dr. Wei Fumao Reply:
1. Cystitis is not related to chocolate cysts. 2. Pregnancy may improve the condition, but if the cysts are larger than one centimeter, they are unlikely to resolve. Ignoring them may lead to infertility, so it is advisable to find ways to conceive as soon as possible. 3. Patient...

Understanding Chocolate Cysts: Risks, Treatment Options, and Fertility Concerns

Chocolate cyst Hello, doctor. I am 28 years old and studying abroad. I discovered a chocolate cyst on my left ovary about a year and a half ago, measuring approximately 4 cm by 4 cm. Recently, during follow-up, it has increased in size to 5 cm by 4 cm, and I also have a cyst on m...

Dr. Zhan Deqin Reply:
Hello: 1. There is no immediate danger. 2. It's hard to say exactly how many centimeters should be removed, but generally, it's better to remove anything larger than 5 centimeters. 3. There is no need to stop sexual activity. 4. It will not harm the fetus, but it may ma...

Understanding CA-125: When Is Surgery Necessary for Ovarian Tumors?

CA-125 Hello Dr. Jan! I was diagnosed with a tumor measuring 4 to 5 cm located between my uterus and ovaries through an ultrasound. My attending physician performed a CA-125 test (this doctor did not specify my diagnosis but mentioned a suspicion of endometrioma), and the result ...

Dr. Zhan Deqin Reply:
1. CA-125 is a tumor marker used to assess the likelihood of malignancy in tumors. Elevated levels can be associated with ovarian cancer, endometriosis, and chocolate cysts, among others, with normal levels being below a certain threshold. 2. Sometimes, it can be difficult to d...

Can Trauma Cause Ectopic Uterus? Understanding Risks and Treatments

Can external forces cause uterine ectopia? Hello Doctor: I have a friend who suffered a severe blow to the abdomen. About a week later, she experienced unbearable abdominal pain and went to the hospital for evaluation. The diagnosis was ectopic uterus (if I remember correctly). I...

Dr. Li Guanghan Reply:
Abdominal trauma should not cause ectopic pregnancy, as the uterus is protected within the pelvic cavity, unless there is a prior fracture of the pelvis. If the pain is caused by endometriosis, it can be treated with medication.

Understanding Chocolate Cysts: Treatment Options and Fertility Concerns

Chocolate cyst I underwent surgery for a chocolate cyst on January 4th of this year. The cyst was 10 centimeters in size, and I had laparoscopic surgery. However, once I was in the operating room and the surgery began, the doctor discovered that adhesions had enveloped my left ov...

Dr. Xu Junzheng Reply:
Chocolate cysts are a type of endometriosis, formed by the accumulation of endometrial tissue in the ovaries. The use of injections aims to induce a pseudomenopause through medication, with side effects that may include symptoms of menopause. However, once the medication is disco...

Understanding Chocolate Cysts: Surgery, Recurrence, and Follow-Up Care

Chocolate cyst Hello Dr. Hsu: In July, I underwent laparoscopic surgery for a 10 cm tumor, but one of the incisions has developed into granulation tissue. Should I consider another surgery to remove it? Is this condition recurrent, and should I undergo regular examinations? The t...

Dr. Xu Junzheng Reply:
Granulation tissue is usually not very large in volume and typically does not cause pain, so surgical removal is generally not necessary. As for the likelihood of recurrence, it depends on the pathological classification of the tumor. For example, if it is a chocolate cyst, which...

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