Is the right ovarian chocolate cyst serious?

Ovarian chocolate cysts are also called endometriosis cysts, a type of endometriosis. They are a relatively serious gynecological disease, mainly because they can easily lead to infertility. As endometriosis spreads to the ovaries, as the cysts grow larger, they affect the ovarian ovulation function and lead to female infertility. If the cyst ruptures, the contents flow into the pelvic cavity, causing severe abdominal pain, which may be accompanied by discomfort such as anal distension. The most common clinical manifestation of chocolate cysts is dysmenorrhea, which tends to worsen progressively, and there may also be pain during sexual intercourse.

Difference between chocolate cyst and ovarian cyst

To distinguish between physiological ovarian cysts and chocolate cysts, the method is actually very simple, that is, to judge through multiple color Doppler ultrasound examinations. For women with physiological ovarian cysts, they often appear after ovulation and disappear naturally after menstruation, so color Doppler ultrasound can be directly rechecked after menstruation. For women with ovarian chocolate cysts, not only do the cysts always exist, but they also cause progressive and aggravated dysmenorrhea, and may also affect women's reproductive function, leading to difficulties in pregnancy and even infertility. If the cyst disappears, it is a physiological cyst, but if the cyst does not disappear, it may be a pathological cyst, but it is not necessarily an ovarian chocolate cyst. At the same time, when checking color Doppler ultrasound, it will be found that the cyst wall of the ovarian cyst is relatively thick, and the echo inside the cyst wall is generally not particularly uniform. .

Causes of ovarian chocolate cysts

Congenital vaginal atresia or cervical stenosis, obstruction of menstrual blood discharge has a high incidence rate, iatrogenic endometrial implantation, such as abdominal wall scar after cesarean section, endometriosis may occur due to the incision after delivery, which may be caused by the endometrium being brought to the incision during surgery and directly implanted. The causes of ovarian chocolate cysts include: retrograde menstrual blood. During menstruation, endometrial glandular epithelial and stromal cells can enter the pelvic cavity through the fallopian tubes with retrograde menstrual blood, implant in the ovaries, and continue to grow and spread there, forming ovarian endometriosis, also known as ovarian chocolate cysts. In addition, it is also related to genetic, immune, inflammatory and other factors. The endometrium can also spread to distant places through lymph and veins, resulting in ectopic implantation.