Does Ovarian Reserve Fall After Chocolate Cyst Surgery?

It should be known that endometrioma treatment, particularly in patients whose egg reserve has decreased, is a treatment method that requires much more care. In a woman whose reserve is low, an adequate assessment not being carried out before the operation and a lack of adequate surgical experience for these operations can unfortunately reduce the ovarian reserve even further. Indeed, particularly in patients who have a chocolate cyst on both sides and who have had repeated surgery on the ovary previously, it can even cause the patient to be unable to become pregnant, to fail in in vitro fertilisation and even to enter EARLY MENOPAUSE.

As well as being able to cause a fall in women’s ovarian reserves, chocolate cyst means that the surgical procedure can also lead to an immediate fall in reserves. In women whose ovarian reserve is low, the removal of the cyst is generally not a preferred method because it may cause the patient to enter the menopause. So then who should surgical treatment be carried out on? Chocolate cyst reduces the ovarian reserve even if surgery is not carried out. Endoscopic Surgery carried out particularly in women whose ovarian reserve is good and who have an endometrioma on one side increases both the patient’s CHANCE OF BECOMING PREGNANT ON HER OWN and the PATIENT’S CHANCE OF BEING PERMANENTLY FREED FROM THIS DISEASE. Particularly in the group who have pelvic pain, while the relief of the pain with surgical treatment affects the patient’s daily life and married life positively, it increases the chance of becoming pregnant more markedly.