Chocolate cyst seen at an early age may jeopardize reproductive potential

Chocolate cyst seen at an early age may jeopardize reproductive potential



Gynecology and Obstetrics Specialist Assoc. Dr. Mustafa Kaplanoğlu made warnings about endometriosis cyst (chocolate cyst).

Assoc. Prof. stated that the adolescence period is defined as the age range of 10-19 within the person’s life cycle. Dr. Kaplanoğlu said, “When clinical studies on endometriosis cyst (chocolate cyst) in the literature are evaluated, it is seen that the frequency of endometriosis in adolescents does not exceed 2 percent. However, among these studies, the frequency of endometriosis increases up to 75 percent, especially in laparoscopies performed for pain reasons. Of course, the necessity of convincing not only the patient but also the parents for surgery for histopathological diagnosis in this age group is one of the most important problems, limiting the studies in terms of the number of cases. “Another important reason why patients may present in the late stages is that a significant portion of patients accept the pain as normal or are relieved with nonsteroidal anti-inflammatory drugs (painkillers),” he said.

“The most important stage in making the diagnosis is the suspicion of the doctor and the family.”

Referring to the symptoms that may be seen, Assoc. Dr. Mustafa Kaplanoğlu said, “The most prominent complaints of adolescent endometriosis cases are groin pain lasting more than 6 months, painful menstruation, abnormal or irregular bleeding, painful urination, painful defecation, painful sexual intercourse, infertility, and intestinal cramps. Since the findings are not specific for gynecology and require surgery for definitive diagnosis, an average of 3 doctors evaluate the diagnosis and the delay is at least 23 months. The most important stage in making the diagnosis is the suspicion of the doctor and the family. “Early age of menstruation, family history of endometriosis, tall height, weak body structure, and congenital female genital system anomalies are important risk factors in adolescent girls,” he explained.


Stating that one of the most important problems for the patient and her family is the fear of a condition that prevents the person from having children in later life, Kaplanoğlu said, “Theoretically, endometriosis reduces the ovarian reserve and distorts the anatomy by creating adhesions in the abdomen, which is a common condition in endometriosis and endangers the reproductive potential. Therefore, this age group should be approached especially carefully and treatments suitable for preserving reproductive potential should be preferred. “It should not be forgotten that ovarian surgeries performed here will negatively affect reproductive ability by reducing the ovarian reserve,” he said.

“Early diagnosis and intervention can help improve outcomes.”

Underlining that the basis of diagnosis is suspicion, Assoc. Dr. Mustafa Kaplanoğlu said, “Information such as where the pain is, when it started, how long it has been going on, its relationship with the menstrual cycle, and bowel regularity should be carefully evaluated. These details can be easily overlooked, especially by physicians who are not experts in their field. Ultrasonography is very important since vaginal examination cannot be performed frequently in this age group. However, in the absence of chocolate cysts in the ovaries, the value of diagnosing endometriosis is limited. Therefore, if the physician suspects, medical options such as direct painkillers, progesterone, and birth control pills are used in the management of endometriosis. Especially in cases of severe pain and in adolescents with major and serious complaints, laparoscopic surgery to remove the cyst and clean the subperitoneal lesions is often the most appropriate approach for the patient. However, the physician must have serious knowledge and experience. In cases of suspected endometriosis, it is important to consult with a healthcare professional specializing in adolescent gynecology, if possible, for proper evaluation and management. “Early diagnosis and intervention can help improve outcomes and alleviate symptoms,” he concluded.


This news article has been translated from the original language to English by

You can visit the original source at the link below.

Original Source Link