Chocolate cyst, Obstetrics and Gynecology FAQ

Missed Period After Endometriosis Medication: When to Seek Help?

After taking medication related to endometriosis, menstruation has not occurred? Hello Doctor, I underwent a chocolate cyst removal surgery in September 2021 and took medication similar to Danazol for two months post-surgery (the last dose was around November 2). However, I have ...

Dr. Wu Xianghui Reply:
Taking Isotretinoin may cause temporary amenorrhea, and the recovery time should be considered in conjunction with the extent of surgical treatment. It is recommended that if amenorrhea persists for more than 6 months, the patient should return to the treating physician for an ex...

Managing Rheumatic Conditions During Pregnancy: Natural vs. Cesarean Delivery

Concerns about reproductive issues related to rheumatic and immune disorders? Hello, doctor. Since childhood, I have experienced redness, swelling, and pain in various joints, which can become severe enough to make movement extremely difficult and painful. These episodes usually ...

Dr. Cao Guotao Reply:
Hello, if there are issues with mobility during labor, a cesarean section may need to be considered. Regarding the surgery, health insurance regulations state that ovarian issues cannot be addressed simultaneously. Wishing you good health.

Understanding Chocolate Cysts: Is Spotting After Surgery Normal?

Chocolate cyst Hello, doctor. I had laparoscopic surgery to remove a chocolate cyst at the end of March, and I received long-acting leuprolide injections in April and July. I've been experiencing spotting every month, averaging 3 to 4 days of spotting per week. Is this norma...

Dr. Cao Guotao Reply:
Hello, it should be normal. Whether it is cancer depends on the pathology report. Wishing you good health.

Understanding Changes in Menstrual Flow: Causes and Concerns

Hypomenorrhea Hello Doctor: In August, I noticed a significant decrease in my menstrual flow. In September and October, it slightly improved, but in November, the pain on the first day of my period was worse than in previous months. The flow was heavier on the first day, but then...

Dr. Cao Guotao Reply:
Hello, please monitor for another 1-2 months. If the amount is still low, it is recommended to see a gynecologist. Wishing you good health.

Understanding Ovarian Cysts: Diagnosis, Treatment, and Fertility Concerns

Ovarian cystadenoma I would like to ask the doctor about an ultrasound finding of a cyst. However, the doctor was quite vague when I inquired whether it could be a chocolate cyst (I had surgery at 20 years old and I am now 47). He mentioned it is a possibility. In my previous exa...

Dr. Cao Guotao Reply:
Hello, a size of 4.8 cm should be monitored, and it is unrelated to vaccination. If menstruation has occurred, there is a chance of pregnancy, but the likelihood is low. As for medication, it is likely unnecessary. Wishing you good health.

Post-Surgery Considerations for Vaccination After Chocolate Cyst Removal

Postoperative care for chocolate cysts? Hello Dr. Chen, I had surgery at the end of March this year to remove an 11 cm chocolate cyst, and I started receiving long-acting Diphereline injections in April, with my second dose already administered. I began taking Isovorin in October...

Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary of the response: Currently, there is no empirical data available on this matter. The general guideline is to avoid vaccination within one month before and after the use of hormone-related medications. It is also advisable to consult your...

Understanding Post-Surgery Bleeding After Laparoscopic Myomectomy

Single-port laparoscopy + Daphnylin bleeding Hello, I underwent a surgical procedure for a blighted ovum on August 27, and on August 29, I experienced severe pain from adenomyosis, leading to a single-port laparoscopic surgery on September 1 to remove fibroids, adenomyosis, and a...

Dr. Wu Xianghui Reply:
The situation regarding the side effects of medication used in conjunction with surgery is complex, and it is recommended to return to the original surgeon's clinic for evaluation.

Should You Pause Medications Before Getting Vaccinated?

Do I need to stop taking my medications before getting vaccinated? Hello, doctor. I would like to ask if I can receive the BNT vaccine on the 14th of this month after having surgery for my chocolate cyst and starting to take Letrozole on the 9th of this month. My prescribing doct...

Dr. Cao Guotao Reply:
Hello, there is no need to stop the medication. Wishing you good health.

Impact of Vaccination on Endometriosis Treatment: Your Questions Answered

Vaccine Anaphylaxis Hello doctor, I had surgery for a 10 cm chocolate cyst at the end of March this year. After receiving two doses of long-acting Decapeptyl, I started taking Esmya. The second dose of Decapeptyl was administered on July 10. Should I start taking Esmya on October...

Dr. Cao Guotao Reply:
Hello, please follow your physician's instructions. Take the medication Epinastine; everyone's response varies. Some individuals may experience slight bleeding, while others may not, and this is unrelated to vaccination. Wishing you good health.

Managing Chocolate Cysts: When to Refill Your Hormone Medication

Chocolate cyst / Administration of progesterone Hello Dr. Chang, I was diagnosed with a chocolate cyst at the end of last year and started taking "Dydrogesterone" until July of this year (about 9 months). Due to severe hair loss, I switched to "Progesterone" a...

Dr. Zhang Kunmin Reply:
Hello, the inquirer: Due to the withdrawal bleeding after stopping progesterone, it is recommended to return for a follow-up and continue taking progesterone. Thank you! Wishing you peace and health, Dr. Chang.

Understanding Chocolate Cysts and Ovarian Cancer in Postmenopausal Women

Chocolate cysts / Ovarian cancer The elder is currently around 59 years old and was hospitalized for abdominal pain about 3-4 years ago, but no cause was found after examination. A transvaginal ultrasound was performed, and no abnormalities were detected. Two weeks ago, she retur...

Dr. Cai Yonglong Reply:
Chocolate cysts and ovarian cancer are distinct pathological entities that may occur simultaneously. Changes in body constitution and cellular mutations are primary factors. Symptoms such as swelling, abdominal pain, ascites, or abnormal bleeding may be potential warning signs. U...

Understanding Chocolate Cysts and Early Ovarian Cancer Detection

Chocolate cysts / Ovarian cancer The elder is currently around 59 years old and was hospitalized for abdominal pain about 3-4 years ago, but no cause was found after examination. A transvaginal ultrasound was performed, which also did not reveal any abnormalities. Two weeks ago, ...

Dr. Cai Yonglong Reply:
Chocolate cysts and ovarian cancer are distinct pathological entities that can occur simultaneously. Changes in body constitution and cellular mutations are major contributing factors. Symptoms such as swelling, abdominal pain, ascites, or abnormal bleeding may be potential warni...

Understanding Chocolate Cysts and Ovarian Cancer in Postmenopausal Women

Chocolate cysts / Ovarian cancer The elder is currently around 59 years old and was hospitalized for abdominal pain about 3-4 years ago, but no cause was identified despite examinations, including a transvaginal ultrasound that showed no abnormalities. Two weeks ago, she returned...

Understanding Lower Abdominal and Vaginal Pain After Ovarian Surgery

Lower abdominal and vaginal cramping? Hello Doctor, I had surgery for a chocolate cyst on my left ovary last year. In recent months, I have frequently experienced occasional, localized but not severe cramping pain in the lower left abdomen near the groin area. Additionally, I hav...

Dr. Cao Guotao Reply:
Hello, the two may not necessarily be related. If you still feel unwell, it is advisable to consult a gastroenterologist to check for any other issues. Wishing you good health.

Can I Get Vaccinated After Endometriosis Surgery and Hormonal Treatment?

Postoperative care for endometriotic cyst surgery? Hello, doctor. I had surgery for a chocolate cyst over 10 cm in March this year, and I received my second injection of long-acting Decapeptyl in April. I will start taking Letrozole in October. Can I get the BNT vaccine? Since I ...

Dr. Zhang Kunmin Reply:
Hello, based on your description of symptoms, they should not affect the administration of the vaccine. It is still recommended to follow the announced precautions for vaccination and discuss any related risks with your treating physician and cardiologist. Thank you! Wishing you ...

Post-Operative Care: Exercise and Medication After Chocolate Cyst Surgery

Postoperative Exercise and Medication for Chocolate Cyst Surgery Hello Doctor: I underwent laparoscopic surgery for a chocolate cyst on September 2nd of this year, and I have a few questions to ask. 1. My attending physician has only prescribed medication for one month, but I f...

Dr. Cao Guotao Reply:
Hello, generally, medication is taken for six months. You can consult your physician about this. Moderate exercise typically does not have an adverse effect. Wishing you good health!

Understanding Menstrual Cycle and Basal Body Temperature in Endometriosis

Regarding basal body temperature and menstrual cycle? Hello Doctor, I have been diagnosed with endometriosis and started taking Yaz Flex birth control pills on April 30, 2021. I understand that this medication can be taken continuously for up to 120 days, but I have experienced l...

Dr. Cao Guotao Reply:
Hello, if it is below 5 centimeters, generally observation is sufficient and surgery is not necessarily required. If you want to conceive, just let things happen naturally and avoid taking contraceptive pills, as they may prevent pregnancy. Wishing you good health.

Can I Get Vaccinated While Undergoing Endometriosis Treatment?

Endometriosis Hello, doctor. I had surgery to remove an 11 cm chocolate cyst at the end of March this year, and I started receiving long-acting leuprolide injections in April, with my second dose already administered. I began taking estradiol in October. I would like to know if I...

Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

Understanding Bright Yellow Discharge: Causes and When to Seek Help

Bright yellow discharge? Hello Doctor, I would like to ask a question: A couple of days ago, after engaging in sexual intercourse (with a condom), I experienced slight pain (dull ache) near my right ovary. When I went to the bathroom, I noticed a bright yellow discharge from my ...

Dr. Cao Guotao Reply:
Hello, it could be inflammation. It is recommended to visit a gynecologist for an examination. Wishing you good health.

Understanding Breakthrough Bleeding After Stopping Birth Control Pills

Stopped taking the birth control pills after taking two tablets? Hello Doctor, I previously visited a gynecologist for an ultrasound, and the doctor mentioned that I have a cyst that could possibly be a chocolate cyst (2-3 cm). I was prescribed birth control pills to help regulat...

Dr. Wu Xianghui Reply:
It is recommended to return to the outpatient clinic for examination and evaluation if hormone medications have not been taken as prescribed.

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