Chocolate cyst, Obstetrics and Gynecology FAQ

Post-Operative Concerns After Laparoscopic Chocolate Cyst Surgery

Postoperative care for chocolate cysts? I underwent laparoscopic surgery for bilateral chocolate cysts (4 cm on the left side and 7 cm on the right side) in the emergency department on April 20. Postoperatively, I received a menopause injection around noon on April 22. Later that...

Dr. Huang Yuande Reply:
1. It may be a phenomenon of postoperative adhesions. 2. It is a common symptom, especially within six months after surgery. 3. After one month, gentle activities should be able to begin. 4. No, regular follow-up visits are necessary. The likelihood of malignancy in a choco...

Managing Vaginal Fungal Infections: Pain and Treatment Options

Vulvovaginal candidiasis I have been to the gynecologist and confirmed that I have a vulvar yeast infection. I am taking oral Isoconazole Nitrate and applying the topical medication prescribed by my doctor, Aflac Cream, but I still experience pain and redness. What should I do? (...

Dr. Cao Guotao Reply:
Hello, it is recommended to return to the hospital for further evaluation and consider changing the medication. Wishing you good health.

Understanding Ovarian Cysts: Chocolate Cysts and CA-125 Levels Explained

Ovarian cysts, chocolate cysts? Hello, doctor! Recently, I have been experiencing severe menstrual cramps (so intense that I roll on the floor) and I need to take painkillers just to manage sitting up. The pain starts a day before my period and lasts for two to three days (I have...

Dr. Huang Yuande Reply:
It appears more like a chocolate cyst; the actual condition still requires a urine test for confirmation. This type of cyst can vary in size, potentially becoming larger or smaller.

Understanding Watery Discharge After Long-Acting Menopause Injection

Serous discharge Hello Doctor: To prevent the recurrence of chocolate cysts, I am currently receiving long-acting (3-month) menopause injections as treatment. Recently, I have noticed that in addition to experiencing symptoms similar to menopause, I also have watery discharge (th...

Dr. Cao Guotao Reply:
Hello, just observe for now. If the amount is significant, then it is advisable to consult a gynecologist. Wishing you good health.

Understanding Menstrual Irregularities After Surgery: What to Know

Regarding missed menstruation? Hello, Doctor! I underwent surgery to remove a chocolate cyst and uterine fibroids on March 5. On March 14, I experienced a small amount of vaginal bleeding, and my doctor suggested it was likely my menstrual period, which coincided with my usual cy...

Dr. Cao Guotao Reply:
Hello, undergoing surgery should not cause menopause; just monitor the situation. Wishing you good health.

Understanding Changes in Menstrual Flow After Ovarian Surgery

Decreased menstrual flow? Hello, I underwent laparoscopic surgery for a chocolate cyst last year. After the surgery, I still experience menstrual pain, and my menstrual flow varies, although it has decreased compared to before. Previously, my menstrual period lasted about 7 to 8 ...

Dr. Cao Guotao Reply:
Hello, it should be considered normal. Please continue to follow up with your obstetrician-gynecologist. Wishing you good health.

Understanding Uterine Fibroids, Teratomas, and CA125 Levels in Women

Uterine fibroids, teratomas, CA-125? Hello Dr. Huang, I have a few questions I would like to ask. During a health check-up, my CA-125 levels were found to be elevated, so I sought treatment at the gynecology department of National Taiwan University Hospital. A vaginal ultrasound ...

Dr. Huang Yuande Reply:
1. A 6 cm fibroid is unlikely to cause significant pressure symptoms; confirming its location should provide clarity. 2. Although teratomas are mostly benign, it is still recommended to remove them, as laparoscopic surgery is not difficult. 3. CA-125 levels will not be elevated i...

Understanding Chocolate Cysts: Post-Surgery Concerns and Treatment

From surgery for the chocolate cyst until now? Hello, I had surgery for an endometrioma last October, and afterwards, I received an injection to stop my menstruation. I still haven't had my period. On March 1st, I returned for a follow-up, and the doctor prescribed Dianne, w...

Dr. Huang Yuande Reply:
Menstruation will typically return 1 to 2 months after discontinuing birth control pills. As for whether there is fluid accumulation in the uterus, that can only be determined through a clinical examination.

Post-Surgery Concerns: Irregular Periods and Ovarian Cysts Explained

From the surgery for the chocolate cyst until now? Hello doctor, last October I had surgery for a chocolate cyst, and now it has been five months without my period. I returned for a follow-up on March 1st, and the doctor prescribed me Diane contraceptive pills, which I took for n...

Dr. Cao Guotao Reply:
Hello, menstruation typically occurs within a week after stopping medication. After your period returns, please visit the obstetrics and gynecology department for a follow-up examination. Wishing you good health.

Understanding Secondary Bleeding: Causes and When to Seek Medical Advice

Secondary hemorrhage Hello Doctor, I received a menopause injection in 2020 due to having an ovarian chocolate cyst and a small uterine adenomyosis. Due to the medication's effects, I was expected to have my period this year. I experienced light bleeding from January 27 to J...

Dr. Chen Zhiyu Reply:
Regarding your concerns, based on your description, it is indeed more appropriate to return to your original treating physician to confirm the status of the bleeding. Thank you for your inquiry, and I wish you health and happiness.

Understanding Secondary Bleeding: Causes and When to Seek Medical Advice

Secondary hemorrhage Hello Doctor, I received a menopause injection in 2020 due to having an ovarian chocolate cyst and a small uterine adenomyosis. Because of the medication, I was expected to have my period this year. I experienced light bleeding from January 27 to January 31, ...

Dr. Chen Zhiyu Reply:
In response to your concerns, based on your description, it is indeed advisable to return to your original treating physician to confirm the status of the bleeding. Thank you for your inquiry, and I wish you good health and happiness.

Switching Birth Control Pills: What to Do with Remaining Pills?

Contraceptive pill issues? Hello, doctor. I have been taking Yaz for almost a month now. Today, I went for a follow-up appointment at the obstetrics and gynecology department (previously diagnosed with a chocolate cyst), and the doctor prescribed me Estelle to take. The doctor sa...

Dr. Wu Xianghui Reply:
Because the contraceptive pill is used to manage endometriosis, it is recommended to finish the current pack before starting a new one.

Are Side Effects of Danazol Normal After Chocolate Cyst Surgery?

What are the side effects of Epinastine? Hello doctor, I had chocolate cyst surgery six months ago, and after starting on Danazol, I have been experiencing frequent breast tenderness for the past month or two. I also started having pain in both armpits, but I haven't felt an...

Dr. Cao Guotao Reply:
Hello, it is recommended to see a breast surgeon to check for any issues. Wishing you good health.

Understanding Delayed Menstruation After Chocolate Cyst Surgery

The future menstrual cycle after taking Liu Pulin? Hello Doctor: I underwent laparoscopic surgery for a unilateral chocolate cyst at the end of April this year, followed by six doses of Leuprolide, with the last injection on September 23. On that day, the doctor advised me to ret...

Dr. Cao Guotao Reply:
Hello, please wait for about two more weeks. If it still doesn't arrive, I recommend returning to the original hospital for a consultation. Wishing you good health.

Understanding Menstrual Pain: When Pain Relief Medications Fail

Menstrual pain Hello, Doctor. I would like to inquire about menstrual cramps. Is there a problem if I take painkillers but still experience pain? I have had issues with menstrual cramps before, but taking painkillers usually resolves the pain, and sometimes I don't even need...

Dr. Cai Yonglong Reply:
It could be endometriosis (or a chocolate cyst), and you should visit a gynecology clinic for an examination.

Understanding Chocolate Cysts: Risks of Ovarian Aging and Menstrual Irregularities

Ovarian cysts Hello Doctor, I have a condition called endometrioma and have not undergone surgery yet; I am currently under observation. I am quite concerned about whether the cyst being untreated could lead to the following issues: 1. Ovarian insufficiency. I read online that en...

Dr. Cao Guotao Reply:
Hello, it generally does not cause premature aging. Irregular menstrual cycles can sometimes be normal. Wait a bit longer, and if your period still does not come, it is advisable to see a gynecologist. Wishing you good health.

Should I Consider Surgery for My 7cm Chocolate Cyst?

7 cm chocolate cyst I have a 7cm chocolate cyst on one side. I have consulted two major hospitals, and both recommended surgery. I have been on half a year of Danazol, and it initially reduced the cyst from 5cm to 7cm. I would like to know if surgery is advisable or if I should c...

Dr. Huang Yuande Reply:
1. Whether surgery is necessary depends not only on the size of the tumor but also on the response to medication and the symptoms produced. Typically, if the response to medication is poor, which is often the case in over 70% of patients, surgery may be required.

Can Fingering Cause Cervical Erosion? Understanding Risks and Symptoms

Will digital penetration cause cervical erosion? Hello, doctor! I am a patient with a chocolate cyst and would like to inquire about an incident that occurred in early October. I had sexual intercourse with my boyfriend at the beginning of the month, and we used a condom. The fol...

Dr. Cao Guotao Reply:
Hello, it should not be related to erosion. If there is still a lot of discharge, it is recommended to see a gynecologist. Wishing you good health.

Post-Surgery Care and Concerns After Chocolate Cyst Removal

Postoperative care for chocolate cysts? At the beginning of this month, a chocolate cyst ruptured, causing abdominal pain, and I was taken to the hospital for traditional laparotomy. A small cyst on the right side had ruptured, and a 7-8 cm cyst was found on the left side, which ...

Dr. Cao Guotao Reply:
Hello, after the surgery, as long as your body is suitable, you can gradually resume activities two to four weeks later. This surgery is unrelated to a cesarean section. As for traditional Chinese medicine, you may want to consult a TCM practitioner. Wishing you good health.

Post-Surgery Concerns: Managing Pain and Infections After Chocolate Cyst Removal

Postoperative care for chocolate cysts? Hello Doctor, I had a laparoscopic cystectomy two years ago, and the treatment seemed to have concluded. However, recently I have been experiencing menstrual pain (which requires medication) along with frequent urinary tract infections and ...

Dr. Huang Yiwen Reply:
Hello, Miss Anonymous: Ovarian chocolate cysts have a high recurrence rate, with approximately half of patients experiencing a recurrence within five years. Therefore, it is recommended that you undergo regular follow-up examinations. As for urinary tract infections and vaginal i...

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