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Symptos of chocolate cyst

painful, crampy periods
pelvic pain not related to your menstrual cycle
irregular periods
pain during sex
infertility for some women

causes chocolate cysts?

There’s a lot of debate as to how and why chocolate cysts form. One theory is that they may be a result of endometriosis
The lining of these cysts acts much the way the lining of the uterus does. It grows and is then shed in response to the monthly rise and fall of female hormones
Instead of leaving the body, this tissue becomes trapped within the cavity of the cyst. Here it can produce inflammation and disrupt the ovaries

Diagnosis

Pelvic examination
Pelvic ultrasound
Biopsy from the cyst

Treatment

If the cyst is small and not producing symptoms, your doctor may advise a watch-and-wait approach. They may also recommend medication that inhibits ovulation, such as the birth control pill. This can help control pain and slow the growth of cysts, but it can’t cure them
Surgery to remove the cysts, called an ovarian cystectomy, is often recommended for women who have
painful symptoms
cysts larger than 4 cm
cysts that may be cancerous (but a 2006 review estimates less than 1 percent of cysts are cancerous)
infertility
The surgery is generally done via a laparoscope. A laparoscope is a thin, long tube with a light and camera on the end that help doctors perform the procedure. It’s inserted through a small incision
The surgery is controversial in terms of whether it hurts or helps fertility

Can I get pregnant with chocolate cyst?

Despite the damage chocolate cysts do to ovaries, many women with them can conceive naturally. A 2015 study followed women with regular menstrual cycles and chocolate cysts on only one ovary. Researchers found 43 percent of them were able to become pregnant naturally