What symptoms can prove that you have chocolate ovarian cysts

Many people are scared when they hear that they have chocolate ovarian cysts and think they have tumors. In fact, chocolate cyst is not a tumor, but a lump. It is a type of lesion in the disease endometriosis. So what are the symptoms of this disease?

(1) The main symptom of dysmenorrhea is secondary and worsens year by year, but a small number of patients do not have obvious dysmenorrhea. The ectopic endometrium is affected by ovarian hormones and has the same cyclical changes as the normal endometrium. In the second half of the menstruation, the ectopic endometrium becomes highly thickened and congested, and the pressure inside the endometriosis gradually increases. During menstruation, menstrual blood accumulates in the sac, causing a sudden increase in the pressure on the sac wall and causing pain. Therefore, the characteristics of endometriosis dysmenorrhea often begin before menstruation or even in the second half of the cycle, last throughout the menstrual period and disappear a few days after menstruation. The pain is mostly in the middle of the lower abdomen, or on one side, and the lesions spread to the uterus and rectum. Excessive menstrual bleeding is also a common clinical symptom. Generally, the regularity of the menstrual cycle is manifested as excessive menstrual bleeding or prolonged menstruation.

(2) Dyspareunia: Endometriosis in the rectouterine fossa, posterior vaginal fornix, uterosacral ligament and other areas may cause dyspareunia, which is often more obvious before menstruation.

(3) Infertility: 30-70% of patients with endometriosis suffer from infertility. About 70-80% of patients with unexplained infertility suffer from endometriosis. Infertility is often caused by mechanical factors such as pelvic organ adhesions, which obstruct the peristalsis of the fallopian tubes or blockage of the fallopian tubes. It may also be related to factors such as ovarian insufficiency, enhanced autoimmune response, increased prostaglandins, and increased prolactin.

(4) The wall of the ovarian endometrial cyst is brittle and lacks elasticity. Menstrual blood gradually accumulates, and the pressure inside the cyst continues to increase. The contents can rupture from the weak parts of the cyst wall, overflow into the abdominal cavity, stimulate the peritoneum, cause peritonitis, and cause acute abdomen.