How is chocolate cyst contagious?

How are chocolate cysts transmitted? Many patients will ask this question. In fact, ovarian chocolate cysts are a type of endometriosis lesion and are generally not contagious. The following is our detailed introduction, which we hope will be helpful to everyone.

Under normal circumstances, the endometrium grows in the uterine cavity and is affected by female hormones in the body. It sheds once a month, forming menstruation. If the endometrial fragments shed during menstruation flow backward through the fallopian tubes into the pelvic cavity with menstrual blood, they will be implanted on the surface of the ovaries or other parts of the pelvic cavity, forming ectopic cysts. This ectopic endometrium is also affected by sex hormones and sheds and bleeds repeatedly with the menstrual cycle. If the lesion occurs on the ovaries, there will be local bleeding during each menstrual period, which will enlarge the ovaries and form cysts containing old blood. This old blood is brown and sticky like a paste, similar to chocolate, so it is also called "chocolate cyst".

Although this type of cyst rarely turns malignant, it can gradually grow larger and sometimes rupture during or after menstruation, which is also very dangerous and may also cause female infertility, so you must actively cooperate with the treatment. The following methods are usually used for treatment:

Drugs or (and) surgery (conservative or radical) can be used for treatment. So far, there is no ideal radical cure except radical surgery. Both drug treatment and conservative surgery have a high recurrence rate. Therefore, the treatment should be selected according to the patient's age, symptoms, signs, lesion range, and fertility requirements, emphasizing individualized treatment. Expectant treatment is used for mild lesions with mild or no symptoms; mild patients with fertility requirements should receive drug treatment after a clear diagnosis, and those with severe conditions should undergo fertility-preserving surgery; young patients with severe conditions who do not have fertility requirements can undergo ovarian function-preserving surgery, supplemented by drug treatment; patients with severe symptoms and lesions who do not have fertility requirements can undergo radical surgery.

There are two surgical methods: laparotomy and laparoscopic surgery. Laparoscopic surgery is the best treatment for this disease. Currently, laparoscopic diagnosis, surgery + medication are considered the gold standard for the treatment of endometriosis. In hospitals with conditions, laparoscopic surgery should be the first choice for the treatment of endometriosis. However, the choice and effect of laparoscopic surgery depend to a large extent on the equipment, instruments and the experience and skills of the surgeon. Laparotomy can be used for surgeries that are not available for laparoscopy or are very complicated, such as those with severe adhesions and a history of multiple surgeries.