Understanding Chocolate Cysts and Early Menopause: Key Questions Answered
Chocolate cysts and amenorrhea? Hello, Doctor. Last November (2015), I underwent surgery for chocolate cysts (bilateral). Now, there is a recurrence of cysts measuring almost 3 cm (bilateral), and my ovaries are no longer ovulating. Since the surgery, I have not had my period, an...
Dr. Cao Guotao Reply:
Hello, if blood tests confirm hormonal changes indicating menopause, and considering that 40 years old is quite early, I would recommend hormone replacement therapy. Of course, taking collagen powder, glucosamine, and nutritional supplements such as vitamins C and E is also benef...[Read More] Understanding Chocolate Cysts and Early Menopause: Key Questions Answered
Can Women with Endometriosis Receive the Cervical Cancer Vaccine?
Can a chocolate cyst patient receive the cervical cancer vaccine? Hello, doctor. I am 32 years old and have thalassemia, as does my spouse. Two to three years ago, I underwent laparoscopic surgery for a chocolate cyst on one side. After receiving three doses of Lupron, I attempte...
Dr. Cao Guotao Reply:
Hello, the medications for endometriosis and those used in the in vitro fertilization (IVF) process can have opposing effects. Chocolate cysts can recur, measuring 4-5 cm; if there are no symptoms, observation is sufficient. Individuals with chocolate cysts can receive the cervic...[Read More] Can Women with Endometriosis Receive the Cervical Cancer Vaccine?
Post-Endometriosis Surgery: Understanding Recovery and Complications
Postoperative care after endometriosis surgery? Hello, Dr. Chang. I have endometriosis and underwent laparoscopic surgery on April 5th. Due to the deep and slippery nature of the tumor, a traditional open surgery was performed, during which a chocolate cyst was also removed. I ha...
Dr. Zhang Kunmin Reply:
Hello, the menstrual cycle is usually irregular for a period of time after uterine surgery. Other questions should be addressed based on the specific surgical situation and should be discussed with the operating physician for more appropriate guidance. Thank you! Wishing you peac...[Read More] Post-Endometriosis Surgery: Understanding Recovery and Complications
Post-Endometriosis Surgery: Understanding Ongoing Bleeding and Recovery
Postoperative care after endometriosis surgery? Hello Doctor, I underwent laparoscopic surgery for endometriosis, but during the procedure, the tumor was too slippery and deeply embedded, so a traditional open surgery was performed. A chocolate cyst was also removed. After the su...
Dr. Cao Guotao Reply:
Hello, it seems that the uterine wound has not healed yet. It is advisable to monitor the situation and consult the original obstetrician for treatment. Wishing you good health.[Read More] Post-Endometriosis Surgery: Understanding Ongoing Bleeding and Recovery
Understanding Early Pregnancy: Concerns About Chocolate Cysts and Ultrasound Findings
Early pregnancy The last menstrual period started on March 24 and ended on March 30. Intercourse occurred on April 8, and abnormal bleeding began on April 20, lasting for over a week. An ultrasound and urine test on April 28 confirmed pregnancy, but chocolate cysts were found on ...
Dr. Cao Guotao Reply:
Hello, the typical gestational age is calculated from the first day of your last menstrual period. You should be around 4 weeks pregnant now, and the gestational sac can usually be seen at 5 weeks. Based on your current situation, everything seems to be fine. It is recommended to...[Read More] Understanding Early Pregnancy: Concerns About Chocolate Cysts and Ultrasound Findings
Understanding Chocolate Cysts: Surgery Impact on Fertility and Pregnancy
Chocolate cyst A chocolate cyst of the left ovary was removed six years ago, and a recent examination revealed another chocolate cyst measuring 2 centimeters. If surgery is performed again, will it affect the chances of future pregnancy? If surgery is not performed, is it still p...
Dr. Lin Wenbin Reply:
Please go to the hospital for an examination, and you will also need to have a CA-125 blood test and other tests.[Read More] Understanding Chocolate Cysts: Surgery Impact on Fertility and Pregnancy
Post-Surgery Concerns for Endometriosis: Menopause and Recovery Insights
Post-operative questions regarding chocolate cysts? Hello, I underwent laparoscopic surgery for a chocolate cyst in February of last year and received Lupron for six months post-surgery. My menstrual period returned in mid-February of this year, with heavy flow for the first thre...
Dr. Lin Manying Reply:
1. The recurrence rate is very low after entering menopause. 2. Regular follow-up is still necessary after ovarian cyst surgery; ultrasound examinations are recommended. Otherwise, it is difficult to determine whether the issue is related to the pelvic cavity or body weight, as t...[Read More] Post-Surgery Concerns for Endometriosis: Menopause and Recovery Insights
Understanding Chocolate Cysts: Treatment Options and Fertility Concerns
Chocolate cyst 1. Is there a chance that continuous medication treatment can completely eliminate a 4 cm unilateral chocolate cyst, or is surgery necessary for removal? 2. What is the recurrence rate? 3. How significant is the risk of infertility? 4. Can traditional Chinese...
Dr. Cao Guotao Reply:
Hello, tumors smaller than 5 centimeters should be monitored temporarily and do not require surgery unless symptoms arise. If there is no improvement, then surgery may be considered. If there are still concerns, it is advisable to consult with your regular obstetrician-gynecologi...[Read More] Understanding Chocolate Cysts: Treatment Options and Fertility Concerns
Understanding Chocolate Cysts: Timing for Accurate CA125 Testing
Chocolate cyst Hello Doctor, I had surgery for a chocolate cyst (traditional open surgery) 10 years ago, and I have had mild recurrences since then, which I have been managing with medication. About six months ago, my CA-125 level was approximately 39.5, and my doctor suggested m...
Dr. Cao Guotao Reply:
Hello, it is generally more accurate to perform an ultrasound examination after the menstrual period has ended. If no tumors are found, you can simply monitor the situation. Wishing you good health.[Read More] Understanding Chocolate Cysts: Timing for Accurate CA125 Testing
Understanding Chocolate Cysts: Post-Surgery Concerns and Next Steps
Chocolate cyst Hello doctor, I underwent laparoscopic surgery and received a six-month injection of Depo-Provera. It has been almost three months since I stopped the injections, and I still haven't gotten my period. I have also been experiencing brown discharge for three day...
Dr. Lin Wenbin Reply:
First, let's go to the hospital for an examination. It usually takes some time for the effects of stopping medication to manifest.[Read More] Understanding Chocolate Cysts: Post-Surgery Concerns and Next Steps
Managing Chocolate Cysts: Options and Concerns for Women After Surgery
Chocolate cyst Dear Doctor: Three years ago, I underwent a hysterectomy due to adenomyosis. Two years later, I discovered chocolate cysts measuring 7 cm and 5 cm. My doctor prescribed Lupron for 6 months, which improved my condition, but after stopping the medication for 3 months...
Dr. Cao Guotao Reply:
Hello, since there hasn't been any improvement and it is quite significant, you may want to consider further evaluation. If you still have concerns, I recommend consulting your regular obstetrician-gynecologist. Wishing you good health.[Read More] Managing Chocolate Cysts: Options and Concerns for Women After Surgery
Post-Miscarriage Pain and Ovarian Cysts: Seeking Answers and Relief
After a miscarriage, pain, ovarian cysts? Hello, doctor. I would like to ask you a question. When I was 12 years old, I underwent surgery for an ovarian chocolate cyst, and my right ovary was removed. At the same time, I also had a uterine suturing procedure due to uterine fibroi...
Dr. Cao Guotao Reply:
Hello, it is likely not closely related to last year's miscarriage; it may still be due to inflammation. If you continue to feel unwell, I recommend visiting a hospital to see an obstetrician-gynecologist. Wishing you good health.[Read More] Post-Miscarriage Pain and Ovarian Cysts: Seeking Answers and Relief
Understanding Chocolate Cysts: Symptoms, Diagnosis, and Treatment Options
Chocolate cyst I recently had an examination of my left ovary, which revealed a chocolate cyst measuring approximately 4.6 x 6 cm. I am preparing for laparoscopic surgery. Occasionally, I experience brief episodes of sharp pain on the left side, which are followed by brown discha...
Dr. Cao Guotao Reply:
Hello, it is possible that the left ovary is causing the temporary cramping sensation. If you decide to undergo surgery, the procedure will allow for observation to see if the same condition occurs. Wishing you good health.[Read More] Understanding Chocolate Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Chocolate Cysts: Symptoms, Treatment, and Fertility Concerns
Chocolate issues I have a chocolate cyst on my left ovary, measuring approximately 4.6 x 6 cm, and I am considering having it removed since I have been unable to conceive. Recently, I have experienced occasional sharp pain in my left ovary, followed by brown discharge. Is this no...
Dr. Zhang Kunmin Reply:
Hello, the general recommendation is that surgery is needed when there are symptoms or infertility issues. You should discuss the surgical options with your physician and whether a multidisciplinary surgical approach is necessary. Thank you! Wishing you safety and health. Dr. Zha...[Read More] Understanding Chocolate Cysts: Symptoms, Treatment, and Fertility Concerns
Managing a Large Ovarian Cyst During Early Pregnancy: Key Considerations
At 6 weeks pregnant, an ultrasound examination revealed an 11 cm cyst? Hello Dr. Tsao, My wife is currently 5 to 6 weeks pregnant. Last Friday, we went for her first prenatal check-up, and it was discovered that she has a large cyst measuring approximately 11 cm x 6 cm, which ap...
Dr. Cao Guotao Reply:
Hello, each physician has different opinions. In my view, if there are no discomforts, it's best to continue the pregnancy and keep the baby. Wishing you good health.[Read More] Managing a Large Ovarian Cyst During Early Pregnancy: Key Considerations
Persistent Lower Abdominal Pain: A Month of Discomfort After Surgery
Unexplained lower abdominal pain for over a month? Hello, I underwent laparoscopic surgery to remove a chocolate cyst in April last year and received Lupron injections, which stopped my menstruation for six months. My menstrual cycle resumed in December last year, and it has been...
Dr. Cao Guotao Reply:
Hello, it could possibly be a gastrointestinal issue or something else. If you are still experiencing discomfort, it is advisable to consider seeing a surgeon or a gastroenterologist. Wishing you good health.[Read More] Persistent Lower Abdominal Pain: A Month of Discomfort After Surgery
Pregnant with Chocolate Cyst: Risks and Health Concerns Explained
Pregnant with a chocolate cyst? Hello Doctor, I have a 13 cm chocolate cyst and a small fibroid, and I am three months pregnant. Will the cyst continue to grow? Will it affect the health of my child and me? Could it compress the baby? When can I have the cyst removed? I'm re...
Dr. Cao Guotao Reply:
Hello, if the cyst is not growing, it should be monitored, and there is no need to intervene. You can maintain a balanced diet without the need for special supplements. Wishing you good health.[Read More] Pregnant with Chocolate Cyst: Risks and Health Concerns Explained
Managing Endometriosis: Do Chocolate Cysts and Fibroids Require Surgery for Pregnancy?
Endometriosis issues After being married for a year without using contraception and not becoming pregnant, I recently underwent three gynecological examinations at a major hospital. It was found that there are two 4 cm chocolate cysts—one located on the right ovary and the other ...
Dr. Lü Lizheng Reply:
The response indicates that some physicians recommend surgical treatment, while others suggest in vitro fertilization (IVF). It is advisable to consult a fertility specialist for further discussion. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Managing Endometriosis: Do Chocolate Cysts and Fibroids Require Surgery for Pregnancy?
Understanding Chocolate Cysts: When Is Surgery the Best Option?
Three chocolate cysts? Left chocolate cyst 3*3 cm, right chocolate cyst 4*4.5 cm (two overlapping). The overlapping dimensions are 3.3*3.7 cm and 2.2*1.9 cm. CA-125 level is 189. Is surgery more appropriate?
Dr. Cao Guotao Reply:
Hello, it should be sufficient to observe and monitor temporarily. Wishing you good health.[Read More] Understanding Chocolate Cysts: When Is Surgery the Best Option?
Understanding Pregnancy Test Results: What Do Faint Lines Mean?
Pregnancy test results Doctor, I apologize for the interruption. My last menstrual period started on January 7, 2016, and prior to that, my cycles were around the beginning of the month, typically varying by about a week. Subsequently, around January 28, 2016, I experienced postc...
Dr. Cao Guotao Reply:
Hello, you may be pregnant. It is recommended to see an obstetrician-gynecologist. Wishing you good health.[Read More] Understanding Pregnancy Test Results: What Do Faint Lines Mean?