Pelvic mixed mass chocolate cyst

Pelvic mixed mass chocolate cyst is a common gynecological disease, mainly caused by endometriosis, characterized by the formation of cysts containing old blood in the ovaries. Treatment includes medication, surgery and lifestyle adjustments.

1. Genetic factors

Chocolate cysts may be genetically related, and women with a family history of endometriosis are at higher risk. Genetic factors may make it easier for endometrial cells to grow in the ovaries and form cysts.

2. Environmental factors

Long-term exposure to environmental pollutants, chemicals, or endocrine disruptors may increase the risk of disease. For example, ABPA, a bisphenol found in some plastics, may interfere with hormone balance and promote cyst formation.

3. Physiological factors

Abnormal menstrual cycles, fluctuations in hormone levels such as excessive estrogen, and abnormal immune system function may cause endometrial cells to grow ectopically in the ovaries, forming chocolate cysts.

4. Trauma

Pelvic surgery or trauma may cause endometrial cells to migrate to the ovaries, where they may develop into cysts. For example, having a cesarean section or abortion may increase your risk.

5. Pathological factors

Endometriosis is the main cause of chocolate cysts. Ectopic endometrial tissue bleeds periodically in the ovaries, forming cysts containing old blood, which look like chocolate, hence the name.

Treatment:

1. Drug treatment

Oral contraceptives: regulate hormone levels and inhibit the development of endometriosis.

Gonadotropin-releasing hormone (GnRH) agonists: reduce estrogen levels and reduce cyst growth.

Nonsteroidal anti-inflammatory drugs (NSAIDs): relieve pain symptoms.

2. Surgical treatment

Laparoscopic surgery: Minimally invasive way to remove the cyst and preserve ovarian function.

Ovarian cystectomy: suitable for larger cysts to completely remove the lesions.

Hysterectomy: For women with severe disease and no desire to have children, removal of the uterus and ovaries may be considered.

3. Lifestyle Adjustment

Dietary modification: Increase the intake of foods rich in antioxidants, such as dark-colored vegetables, fruits, and nuts, and reduce the intake of high-fat and high-sugar foods.

Moderate exercise: Low-intensity exercises such as yoga and swimming can help improve pelvic blood circulation and relieve symptoms.

Pelvic mixed mass chocolate cysts require appropriate treatment options based on the severity of the disease and the patient's needs. Early diagnosis and intervention can help alleviate symptoms and prevent complications. Women are advised to undergo regular gynecological examinations and seek medical attention promptly if abnormalities are found.