With the treatment of the chocolate cyst you can considerably increase your chance of becoming pregnant. The most important reason why this cyst directly affects pregnancy is that the place where it forms is the main organs related to reproduction. Although cysts occurring in the ovaries pose a risk for pregnancy, becoming pregnant is possible. For those who want to become pregnant, other treatment methods are preferred rather than suppressive treatments such as contraception or delaying the period.
When Is the Chance of Becoming Pregnant Highest After Surgical Treatment?
With the treatment of endometriosis the probability of pregnancy can be increased. One of the first options is generally the removal of the chocolate cyst laparoscopically or robotically. Laparoscopy is the general name given to the procedures of entering the body through an opening made just below the navel to examine the abdominal cavity and the internal organs, and, in the necessary situations, of carrying out the procedure through additional openings. Besides being quite easy, this operation can also be preferred because it is closed. In women with a chocolate cyst, ovarian chocolate cysts can be removed with the application of laparoscopy. Blockages occurring in the tubes or endometriosis foci in the pelvis can be cleared. After this procedure, pregnancy is possible within 6 to 9 months. After the operation, while the monthly chance of pregnancy increases by approximately 4-5% in patients with stage I or II disease, the increase is 1-2% in patients with stage III or IV. Our patients must certainly know that in women operated on with laparoscopy or robotic surgery with a diagnosis of endometriosis, the highest chance of pregnancy occurring is in the first six to nine months after the operation. This period, in which the chance of becoming pregnant is highest, should not be spent using contraception.
The Chocolate Cyst and IVF
With IVF procedures it is possible to increase fertility. Because in vitro fertilisation, that is, IVF applications, bring the sperm and the egg together in the laboratory setting, this method comes to the fore for women with infertility linked to endometriosis. If pregnancy has not occurred within 1 year after surgery, assisted reproduction treatments should be moved on to. In infertile women with advanced-stage endometriosis, assisted reproduction treatments [(in vitro fertilisation / embryo transfer (IVF / ET)] can be moved on to directly without surgery. In an infertile woman, treating the chocolate cyst with medical drug treatment is generally not applied in the treatment of endometriosis because it is of no benefit; on the contrary, it delays the infertility treatment. Here, without wasting time, if there is a wish for pregnancy this should be resolved, and afterwards medical and/or surgical treatment can be considered. In patients who have very severe pain and other complaints and whose tubes are severely damaged, rapid IVF, surgical treatment after freezing eggs/embryos, and embryo transfer after a short recovery period is a very important treatment option. To strengthen the immune system and reduce the existing endometriosis, changing eating habits can also be preferred. Acupuncture and herbal treatments are also among the non-surgical treatment methods you can choose.
Do Women With a Chocolate Cyst Encounter a Problem in Pregnancy?
It is not impossible for women with a chocolate cyst to become pregnant, and there are many patients who were not aware of the chocolate cyst before becoming pregnant. Although pregnancy does not completely treat the chocolate cyst, during pregnancy chocolate cysts can be suppressed and the complaints generally decrease. In addition, it is accepted that the chocolate cyst has no effect on the baby. Especially in recent years it has been reported that the chocolate cyst can cause certain problems during pregnancy after becoming pregnant. These are premature birth, a low-birth-weight baby and the early separation of the placenta. But there is no very definite evidence and most patients give birth to healthy babies.