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Bilateral ovarian cyst, want to conceive. What are my treatment options?

My name is Jill,a 30 yr old with blateral ovarian cyst(chocolate cyst) measuring 10X5.5 in rt ovary and 8.3X5.5 in lt ovary.It was diagnosed during my first pregnancy but unfortunately I had missed abortion at 22 weeks of gestation.I still want to get pregnant.What r the treatment options for my problem.The cysts are asymptomatic at present without any medications.
Asked On : Wed, 6 Mar 2013
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General & Family Physician 's  Response
Hello, thanks for using health care magic.
Chocolate cysts or endometrioid cysts are ovarian cyst that develop due to the presence of endometrial glands and tissue in the ovary. When symptomatic, they may present with pelvic pains, infertility, painful menses, painful sexual intercourse etc. They have a risk of causing complications such as ovarian torsion and rupture of cyst as they grow bigger.
More so, they can become cancerous leading to cancer which is a dreaded condition.
Asymptomatic cyst, really do not have any problem at the time but the risks of future complications listed above. As such, it will be necessary to discuss with your gyns/obst on various treatment options and possibly cystectomy. (not sure of the units of the cysts; centimetre or millimetre?)
Best regards
Dr Achuo A. M.
Answered: Wed, 6 Mar 2013
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