Chocolate Cyst Treatment

What is a Chocolate Cyst?

Chocolate cysts (endometriomas) are cysts that form as a result of endometriosis tissue implanting in the ovaries. The accumulated old blood inside creates a dark brown, chocolate-colored appearance, hence the name 'chocolate cyst.'

Chocolate cysts can be unilateral or bilateral. Their size can range from a few centimeters to over 10 cm.

Treatment is determined based on the cyst size, the patient's age, and pregnancy plans:

- Monitoring: Regular ultrasound follow-up for small (<3 cm) and asymptomatic cysts

Medication: Hormonal treatments to prevent cyst growth

Laparoscopic surgery (Cystectomy): Removal of the cyst while preserving the ovary

Robotic surgery: Precise cyst removal and ovary preservation

What is Cystectomy? Cystectomy is the surgical removal of a cyst (chocolate cyst, dermoid cyst, etc.) from the ovary while preserving the ovarian tissue. In cystectomy performed by laparoscopic or robotic methods, the goal is to completely remove the cyst while maximally preserving healthy ovarian tissue. This preserves the patient's ovarian reserve and fertility capacity.

Assoc. Prof. Erkan Elçi specializes in cystectomy (cyst removal) operations.

Symptoms

Pelvic pain
Painful menstrual periods
Painful intercourse
Infertility
Irregular menstrual bleeding

Frequently Asked Questions

Should a chocolate cyst be operated on?+

Surgery is recommended for cysts over 4 cm, in cases of pain and infertility, or for growing cysts.

Can I get pregnant after chocolate cyst surgery?+

Yes, your chances of getting pregnant increase after a successful cystectomy. Surgery is performed in an ovary-preserving manner.

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Chocolate Cyst (Endometrioma)

What is a Chocolate Cyst?