Endometriosis (chocolate cyst disease), which is frequently seen in the reproductive age, is sometimes in the form of a chocolate cyst that causes no complaint at all and is detected only by chance, while sometimes it is an unusual disease in which, despite many medical treatments and operations, great relief cannot be achieved. This disease, whose cause is not exactly known, arises when the endometrium layer inside the uterus settles in another place and, in that area, causes thickening and shedding with bleeding just as inside the uterus.
It Lowers the Chance of Becoming Pregnant!
These cysts, which mostly involve one ovary, can, although rarely, involve both ovaries. They cause a disturbance in the function of the ovaries, a reduction in the healthy tissue within them or an adverse effect on the ovarian reserves. All these results affect pregnancy adversely. The cysts lead to adhesions in the tissues inside the abdomen. These adhesions lead to a disturbance of the anatomical structure. Along with this, they prevent the organs from carrying out their functions. In a blockage of the fallopian tubes formed in this way by remnants, or in adhesions of the tubes, a situation can arise that prevents the egg or the sperm cell from passing through this area. These reasons lower the chance of becoming pregnant. The presence of adhesions between the organs is another factor that leads to infertility. Although a definite diagnosis that the chocolate cyst leads to infertility cannot be made, the number of women who go to the doctor because of infertility is quite high.
The Treatment of the Chocolate Cyst
In the treatment of chocolate cysts, surgical operations, especially laparoscopy, are used. In the treatment the patient’s age is quite important. Because in the treatment of the chocolate cyst the ovaries are adversely affected. In the treatment, the patient’s wish to have a child guides the treatment. Although the cyst growing steadily, preventing pregnancy and severe pains make surgery necessary, age is quite important. There is no objection to a surgical procedure being carried out in patients of a young age. Because the egg reserve has not yet decreased. However, in women around the age of 35 the ovarian reserve naturally begins to decrease. In these women, when a surgical procedure becomes unavoidable, a pregnancy by natural means is awaited for about 6 months to 1 year after the treatment. Because after the treatment the probability of these women becoming pregnant within a year appears high.
It Can Recur
When the cysts are not treated, in adhesions of the tubes an ectopic pregnancy may occur because the embryo cannot settle inside the uterus, which can result in being unable to become pregnant and in the loss of the ovaries. However, there is no treatment that completely cures chocolate cysts. There is a probability that the cysts will recur. As a result, the chocolate cyst does not leave a woman infertile. If the cyst settles inside the ovary, it can impair the quality of the egg that develops in the ovary. It can prevent or reduce the chance of becoming pregnant.