The Bursting of a Chocolate Cyst

One of the most frequently asked and most wondered about subjects is the possibility of a chocolate cyst bursting and what will happen if it does burst.

Endometriosis, that is to say chocolate cyst disease, is a disease that is frequently seen in 1 in 10 women of reproductive age and that usually progresses insidiously. Chocolate cyst disease: in some women a lesion as tiny as the tip of a pinhead significantly affects quality of life in a negative way, while in others it is the size of a walnut or even a lemon and gives no symptoms at all.

As for its most frequently seen symptoms, they are chronic fatigue, painful menstruation, painful sexual intercourse, infertility, diarrhoea and constipation, bleeding from the anus, bloody stools, menstrual irregularity, spotting before menstruation, and painful urination with bleeding. However, as we have said, in some women with endometriosis there may be no symptoms at all, and the diagnosis is made with ultrasound or by being seen during surgery. The two important determining factors here are pain and the desire for a child.

In the treatment of endometriosis there are 2 basic approaches, medical and surgical treatment. If the complaint of pain is at the forefront, both drug therapy and surgical treatment can be recommended. However, it should be known that surgical treatment is the most effective method for pain. While there is no limiting factor regarding surgery in women who have children, in those who do not have children, in those who have a chocolate cyst on both sides and in patients who have had an operation previously, surgical treatment is not considered as the first choice. Today, with robotic surgery, a higher success rate and easier treatment can be possible.

The wall of a chocolate cyst tearing and the contents of the cyst spreading inside the abdomen is not a very frequently seen clinical situation. However, as the size of the cyst grows, the pressure on the wall increases. This in turn may cause the chocolate cyst to burst. A chocolate cyst may also burst as a result of pressure during sexual intercourse, exercise and examination. At the moment a chocolate cyst bursts, a sudden pain like a knife being stabbed in may be felt.

If a chocolate cyst bursts, the contents of the cyst may spread onto the ovary where the cyst is located or onto the other organs located in the pelvic region. In this case it may cause problems such as infection, the organs sticking to one another and groin pain. If the cyst bursts, urgent intervention may be needed. As a result of the bursting of the cyst, bleeding, a high temperature, nausea and vomiting or severe pain may be seen. A serious infection may develop in the abdomen. If you see symptoms of this kind you need to consult your doctor immediately.