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Suggest Treatment For PCOS

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Posted on Tue, 17 Mar 2015
Question: I am 25 years. 4 years back i had chocolate cysts in both ovaries which resolved after taking danazol. Now since about 2 months i have not got periods. i got an usg which says endometrial cyst in right ovary 2x1.5cms and polycystic ovaries on the left. fluid in pod.

what treatment or further investigations should be done? and what can be the diagnosis?
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Answered by Dr. Soumya (35 minutes later)
Brief Answer:
Chocolate cyst in ovaries recurs soon

Detailed Answer:
Hi,

I read your query and I understand your concerns about chocolate cysts.

Following is my reply:

1) Chocolate cysts are known to recur frequently no matter what the mode of treatment was.

2) If 2X1.5 cms cyst is seen, this is fairly small in size and can be left alone.

3) There could be associated small endometriotic lesions which are not visible on ultrasound scan.

4) If you are not having excessive pain during menses, leave it alone. Don't get it removed.

5) If you are having pain or trying for pregnancy , undergo laparoscopic removal of chocolate cyst.

Let me know if you have anymore questions.

Regards,
Dr. Soumya
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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Suggest Treatment For PCOS

Brief Answer: Chocolate cyst in ovaries recurs soon Detailed Answer: Hi, I read your query and I understand your concerns about chocolate cysts. Following is my reply: 1) Chocolate cysts are known to recur frequently no matter what the mode of treatment was. 2) If 2X1.5 cms cyst is seen, this is fairly small in size and can be left alone. 3) There could be associated small endometriotic lesions which are not visible on ultrasound scan. 4) If you are not having excessive pain during menses, leave it alone. Don't get it removed. 5) If you are having pain or trying for pregnancy , undergo laparoscopic removal of chocolate cyst. Let me know if you have anymore questions. Regards, Dr. Soumya