Chocolate cyst is a female disease caused by the placement of cells called endometrium in the ovary. The actual name of this disorder, which is endometriosis-free, is called a chocolate cyst because it resembles melted chocolate in appearance.

The damage caused by the disease to the body causes blood to fill into the abdominal cavity when menstrual blood is directed backwards. Thus, the endometrium thickens over time, acting as an intrauterine layer, and creates blood spills. These rashes cause inflammation and the formation of masses in the area where it is located after a while. These inflammations cause very severe pains, especially during menstrual periods (which do not respond to painkillers). In addition, in cases of menstrual irregularity, it is necessary to focus on the suspicion of a chocolate cyst. It can turn into a complicated disease that causes irregular bleeding.

Its relationship with infertility
Another negative effect of a chocolate cyst can also be infertile. Adhesions formed by waste bleeds cause blockage of the tubes. It can also cause the fallopian tubes, through which the egg cell secreted by the ovary passes, to lose their properties. This condition causes infertility.

What are the first symptoms?
It creates pains in the groin and/or under the abdomen at December irregular intervals.
A deep pain can be felt during sexual intercourse.
In this disease, the inability to relieve the pain experienced during menstruation with simple painkillers may be another symptom of a chocolate cyst.
Stages of Chocolate Cyst
Stage 1: Minimal endometriosis
Stage 2: Mild endometriosis
Stage 3: Moderate endometriosis
Stage 4: Severe endometriosis

How is It Diagnosed?
The diagnosis of a chocolate cyst is made by laporoscopy. Ultrasonography and MRI can help in the diagnosis of this disease. For a definitive diagnosis, specialists prefer the menstrual period. Diagnosis is easier with a pelvic exam.

First of all, the correct control pills are given to the patient. The target here is the pause of menstruation found in the patient. Thus, due to menstruation, there will be no backward escape from the tubes and the chocolate cyst foci will disappear. If there are complaints of one or more of the above symptoms, endometriosis is suspected. Endometrioma can be easily recognized through gynecological examination and gynecological ultrasound. The final diagnosis can be made as a result of the pathological examination of the cyst taken during the surgical operation. A high Ca-125 value in a blood test indicates the presence of a tumor. Even if the measurement of Ca-125 value is not necessary, the decrease in Ca-125 value as a result of treatment is important as a measure of the success of treatment and in terms of predicting the risk of recurrence. Since a chocolate cyst is an insidious disease that can progress, it may not give any symptoms. The number of women who by chance find out that they have a chocolate cyst is also not small.