What are the symptoms of chocolate ovarian cysts and what to do if they rupture

What are the symptoms of a chocolate ovarian cyst? What should I do if it ruptures?

There are many reasons for female infertility, one of which is chocolate cysts. Knowing the symptoms of chocolate cysts is very helpful for treatment.

Symptoms of chocolate ovarian cysts include:

1. Pain. Patients experience varying degrees of lower abdominal pain, abnormal leucorrhea, and menstrual disorders.

2. Infertility. In addition to the symptoms mentioned above, chocolate cysts also have other symptoms. Nearly half of the patients suffer from infertility due to adhesion of pelvic organs, which hinders the peristalsis of the fallopian tubes.

3. Dysmenorrhea. There will be pain during the sexual life of couples, which is more obvious before menstruation.

4. Peritonitis. The wall of the ovarian endometrial cyst is relatively inelastic. As the pressure inside the cyst increases, the weak cyst wall may rupture and cause peritonitis. When the patient feels obvious discomfort, beware of the occurrence of chocolate cysts.

If a chocolate cyst ruptures, the old menstrual blood contained in the cyst spreads to the abdominal cavity, which often further impairs the reproductive function due to secondary adhesions and endometrial implantation. The correct treatment lies in timely surgical treatment. During the operation, the chocolate liquid that flows into the pelvic and abdominal cavity should be thoroughly rinsed off. The surgical method depends on the patient's fertility requirements. If the patient is young and eager to have children, the lesion should be removed as much as possible, the adhesions should be loosened, and the uterus and normal ovarian tissue should be preserved to create conditions for future fertility. However, since the recurrence rate of patients who undergo surgery for ruptured chocolate cysts is much higher than that of those who have not ruptured, it is still appropriate to remove the uterus for older patients who already have children in order to avoid recurrence.