What is the Ideal Treatment for Endometriosis Ovarian Cyst?

  Endometriosis affects approximately 10% of women of reproductive age. The most frequently affected organ is the ovary. Ovarian cysts are diagnosed in about 17% to 44% of women with endometriosis. The roles of currently available pharmacotherapy and surgical interventions for treating endometriosis-associated symptoms in women with endometriotic ovarian cyst are classified and clear. Ideal treatment depends on various factors like age, symptoms, involvement of bilateral ovaries, or the want for children. If the cyst is symptomless, a ‘wait and watch’ approach may also be suggested.

What is Endometriosis Ovarian Cyst?

An endometrial ovarian cyst is an abnormal mass arising in the ovary from endometrial tissue. This cyst develops when endometrial tissues from the inside surface of the uterus grow abnormally and attach to the ovaries. Endometrial cysts can be present in the form of classic implants usually located on the surface of one or both ovaries but they can also be found deep within them. The endometriosis ovarian cyst contains thick, brown, tar-like fluid which is more commonly referred to as a “chocolate cyst.” The gradual collection of such un-clotted blood within the sacs starts irritating the surrounding tissues. Endometrial tissues are often found densely adhered to other surrounding structures, such as the peritoneum, fallopian tubes, and bowel as well.

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