Chocolate cyst can cause infertility

All around the world, March is taken into account the month of endometriosis consciousness and 1 out of each 10 girls in Turkey is combating this illness. The necessary level right here is that the affected person needs to be evaluated properly and handled by surgical procedure if deemed mandatory. Chocolate cyst (endometriosis) is seen as a major problem that can result in infertility. Right this moment, one-third of ladies with chocolate cysts resort to assisted reproductive remedies to be able to have kids. Gynecology and IVF Specialist Prof. Dr. Mustafa Bahçeci shared info on the topic.

“ATTENTION TO PAINFUL PERIOD AND Irregular Bleeding”

Drawing consideration to painful menstrual durations and irregular bleeding, Prof. Dr. Mustafa Bahceci, “Endometriosis, which can be summarized because the unfold of the tissue known as the endometrium, which traces the within of the uterus, into the stomach, peritoneal membrane, ovaries and tubes for a motive, is named chocolate cyst when it varieties a cyst within the ovaries. Chocolate cysts are usually seen in girls of reproductive age and their incidence is sort of excessive. Findings of this illness are seen in 10 p.c of ladies of reproductive age. Endometriosis takes its title from the endometrium, which suggests the layer that traces the within of the uterus and thickens and sheds every month through the menstrual interval. Bahceci mentioned, “The tissue resembling the endometrium, which ought to usually be discovered within the internal layer of the uterus, can also be discovered outdoors the uterus in these sufferers. Through the menstrual interval, thickening and bleeding happens in these areas, as within the uterus. Nonetheless, the bleeding that happens right here can’t be expelled from the physique. Hemorrhages within the endometriosis areas within the ovaries additionally accumulate and type chocolate cysts. With the impact of bleeding, adhesions and injury happen in different organs (intestines, urinary bladder) over time. The most typical signs of endometriosis are ache earlier than and through menstruation, ache throughout and after sexual activity, infertility, and irregular or extreme bleeding. Different signs can be listed as fatigue, painful bowel actions throughout menstruation, ache radiating to the decrease again, diarrhea or constipation throughout menstruation, and different intestinal problems. used his statements.

“Hereditary and environmental components have an effect on the event of the illness in chocolate cysts that can be identified with the historical past and imaging methods taken from the affected person. So as to make the prognosis of endometriosis, the main focus of the illness needs to be seen and a pathological examination of the piece taken from the tissue needs to be carried out. For this, laparoscopic surgical procedure is carried out on the affected person. mentioned Pof. Dr. gardener, “With laparoscopic surgical procedure, each definitive prognosis and remedy can be made. If a chocolate cyst is suspected from the affected person’s complaints or if the affected person has infertility issues, diagnostic laparoscopy can be carried out. Thus, if the affected person has lesions and adhesions, they can be simply examined. Earlier than laparoscopy, vaginal ultrasonography may additionally be useful for prognosis. Chocolate cysts which are massive can be seen with ultrasound. he mentioned.

IN WHICH SITUATIONS SHOULD SURGERY BE TAKEN?

Explaining through which instances chocolate cyst surgical procedure needs to be carried out, Prof. Dr. gardener, “Chocolate cyst is a illness that threatens reproductive well being and can cause infertility. If the chocolate cyst is superior and there’s no enchancment with surgical intervention, the affected person can have a child with in vitro fertilization remedy. Within the remedy of chocolate cyst, it’s doable to take away or destroy the endometriosis lesions by laparoscopic or classical surgical procedure. Medical remedies are our first alternative in sufferers with chocolate cysts. Not each chocolate cyst needs to be operated as a result of if these cysts are operated, the affected person’s ovarian reserve could lower. Due to this fact, there’s a normal method to endometriosis cysts. It isn’t really helpful to be operated on cysts smaller than 3 cm. Cysts between 3-5 cm could have a surgical method. At this level, the affected person’s complaints are necessary; A great analysis needs to be made, surgical procedure can be determined whether it is actually wanted.” mentioned.