Chocolate Cyst is a type of ovarian cyst. It is a subgroup of endometriosis and it is found mostly in women of reproductive age.

There are effects such as hurt and pain. It causes gradually severe menstrual cramps and women can be less responsive to painkillers. The symptoms can also be more severe.

It can also spread out and cause pain in the pelvic area such as tenesmus, stomach pain, hip pain and abdominal adhesions. Since chocolate cyst or endometriosis will grow randomly in the stomach area causing adhesions on the fallopian tube, ovaries and hydrosalpinx, it means that it can cause long-term impacts and also affect fertility.

In addition, the egg quality will be worse if the chocolate cyst becomes bigger since it will damage ovaries causing low egg count. If women need surgery, it will rapidly damage the ovaries.

Most importantly, those who have chocolate cysts should be aware that there is a 50% chance that it can reoccur within 5 years after the surgery in case the patients skip their medication. Also, the medication is recommended until menopause starts. Women can stop the medication once they would like to have a baby. However, after giving birth, they will need to continue taking medication.

Therefore, it is recommended seeing the doctor if you have some suspicious symptoms.

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Reference: Prime Fertility Center Co., Ltd.

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