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Endometriotic Ovarian Cyst : Do I Need Surgery and Will It Affect Fertility?

2 months ago

I was recently diagnosed with an ovarian cyst, and my report mentions an endometriotic cyst. My periods are regular but the flow has reduced to 2–3 days. I’m worried about the cause, treatment options, and whether this can affect my future fertility. Do I need surgery, or can it be treated with medicines or injections?

Asked By Vijayakumari | Female

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2 months ago

Answers (1)

Dr. Ketaki Tiwari

Top Doctor

MBBS, MS-Obs & Gyne|18 Years Experience Overall

Feb 04 2026

Endometriotic cysts (also called chocolate cysts) usually occur due to endometriosis, where uterine lining tissue grows outside the uterus. In many cases, especially when the cyst is large or causing symptoms, medicines or injections alone may not be effective. Surgical removal of the cyst is often recommended to prevent complications and protect future fertility.

Your doctor may advise tests like a tumor marker to rule out any serious condition and a fertility test to assess ovarian reserve. While recurrence is possible, timely treatment helps reduce risks and improves outcomes. It’s best to follow your doctor’s advice and plan treatment accordingly.

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