Although the backward flow of menstrual bleeding is one of the factors that cause the formation of endometriosis, exactly what causes this condition is not known. Depending on where it settles, the chocolate cyst can also cause infertility. Cysts that develop in the pelvic organs or in the tubes are an obstacle to pregnancy.
Especially in the advanced stages of the chocolate cyst, infertility becomes almost unavoidable. In approximately 40% of patients who turn to assisted reproduction methods such as IVF, a chocolate cyst is found.
THE CHOCOLATE CYST AND INFERTILITY
Different reasons may lie behind the chocolate cyst causing infertility. Infertility can arise as a result of the cyst blocking both fallopian tubes or creating adhesions in the tubes.
Depending on where it settles, the cyst can also cause the conditions necessary for the development of the embryo to be disturbed. As a result of this, the embryo cannot implant in the wall of the uterus and cannot develop, and this causes the pregnancy not to occur.
In situations in which infertility is seen, the IVF method provides significant success for those who want to become pregnant. However, the success of IVF treatment can again vary according to the location where the chocolate cyst is found. Those who want to have a baby are advised to turn to IVF treatment without losing time once it has been revealed that they have a chocolate cyst.
IVF AND THE CHOCOLATE CYST
The reason why those who have a chocolate cyst are advised to begin IVF treatment as soon as possible stems from being able to start the treatment before these cysts progress.
The growth of chocolate cysts significantly affects the success of the treatment. In some cases, together with the hormonal changes experienced after becoming pregnant, chocolate cysts can shrink considerably. However, that this will happen is not certain. In cases where the cyst is very large it can also prevent IVF treatment. For this reason the chocolate cyst must first be treated and IVF treatment carried out afterwards.
When the chocolate cyst has been removed, the chance of pregnancy increases significantly. After the cyst has been removed, it may be necessary to wait a while for the inner structure of the uterus to recover.