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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will exercise and yoga help to avoid the recurrence of chocolate cyst in ovaries?

hello, i am a 24 yr old female, unmarried. i was diagnosed with a chocolate cyst in right ovary measuring 68mm and polycystic left ovary in january 2013. i had a laparoscopic surgery done on 29th july 2013. doctor gave me Lupride depot11.25 injection on 3.9.13 and on 3.12.13 thereby stopping my periods. still now my period is stopped. My current USG report shows polycystic appearance of left ovary. doctor advised me to take Krimson 35 tablets once my period starts again. doctor is also repeatedly telling that chocolate cyst has a high rate of recurrence. i want to know that is there any precaution that can be taken to avoid recurrence of chocolate cysts? is it necessary to take krimson35 tablets now?and what are the chances of my fertility? can exercise and yoga help in these kind of problems? i am worried about the fact that chocolate cyst can recur and the pain and mental tension associated with the whole process of surgery occurring again.
Tue, 18 Mar 2014
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Ayurveda Specialist 's  Response
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1. These so-called chocolate cysts are endometriomas filled with thick,old,dark brown blood that usually appear on the ovaries. [as indicated by your history] so Endometriosis is likely condition and can interfere with your
i. fertility and ability to become pregnant: since adhesions may prevent or block the release of egg.
ii. pain/ mental tension: adhesions due to scar tissue can attach to nearby organs, pelvic pain being the commonest and can significantly impair the quality of life, including work and social activities.

2. since recurrence rate is there and also you are unmarried, thus in best interest fertility drugs and artificial reproductive technologies, such as in vitro fertilization, are options. You should discuss all treatment options with a fertility specialist.

3. krimson 35 [cytoproterone acetate] is an Oral contraceptive Pill, which helps/promotes withdrawal bleeding every month which means,you will have your periods regularly. Your doctor wants your priods to regularize first since regularizing periods is quite an important thing when you plan for a baby.

4. Although mild exercise may help promote optimal health, intense exercise can cause an ovarian cyst to rupture or increase the likelihood of ovarian torsion [emergency condition], so consult with an experienced Yoga teacher or with your attending doctor before undertaking any exercise programme.

5. Common advice is to avoid sugar and simple carbohydrates, more of fresh fruits and vegetables esp. dark leafy greens, & minimize meats,dairy,&eggs, & foods rich in phytoestrogens.
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