Best Clinic in Prayagraj for Chocolate Cysts Treatment

A chocolate cyst, also known as an ovarian endometrioma, is essentially a cyst filled with fluid that forms when endometrial tissue grows inside the ovaries. Over time, old menstrual blood collects inside the cysts, which eventually turn dark, giving them a chocolate-brown colour. If you are looking for the best-in-class healthcare provider for chocolate cyst treatment in Prayagraj, then Birla Fertility & IVF offers advanced diagnostics, personalised treatment, and a supportive team. Our specialists understand your medical condition, identify the cause of chocolate cysts, and then create a customised treatment plan that takes into account both the psychological and physical aspects.

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Chocolate Cysts Treatment at Birla Fertility & IVF, Prayagraj

Treatment Steps

  • Initial Evaluation
  • Diagnostic Tests
  • Treatment Recommended for Smaller Cysts
  • Treatment Recommended for Larger Cysts
  • Post-Surgical care
  • Fertility Support
Initial Evaluation

The first step is to get a detailed consultation with a gynaecologist. They will discuss your past medical history, ask about your menstrual cycles, pain symptoms, and any fertility-related issues. Specialists might also check for tenderness or swelling in the pelvic area.

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Causes of Chocolate Cysts

Endometriosis is a disorder that causes chocolate cysts. It is a condition where tissue similar to the uterine lining grows outside the uterus. Although the exact reason is unknown, a number of reasons for chocolate cysts: .

 Chocolate cyst causes and contributing factors include:

  • Retrograde Menstruation: In this, the menstrual blood flows backward into the pelvic region instead of exiting the body.
  • Hormonal Imbalance: Unbalanced hormones that impact tissue growth. Oestrogen plays a key role in stimulating abnormal tissue growth that may form chocolate cysts.
  • Immune system issues: A weak immune system can also be a contributing factor, as it can fail to recognise and destroy displaced endometrial tissue.
  • Genetic variables: Women with a family history of endometriosis increased risk of chocolate cysts.

Symptoms of Chocolate Cysts

The symptoms of chocolate cysts can vary from woman to woman. While some suffer from painful cramps, others do not notice anything at all. These symptoms depend on the size of the cyst and its exact location.

Here are some common chocolate cyst symptoms: 

  • Pelvic pain: It is a  severe or dull pain that gets worse when you’re menstruating
  • Period pain: Your periods feel heavier or hurt more than usual.
  • Pain during intercourse: You might experience pain or discomfort during or after sexual activity.
  • Pain when passing stools: You can experience pain when urinating or having bowel movements.
  • Pressure or bloating: Your lower abdomen will feel weighty or full.
  • Pregnancy complications: If the cyst affects the fallopian tubes or ovaries, it could make getting pregnant more difficult.

Diagnosis of Chocolate Cysts

To identify any cysts and determine their size and impact, a chocolate cyst USG (ultrasound)—which is frequently a transvaginal scan—is the initial diagnostic procedure in Prayagraj. Your gynaecologist might recommend:

  • Blood tests: They are used to look for indications of inflammation in the body, particularly CA-125.  If the scan shows an unusually large or irregular cyst.  Additionally, it aids in the exclusion of potentially dangerous conditions like ovarian cancer.
  • CT or MRI scans: These imaging tests help obtain more precise, detailed images
  • Diagnostic laparoscopy: A minimally invasive technique called diagnostic laparoscopy can be used to confirm the cyst and occasionally even treat it in the same sitting.

Finding the cyst is not the only objective; you also need to comprehend how it is impacting your body, periods, and fertility.

Chocolate Cysts Size Chart

Many women often ask, Is a chocolate cyst dangerous? The answer depends on the size, symptoms, and how it impacts fertility. While small cysts may not need immediate treatment, larger or persistent ones demand timely surgical treatment to prevent complications and improve quality of life. 

  • < 2 cm (Small): If the size of the chocolate cysts is < 2 cm, then it is usually asymptomatic. It can be easily diagnosed during scans; however, because of their size, they do not need any treatment. Monitoring is recommended post-medication. 
  • 2 – 4 cm (Mild): If the size is between 2-4 cm, then it can cause mild pain or discomfort. There can be higher chances of these chocolate cysts affecting the ovarian reserve if they are not treated at the right time. 
  • 4 – 6 cm (Moderate): For this size chocolate cyst, there can be painful periods, pelvic pain, or discomfort during sexual activity. There is are higher risk of fertility issues, hence, doctors may suggest medical or surgical treatment.
  • 6 – 8 cm (Large): If the size of the chocolate cysts is 6-8 cm, then there will be excruciating pain and bloating during periods. It may require a laparoscopic cystectomy since there can be a high impact on ovarian functions.
  • > 8 cm (Very Large): Mostly surgery is recommended for such huge cysts. The symptoms are severe in this condition, and there is a higher chance of complications and pressure on surrounding organs. Your doctor might also discuss fertility preservation strategies in such cases. 

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Our Chocolate Cysts Treatment Doctors in Prayagraj

Dr. Madhulika Singh

Allahabad, Uttar Pradesh

Dr. Madhulika Singh

MBBS, MS (Obstetrics and Gynaecology)

Years of experience: 10+
Number of cycles: 1090+
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Dr. Ankur Pandey

Allahabad, Uttar Pradesh

Dr. Ankur Pandey

MBBS, DGO, DNB

Years of experience: 8+
Number of cycles:
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Do Chocolate Cysts Affect Women's Fertility?

Yes, chocolate cysts can affect a woman’s fertility. Also known as ovarian endometriomas, they are linked to endometriosis, which develops inside the ovaries. The results of these cysts are damage done to the healthy ovarian tissues. It can further reduce the ovarian reserve and interfere with egg quality. The larger cysts may also distort pelvic anatomy, which makes the travelling of eggs harder through the fallopian tubes. 

 

There are some extreme cases that cause inflammation that disrupts fertilisation and implantation. However, not all women with chocolate cysts face infertility. If diagnosed earlier, medication or surgical treatments can help women still conceive naturally. If not, there are always assisted reproductive techniques like IVF (in-vitro fertilisation).

Are Chocolate Cysts Recurring?

Yes, in some cases, there is a possibility that chocolate cysts can recur even after treatment. However, the good news is that with proper care and regular follow-ups, the chances of recurrence can be reduced significantly.

Here are some tips that can decrease the likelihood that chocolate cysts will recur:

  • As directed by your physician, take hormone medications.
  • Go for regular examinations post-treatment. 
  • Follow diet tips for chocolate cysts.
  • Reduce stress by adopting healthier lifestyle choices.

Who Gets Affected by Chocolate Cysts?

  • Women of reproductive age (15–49 years)
  • Those with endometriosis
  • Women experiencing painful periods (dysmenorrhea) or chronic pelvic pain
  • Individuals facing difficulty conceiving
  • Women with a family history of endometriosis
  • Early onset of menstruation (menarche at a young age)
  • Women with heavy or prolonged menstrual cycles
  • Rare cases: postmenopausal women with long-standing or untreated endometriosis

Why Choose us for Chocolate Cysts Treatment in Prayagraj?

At Birla Fertility & IVF, we offer the best chocolate cyst treatment in Prayagraj by combining cutting-edge technology with humane care.  

Here are a few reasons why patients choose us for ovarian cyst surgery in Prayagraj:

  • Advanced Laparoscopic Surgery

We provide minimally invasive treatment for chocolate cyst removal with advanced laparoscopic surgery, which guarantees a quicker recovery and less pain for patients.

  • Specialists

Gynaecologists and fertility experts with over ten years of expertise treating endometriomas and other fertility problems are among our professionals. Our team have experience in handling critical cases of female infertility.

  • Empathy & Compassionate Care

 From diagnosis to post-treatment fertility counselling, our staff is there to help you every step of the way. Everything is in one location.

  • Customised treatment programs

 We know that every situation is different; hence, we provide patients with individualised care based on their symptoms, fertility objectives, cyst size, and general health.

  • Transparent pricing

Birla Fertility & IVF offers EMI options and transparent pricing because we recognise the debilitating financial burden that might be experienced.

  • High success rate

Better results and more patient satisfaction are guaranteed by our proficiency in managing complicated gynaecological problems.

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