It should be known that the treatment of an endometrioma, especially in patients whose egg reserve has decreased, is a treatment that requires far more care. In a woman whose reserve is low, if an adequate assessment is not made before the operation and if there is not enough surgical experience for these operations, the ovarian reserve can unfortunately be reduced even further.
Indeed, especially in patients with a bilateral chocolate cyst who have previously had repeated surgery on the ovary, it can even lead to the patient being unable to become pregnant, to failure of IVF and even to EARLY MENOPAUSE.
In Women With a Chocolate Cyst Who Want to Become Pregnant, Does Laparoscopic Surgery Increase the Chance of Pregnancy?
Just as the chocolate cyst can cause a fall in women’s ovarian reserve, the surgical procedure can also lead to an immediate fall in the reserve. In women whose ovarian reserve is low, removing the cyst is generally not a preferred method, because it can cause the patient to enter the menopause. So then, who should have surgical treatment?
The chocolate cyst reduces the ovarian reserve even when surgery is not performed. In women with a good ovarian reserve and a one-sided endometrioma in particular, endoscopic surgery increases both the patient’s CHANCE OF BECOMING PREGNANT ON HER OWN and the CHANCE OF BEING PERMANENTLY FREED FROM THIS DISEASE. Especially in the group with pelvic pain, relieving the pain with surgical treatment affects the patient’s daily life and married life positively, while increasing the chance of pregnancy far more clearly.