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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chocolate Cyst In Ovaries And Severe Pelvic Pain

hi m 23 yrs old. unmarried ..i hv found 4.1×3.7 cm left chocolate or it may b hemorrhagic cyst having 88cc blood in it frm last 4 months.. my symptoms are severe pelvic pain but my menstrual cycle is normal.. m using OCps nd several pain killrs but now pain didnt relief.. wot should i do nw?? i dnt want to go through a laproscopy..
Wed, 4 Jan 2017
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OBGYN,  's  Response
Hello and welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

Chocolate cyst of the ovary is a blood cyst in the ovary. This happens due to endometriosis of the ovary, that is presence of uterine lining in the ovary. During the menstrual cycle, this endometrium also bleeds resulting in such chocolate cyst. If the cyst is big and symptomatic in spite of the treatment with OC pills and pain killers, you need a surgical management of the cyst. This cyst may be aspirated or removed surgically. Please report to your gynaecologist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nishikant Shrotri
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Suggest Treatment For Chocolate Cyst In Ovaries And Severe Pelvic Pain

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Chocolate cyst of the ovary is a blood cyst in the ovary. This happens due to endometriosis of the ovary, that is presence of uterine lining in the ovary. During the menstrual cycle, this endometrium also bleeds resulting in such chocolate cyst. If the cyst is big and symptomatic in spite of the treatment with OC pills and pain killers, you need a surgical management of the cyst. This cyst may be aspirated or removed surgically. Please report to your gynaecologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nishikant Shrotri