Chocolate cysts are caused by endometriosis. Endometrial tissue lines the uterus and, as a result of endometriosis, this tissue grows outside the uterus as well. Endometrial tissue has the ability to adhere to the ovaries, fallopian tubes, and adjacent organs such as the bladder.
There is no cure for ovarian endometriomas, however your provider can remove them if they cause discomfort or pose a risk to your health.
Monitoring: If your cysts are small and not producing symptoms, you and your provider may decide to monitor them.
Laparoscopy: If you have ovarian endometriomas that are painful, growing, or larger than 4 centimetres, your provider may offer a laparoscopy. Once the cyst reaches this size, the chances of it becoming malignant increase.
Removing the cyst not only improves your symptoms, but it also lowers the danger of further ovarian tissue damage, such as having an ovarian endometrioma burst.
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