In the disease, which occurs when the glandular tissue that forms the inner part of the uterus and causes menstrual bleeding, known among the people as a chocolate cyst, forms a cyst in the ovaries or is widespread in a body region, the inner membrane layer of the uterus is located wherever it is located and can cause various negative conditions in that organ. Sometimes this can be the ovaries, sometimes the abdominal cavity, the intestines, the bladder, the lungs and even the brain. These organs, where the cyst is located, can cause serious problems.
Gynecology and obstetrics specialist Prof. Dr Selahattin Kumru, who gave the information that the blood that has to be expelled during menstruation goes back through the tubes and from there spreads to the abdominal cavity, intestines and ovaries, said: “It is believed that the living endometrial cells in this blood settle in the organ where they go and continue to grow there. She said: “Women who have painful periods, especially women whose pain becomes more pronounced in subsequent periods, not after the first period, should see a doctor.”
“Severe menstrual pain should be taken seriously”
Selahattin Kumru states that sometimes chocolate cysts grow silently in the ovary, cause no complaints and for other reasons are discovered by chance with tests such as ultrasound or MRI. of endometriosis in other places. It would be appropriate to suspect endometriosis or chocolate cysts, especially in those who have menstrual pain (dysmenorrhea) even though their first period is painless. Such a situation and severe menstrual pain should be taken into account,” he said.
“Definitive diagnosis is made by closed surgery”
The important symptoms of the disease include severe menstrual pain that occurs later, pain during sexual activity or defecation, swelling and fullness of the abdomen, as well as constant groin pain, and further investigation in terms of chocolate cyst or endometriosis of women who are unable to conceive (infertile ) even though they want to get pregnant. Declare that Prof. dr. Dr Selahattin Kumru stated that ultrasound examination is usually performed but it is mandatory to remove the cysts by laparoscopy (closed surgery) or laparotomy (opening of the abdomen) methods and send them for pathological examination for accurate diagnosis to distinguish between simple cysts or other cystic structures and chocolate cysts. Kumru said: “The cyst should be removed and sent to pathology, and the endometrial gland and stromal structures that line the uterus should be seen in the materials sent to pathology. During laparoscopy, it can usually be understood in the same session whether the fluid that from the cervix passes through the tubes (i.e. whether the tubes are open).
“Could Be a Cancer Risk”
Kumru stated that chocolate cysts are known as cysts that do not contain bad cells, i.e. non-cancerous, and that recent information indicates that there are some genetic changes in the endometrial cells in chocolate cysts that are predisposed to cancer, and that these cysts can cause cancer. He stressed that it is more common than in the normal population. Kumru stressed that cases of chocolate cysts that do not require surgery should be treated very carefully.
Chocolate cyst treatment
Selahattin Kumru stated that his treatment is very diverse and said that this process is managed individually. Kumru stated that surgical intervention or drug treatment is applied depending on the condition of the cyst or patient’s complaint, and this will have to be decided together by the doctor and patient. He again underlined that regular gynecological checkups are important for both early diagnosis and treatment.