Chocolate cyst, Obstetrics and Gynecology FAQ - Page 2

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Chronic Lower Back Pain After Gynecological Surgery: Causes and Solutions

Long-term lower back pain after gynecological surgery? Hello Doctor, I have a history of uterine fibroids, chocolate cysts, endometriosis, adenomyosis, and uterine fibrosis, and I have undergone about five surgeries (one of which was a cesarean section). Approximately five years ...


Dr. Huang Yuande Reply:
There are many causes of lower back pain, and it is quite possible that it could be a complication from surgical adhesions. Additionally, endometriomas may also occur, so it is advisable to consult your obstetrician-gynecologist for an evaluation.

[Read More] Chronic Lower Back Pain After Gynecological Surgery: Causes and Solutions


Understanding Prolonged Menstrual Bleeding: When to Seek Help

Prolonged menstruation The menstrual period started on April 4 and has continued until now, April 16, with only a small amount of brown discharge remaining. Is this considered bleeding? The situation is similar to March. Over a year ago, I underwent surgery for a chocolate cyst (...


Dr. Lin Manying Reply:
Hello Yang Yang: 1. The situation on 4/16 is considered bleeding. 2. It is recommended to return for a check-up regarding the right ovarian cyst. The Ministry of Health and Welfare Hualien Hospital cares about your health.

[Read More] Understanding Prolonged Menstrual Bleeding: When to Seek Help


Post-Surgery Swelling in the Vulvar Area After Chocolate Cyst Removal

Swelling of the vulva after chocolate cyst surgery? Hello, doctor. I recently underwent laparoscopic removal of a left ovarian chocolate cyst. On the evening of the seventh day post-surgery, I went out for a walk to buy some things while wearing a waist support and not lifting an...


Dr. Huang Yuande Reply:
1. This situation is generally uncommon; it may be due to adhesions or some side effects caused by electrocautery. 2. Anti-adhesion agents typically get absorbed within a certain period, so it is recommended to monitor the situation further.

[Read More] Post-Surgery Swelling in the Vulvar Area After Chocolate Cyst Removal


Can Dienogest and Mirena IUD Be Used Together for Birth Control?

Drug interactions Hello, I would like to ask if it is possible to use the Mirena IUD for contraception while currently taking Dienogest for the treatment of endometriosis-related chocolate cysts. Thank you.


Dr. Zhang Kunmin Reply:
Hello, based on your description, there may be considerations regarding medication concentration. It is recommended to discuss and decide with your treating physician. Thank you! Wishing you peace and health. Dr. Chang

[Read More] Can Dienogest and Mirena IUD Be Used Together for Birth Control?


Can You Develop Endometriomas After Total Hysterectomy?

Chocolate cyst The doctor would like to ask if it is still possible to develop a chocolate cyst after a total hysterectomy and the removal of one ovary?


Dr. Huang Yuande Reply:
It is still possible, but the incidence rate is low.

[Read More] Can You Develop Endometriomas After Total Hysterectomy?


Do Ovarian Cyst Surgeries Always Require Endoscopic Bags?

Is the use of an endoscopic bag mandatory for the removal of an ovarian cyst? Recently, I was hospitalized for the removal of a left ovarian chocolate cyst due to endometriosis. During the pre-operative examination, the doctor only mentioned that there was a tumor larger than thr...


Dr. Cao Guotao Reply:
Hello, it generally does not have an impact, and the likelihood of cancer should be low. Wishing you good health.

[Read More] Do Ovarian Cyst Surgeries Always Require Endoscopic Bags?


Post-Surgery Discomfort After Chocolate Cyst Laparoscopy: What to Expect?

Persistent discomfort after chocolate cyst surgery? I would like to ask the doctor, about two weeks ago I underwent laparoscopic surgery for a chocolate cyst (with out-of-pocket adhesion prevention). Since then, the external wound has scabbed and is starting to fall off, but I st...


Dr. Huang Yuande Reply:
After surgery, it is common to experience pain related to wound tension, especially following endometriosis surgery, which may involve the separation of adhesions. Therefore, as long as physical condition allows, it is encouraged to engage in more activity.

[Read More] Post-Surgery Discomfort After Chocolate Cyst Laparoscopy: What to Expect?


Understanding Yellow-Green Discharge: Is It Normal After Ovarian Cyst Treatment?

Yellow-green discharge Hello Doctor, I was diagnosed with a chocolate cyst last month. Previously, I had a lot of dark brown or mucous-like discharge, almost daily for the past two months before seeing the doctor. I have been on Relugolix treatment for about three weeks now, and ...


Dr. Cao Guotao Reply:
Hello, just observe for now. Wishing you good health.

[Read More] Understanding Yellow-Green Discharge: Is It Normal After Ovarian Cyst Treatment?


Can Women with Ovarian Cysts Safely Consume Red Date Extract?

Is it safe to consume red date extract if I have ovarian cysts? Dear Director Huang, I have been suffering from iron deficiency anemia for a long time, with hemoglobin levels ranging from approximately 8.5 to 9 based on my lab reports. In the past two years, I was also informed ...


Dr. Huang Yuande Reply:
If the ovarian chocolate cyst is only 2 centimeters, special treatment is generally not necessary. The red date extract you consume, as long as it's not in excessive amounts, typically won't have any adverse effects.

[Read More] Can Women with Ovarian Cysts Safely Consume Red Date Extract?


Understanding Your MRI Report: Key Insights for Gynecological Concerns

I would like to understand what this MRI report explains? Hello, Director Cao! My wife experienced abnormal bleeding, so on October 20, 2022, she underwent a transvaginal ultrasound. The report indicated that the doctor found a cystic-solid tumor in the left ovary measuring appro...


Dr. Cao Guotao Reply:
Hello, it could possibly be a chocolate cyst. Please have it checked by a gynecologist. Wishing you good health.

[Read More] Understanding Your MRI Report: Key Insights for Gynecological Concerns


Can Danazol Affect Hair Growth in Women with Endometriosis?

Side effects of Montelukast? Hello Doctor, I have been using Danazol for almost two years due to my chocolate cyst (I plan to stop the medication after two years). During this time, I have not had my period. I would like to ask if Danazol suppresses ovarian estrogen secretion, an...


Dr. Cao Guotao Reply:
Hello, this medication will suppress hormone activity, which may lead to amenorrhea, but it rarely causes hair issues. If there is no improvement, it is advisable to consult a dermatologist. Wishing you good health.

[Read More] Can Danazol Affect Hair Growth in Women with Endometriosis?


Understanding Prolonged Menstrual Bleeding: When to See a Doctor

Menstrual duration Hello: My menstrual period usually lasts about eight days, but on the eighth day, the flow is similar to what I experienced on the third day. There is no menstrual pain, but I do notice a small amount of blood clots. I have a 2 cm uterine fibroid and a 4.6 cm c...


Dr. Chen Zhiyu Reply:
Hello! It's important to pay attention to menstrual cycles that are either too short or too long, as they may be influenced by stress or environmental changes, or could indicate underlying health issues. It is advisable to monitor the situation further or consult a gynecolog...

[Read More] Understanding Prolonged Menstrual Bleeding: When to See a Doctor


Post-Surgery Pain Management for Endometriosis: Seeking Solutions

Postoperative pain issues after chocolate cyst surgery? I would like to consult a doctor: Two years ago, I underwent surgery for chocolate cysts, as I had five-centimeter ovarian cysts on both sides. After evaluating my condition, the doctor performed laparoscopic surgery to remo...


Dr. Cai Yonglong Reply:
It is possible that the chocolate cyst was not completely removed along with the cyst wall, leading to recurrence. It is advisable to return for a follow-up visit and undergo ultrasound or CT scan for evaluation. If symptoms are severe (and possibly unresponsive to medication), s...

[Read More] Post-Surgery Pain Management for Endometriosis: Seeking Solutions


Understanding Uterine Fibroids: When Is Surgery Necessary?

Uterine fibroids Hello: Five years ago, I went to the hospital for examination due to menstrual pain and discovered a 4 cm chocolate cyst on my right side. However, the doctor did not recommend surgery, and I did not follow up. Until March of this year, I found that the menstrual...


Dr. Huang Yuande Reply:
In principle, the priority is given to symptom consideration, and the size of the cyst is merely a reference. If there is a clinical need, health insurance can cover the surgical costs.

[Read More] Understanding Uterine Fibroids: When Is Surgery Necessary?


Understanding Abnormal Bleeding After Progesterone Supplementation

Bleeding after progesterone supplementation? I have a chocolate cyst and just finished treatment with Danazol last month. I started trying to conceive after stopping the medication. My period came three days after discontinuing Danazol, and it was much better this time; I only ne...


Dr. Cao Guotao Reply:
Hello, please do not stop the medication temporarily. If there is still bleeding, it is recommended to see a gynecologist. Wishing you good health.

[Read More] Understanding Abnormal Bleeding After Progesterone Supplementation


Understanding Abnormal Bleeding After Progesterone Supplementation

Bleeding after progesterone supplementation? I have a chocolate cyst and just finished treatment with Danazol last month. I started trying to conceive after stopping the medication. My period came three days after discontinuing Danazol, and it was previously very painful, with pa...


Dr. Cao Guotao Reply:
Hello, please do not stop the medication. Monitor the situation for now. If there is still bleeding, it is advisable to see a gynecologist. Wishing you good health.

[Read More] Understanding Abnormal Bleeding After Progesterone Supplementation


Understanding Elevated CA-125 Levels: What You Need to Know

Abnormal CA-125 This year, I went to a large hospital for a health check-up, and one of the tests was a CA-125 blood test. At that time, I was on my menstrual period and informed the nurse, but she said it wouldn't affect the results. The test result showed elevated levels, ...


Dr. Wu Xianghui Reply:
1. Whenever the peritoneal lining is stimulated, CA125 levels will increase. In other words, benign conditions or even healthy individuals can also have elevated levels. For example, women during their menstrual period, those experiencing diarrhea, or individuals with gastroenter...

[Read More] Understanding Elevated CA-125 Levels: What You Need to Know


Understanding Changes in Menstrual Flow and Color: What to Know

Sudden changes in the volume and color of menstruation? Hello, Doctor. My menstrual cycle was normal when it started on February 3rd, but suddenly from March 15th to March 18th, my period changed to a brown color and was very light. Most of the time, I only noticed a small amount...


Dr. Wu Xianghui Reply:
1. "Abnormal vaginal bleeding" has numerous causes, including lifestyle habits, stress, age, vaginal infections, benign gynecological conditions, and malignant tumors, among others. Therefore, it is recommended that you visit a professional obstetrician-gynecologist for...

[Read More] Understanding Changes in Menstrual Flow and Color: What to Know


Understanding Elevated CA125 Levels After Ovarian Cyst Surgery

Abnormal CA-125 levels? Hello, doctor! I underwent laparoscopic surgery to remove a chocolate cyst on February 26. My last CA-125 level before the surgery was 36. During my follow-up appointment on March 8 to check the incision, I had another blood test for CA-125, and the result...


Dr. Huang Yuande Reply:
Although this index is slightly elevated, it is likely due to the recent surgery, as there may still be inflammatory responses or residual ectopic tissue in the abdominal cavity. Therefore, it is recommended that data from three months later will be more meaningful for comparison...

[Read More] Understanding Elevated CA125 Levels After Ovarian Cyst Surgery


Do I Need to Take a Break from Birth Control Pills After 4 Years?

Is it necessary to take a break from using the menstrual regulation medication "Yueji" after taking it for about three to four years? Hello Doctor: I would like to ask if I need to take a break from oral contraceptives after taking them for almost four years. I have bee...


Dr. Huang Yuande Reply:
You may consider taking a break from the medication. Observe any changes in symptoms and then discuss with your physician whether it is necessary to continue the treatment.

[Read More] Do I Need to Take a Break from Birth Control Pills After 4 Years?


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