Endometriosis (chocolate cyst) affects an average of 1 in 10 women in the society. Explaining that chocolate cysts can be seen since the beginning of reproductive age, Obstetrics and Gynecology, IVF Specialist Prof. Dr. Erkut Attar made important warnings. Reminding that the disease manifests itself in the form of menstrual pain, especially in young girls, Prof. Dr. Erkut Attar said, “Similarly, in later ages, it causes complaints in the form of pain and groin pain during menstrual period and intercourse. Since chocolate cyst is an estrogen-related disease, it is commonly seen in reproductive age, although it may rarely occur in women entering menopause. “Since chocolate cysts are one of the most important causes of infertility, 30 percent of women with this problem develop infertility,” he said.


Explaining that the treatment approach of chocolate cysts is in two different ways to have a baby and to treat pain, Prof. Dr. Erkut Attar said, “For women who want to have a baby and have good ovarian reserve, we prefer to wait for a while. Because there is always the possibility of these patients to conceive on their own. However, vaccination treatment is also beneficial in early stage chocolate cysts. If there is no result, IVF treatment is applied ”. Attar, chocolate cysts can be seen all over the body; He added that it can be found in surgical incisions, even in the lungs and even the brain.


Stating that it is important to reduce or stop menstrual bleeding in preventing the formation of the cyst, Prof. Dr. Attar continued: “Birth control pills are very helpful in controlling. However, lifestyle changes such as exercising and regulating diet are also very important in preventing endometriosis. We know that chocolate cysts are less common in women who exercise regularly. “

Noting that genetic factors are also effective in the emergence of endometriosis, Prof. Dr. Erkut Attar reminded that it is especially likely to be seen in women with a history of endometriosis in their first degree relatives and therefore awareness should be increased.


Yeditepe University Hospitals Gynecology, Obstetrics and IVF Specialist Prof. Dr. Erkut Attar continued as follows:

“In patients with low ovarian capacity or reserves, surgery should be avoided as it may damage the ovarian reserves. In these patients, we recommend freezing eggs if the woman is not yet married and is considering having children. If the patient is married and wants a baby, but also has low ovarian reserves, we offer in vitro fertilization before losing time, and then a surgical alternative. If the chocolate cyst is bilateral and is removed before the patient becomes pregnant or the eggs are collected, the fertility of the woman can be severely damaged. Therefore, surgery should be done very carefully, not suddenly, but by controlling the patient’s reserves. After this stage, the medical treatment of the patient should continue and be monitored continuously. Because it should not be forgotten that the possibility of recurrence of pain and chocolate cysts within 24 months is very high in patients who do not receive any treatment and control after surgery. “

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