Ovarian endometrioid cystoma, also known as tar cyst, chocolate cyst or endometrioid cystadenoma, is one of the most common types of ovarian cysts. This condition is associated with endometriosis, a chronic disease in which tissue similar to the endometrium (the lining of the uterus) grows outside the uterus, usually around the ovaries, fallopian tubes, or other organs in the pelvic area.
An endometrioid ovarian cyst is formed when tissue similar to the endometrium begins to grow inside the ovary. This process can lead to the formation of fluid that fills the cyst. Cysts can vary in size and may be single or multiple. In some cases, endometrioid ovarian cysts can reach large sizes and cause discomfort or pain.
The causes of endometrioid ovarian cystoma are not fully understood, but it is believed that it is associated with hormonal imbalances, genetic factors and the presence of endometriosis. This condition most often occurs in women of reproductive age, but can occur before or after menstruation.
Symptoms of an endometrioid ovarian cyst can be varied and vary depending on the size and location of the cyst. Some women may not experience any symptoms and only become aware of the presence of a cyst during a regular gynecological examination. However, other patients may experience the following symptoms:
- Pain or discomfort in the lower abdomen or pelvis.
- Unusual menstrual bleeding or bleeding during intercourse.
- Increased need to urinate.
- Irregularity of the menstrual cycle.
- Fatigue or weakness.
If you suspect an endometrioid ovarian cyst, you must consult a gynecologist for diagnosis. The diagnosis can be made based on the patient's medical history, physical examination, ultrasound, and other additional methods such as magnetic resonance imaging (MRI) or computed tomography (CT).
Treatment for endometriotic ovarian cystoma depends on various factors, including the size of the cyst, the presence of symptoms, the patient's age, and her future reproductive plans. In some cases, when the cysts are small and cause no symptoms, you may decide to simply monitor them over a period of time. In other cases, when the cyst is large enough or causing discomfort, surgery may be required.
Surgical removal of an ovarian cyst can be performed in a variety of ways, including laparoscopic surgery or open abdominal surgery. During surgery, the doctor removes the cyst, trying to preserve healthy ovarian tissue. In some cases, the entire ovary may need to be removed, especially if the cyst is too large or cancerous.
After surgical removal of an ovarian endometrioid cyst, further treatment may be required to manage endometriosis and prevent recurrences. This may include the use of hormonal therapy, such as contraceptives or gonadotropin-responsive hormone (GnRH) analogues, which help suppress the growth of endometrial tissue.
In general, endometriotic ovarian cystoma is a common condition associated with endometriosis. It is important to see your doctor if you experience any unusual symptoms to get a diagnosis and appropriate treatment. Early detection and management of this condition can help prevent complications and preserve a woman's reproductive health.