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About Chocolate Cyst

Chocolate cysts, also known as ovarian endometriomas, are cysts filled with fluid that form when endometrial tissue grows inside the ovaries. Over time, old menstrual blood starts collecting and turns dark, hence the name “chocolate” cysts. These cysts are usually non-cancerous but are often associated with endometriosis, affecting 1 in 3 women with the condition. They can range in size from small, silent ones that remain asymptomatic to larger cysts that cause nagging pain, discomfort, and fertility issues. While small cysts may not need immediate treatment, larger or persistent ones demand timely surgical treatment to prevent complications and improve quality of life.

Overview

Chocolate Cyst-Overview
Causes of Chocolate Cyst
  • Endometrial starts growing on the ovaries rather than the uterus
  • Hormonal imbalances make the abnormal tissue grow faster
  • Menstrual blood flows back into the pelvic cavity
  • Inflammation in the pelvis can also result in cyst formation
  • Family history of endometriosis adds to the risk
Chocolate Cyst Symptoms
  • Perpetual pain in the lower abdomen or pelvic region
  • Intense and long-lasting menstrual cramps
  • Discomfort or pain during sexual intercourse
  • Trouble getting pregnant despite regular cycles
  • Bloating or pressure in the lower abdomen
Chocolate Cyst

Treatment of Chocolate Cysts

Types of Chocolate Cyst Treatment in Delhi

 

  • Oral Medication

In oral medication, gynecologists prescribe birth control pills to stop ovulation, which prevents the further formation of new cysts. Some women need non-steroidal anti-inflammatory drugs (NSAIDs) for managing chocolate cyst symptoms. Medications temporarily relieve pain, but may not necessarily cure the cysts.

 

  • Laparoscopic surgery

In laparoscopic surgery, the surgeon removes the chocolate cysts with the help of a laparoscope. While conducting this procedure, the doctor makes a minor incision through which the laparoscope is inserted. It’s a thin tube-like catheter with a camera and light mounted on its head. Doctors perform laparoscopic surgery after administering spinal or general anesthesia to the patient. 

 

  • Laparotomy surgery

It is an open-cut surgery that involves a large incision. Laparotomy is the traditional surgical method for ovarian cyst treatment. During laparotomy, the doctor makes a large incision in the abdomen which gives the surgeon better access to the cyst. After that surgeon removes the cysts and stitches or staples the incision. The surgeon sends the cyst sample to the laboratory to check whether it’s cancerous (malignant). This surgery is also performed under the influence of general anesthesia.

 

Chocolate Cyst Diagnosis

If you’ve been enduring intense period pain, bloating, or struggling to conceive, there’s a chance it’s more serious than a difficult menstrual cycle. Chocolate cysts, which are filled with old, pooled blood, often remain deep within the ovaries and are associated with  endometriosis.

In Delhi, the first step of diagnosis is a pelvic ultrasound, it may often be a transvaginal scan, to find out any cysts and understand their size and impact. If needed, your gynecologist may suggest:

  • Blood tests, especially CA-125, are used to check the signs of inflammation in the body. If the cyst is abnormally large or irregular on the scan. It also helps in ruling out the possibility of serious concerns like ovarian cancer.  
  • MRI or CT scans to get clearer detailed pictures 
  • Diagnostic laparoscopy is a minimally invasive procedure to confirm the cyst and sometimes even treat it during the same sitting 

The goal isn’t just to find the cyst—but to understand how it’s affecting your body, cycles, and fertility.

Our Clinics in Delhi

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Pristyn Care La Midas
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NR - 38, Main Nathupur Road, DLF Phase- 3, GURUGRAM, Haryana 122002

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Pristyn Care Elantis - Super Speciality Hospital | NABH Accredited
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29, Ring Road, Lajpat Nagar 4, New Delhi, Delhi 110024

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Our Hospitals

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    Pristyn Care Elantis

    4.7/5
    Reviews (105)
    location Address : 29, Ring Road, Block L, Lajpat Nagar, Delhi - 110024
    NABH NABH
    24x7 Open 24x7 Open
    emergency icon Emergency Care

    Pristyn Care Elantis is dedicated to revolutionising surgical care. We combine the latest medical technology with highly skilled professionals and a patient-centric approach to transform the healthcare experience. Our team of doctors at Pristyn Care Elantis, strives to simplify the entire patient journey, ensuring a seamless process from diagnosis through recovery.

    We offer specialised treatments across a wide range of medical fields, including proctology, laparoscopic surgery, ENT (ear, nose, and throat), vascular, gynaecology, urology, aesthetics, orthopaedics, ophthalmology, and weight loss solutions.

    The Suites & Rooms at Pristyn Care Elantis are designed with your comfort in mind, offering a welcoming ambiance and top-notch amenities to make your stay as pleasant as possible.

    Our highly skilled medical team, supported by advanced infrastructure, makes us a trusted choice for comprehensive healthcare solutions.

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    Proctology
    Urology
    Laparoscopy
    8 + More
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    Pristyn Care Diyos

    4.7/5
    Reviews (74)
    location Address : A1/26, adjacent to Green Fields Public School, Safdarjung Enclave, Delhi - 110029
    NABH Certified Listing NABH
    24x7 Open 24x7 Open
    emergency icon Emergency Care

    Pristyn Care Diyos Super-Speciality Hospital is committed to redefining modern healthcare by blending cutting-edge technology with compassionate, patient-first care. Located in the heart of Safdarjung Enclave, South Delhi, our NABH-accredited facility offers advanced treatment solutions across multiple specialties, ensuring superior outcomes and faster recoveries.

    Our dedicated team of doctors at Pristyn Care Diyos Hospital aims to streamline the entire patient journey—from consultation to recovery—by providing seamless, end-to-end medical care tailored to each individual’s needs.

    We offer specialised medical services across a wide range of fields, including urology and andrology, general and laparoscopic surgery, cosmetic and plastic surgery, gynaecology and urogynaecology, orthopaedics, neuro and spine surgery, ENT (ear, nose, and throat), oncology, internal medicine, and critical care. Our facility also extends home care services for enhanced convenience and continuity of care.

    The suites and patient rooms at the Hospital are thoughtfully designed to ensure a comfortable and healing environment, featuring modern amenities, hygienic surroundings, and attentive support for both patients and their attendants.

    Supported by a skilled clinical team and world-class infrastructure—including modular operation theatres with HEPA filters, advanced diagnostic labs, and high-end medical equipment— Pristyn Care Diyos Hospital stands as a trusted destination for safe, effective, and personalised healthcare.

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    7 + More
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    Pristyn Care La Midas

    4.7/5
    Reviews (66)
    location Address : Main, Nathupur Rd, nr. 38, DLF Phase 3, Sector 24, Gurgaon - 122002
    24x7 Open 24x7 Open

    Pristyn Care La Midas  is an award-winning, internationally recognised Super Specialty Hospital located in Gurugram, Haryana. We are dedicated to delivering the highest quality aesthetic services, combining advanced medical technology with a compassionate, patient-first approach.

    Our state-of-the-art facility offers a comprehensive range of surgical and non-surgical treatments for skin, hair, and body, all at affordable prices. We specialise in services such as laser hair removal, skin rejuvenation, body contouring, and hair restoration, ensuring that each patient receives personalised care tailored to their unique needs.

    At Pristyn Care La Midas Hospital, we prioritise patient comfort and satisfaction throughout the treatment journey. Our experienced team of medical professionals is committed to helping you achieve your beauty and wellness goals in the most natural and effective ways possible.

    Experience the perfect blend of luxury and innovation at Pristyn Care La Midas Hospital, where your well-being is our top priority.

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    Laparoscopy
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    Pristyn Care Sheetla

    4.7/5
    Reviews (25)
    location Address : New Railway Rd, near Dronoacharya Govt College, Sector 8, Manohar Nagar, Gurgaon - 122001
    NABH NABH
    24x7 Open 24x7 Open

    Pristyn Care Sheetla Hospital in Gurgaon makes quality healthcare more accessible and personal. The hospital offers advanced treatment across various specialties like women’s health, child and neonatal care, etc. and minimally invasive surgery. With 36 well-equipped beds, 3 modern operation theatres, and a dedicated ICU, Pristyn Care Sheetla works with comfort and efficiency. With 90+ experienced doctors and a courteous professional medical team, we ensure clear communication, personalized care, and real results – so you feel supported every step of the way.

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    Laparoscopy
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    Pristyn Care Ferticity

    4.7/5
    Reviews (34)
    location Address : 12, Navjeevan Vihar, Geetanjali Enclave, Malviya Nagar, Delhi - 110017
    Mon-Sat: 9:30 am-6:30 pm Mon-Sat: 9:30 am-6:30 pm

    Located in South Delhi, our facility is spacious, serene, and designed to make couples feel comfortable throughout their treatment. We pride ourselves on a warm, clean environment, offering easy access and convenient parking.

    With a reputation built on the strength of our experienced clinical team, we specialise in customised treatment protocols and provide comprehensive care, from the initial consultation to treatment completion. Pristyn Care Ferticity Super Specialty & IVF Hospital has helped over 40,000 families worldwide realise their dream of parenthood, maintaining the highest success rates in the field.

    Our clinic ensures a partnership between patients, doctors, and staff, delivering compassionate care every step of the way.

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    Fertility
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Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Frequently Asked Questions

Is it normal to have chocolate cysts?

No, chocolate cysts don’t form normally in the body. This type of ovarian cyst is linked with endometriosis and causes pain, irregular periods, or infertility symptoms. Early diagnosis is important to avoid complications.

When should I consult a gynecologist for chocolate cysts in Delhi?

Consult a gynecologist if you are dealing with pelvic pain, heavy or painful periods, difficulty conceiving, or if a cyst is diagnosed in an ultrasound. Don’t wait for symptoms to grow severe; it makes a real difference.

What size of chocolate cysts require surgery?

Surgery becomes necessary if the cyst is larger than 4–5 cm, is painful, or is growing larger. The decision also depends on your symptoms, age, and whether you’re planning a pregnancy.

Is a chocolate cyst removal surgery painful?

Chocolate cyst removal surgery is performed under anesthesia, so the patient doesn’t feel any pain. At Pristyn Care, our surgeons use laparoscopic techniques, which are minimally invasive and offer speedy recovery.

Can I get a safe chocolate cyst removal treatment in Delhi?

Yes, Pristyn Care offers safe and advanced chocolate cyst removal through laparoscopic procedures in Delhi. Our gynecologists and medical staff ensure personalized care with quick discharge and complete support post-surgery.

Can you get pregnant with a chocolate cyst?

Yes, it is possible to get pregnant with a chocolate cyst, especially if it’s small and is affecting only one ovary. However, larger cysts or those located on both ovaries can affect fertility by impairing ovulation and egg quality. It’s best to consult a gynecologist early if you’re trying to get pregnant.

What is the colour of the chocolate cyst discharge?

The discharge from a chocolate cyst is usually thick, dark brown, and looks like old blood, thus the name “chocolate” cyst. This fluid is rarely seen outside the body unless the cyst ruptures or is drained during surgery.

How common is ovarian endometriosis?

Chocolate cysts can be fairly common in women who have endometriosis. Around 1 in 3 to nearly half of them may develop these cysts on their ovaries, often during their 20s to 40s, when symptoms such as pelvic pain or infertility issues is quite significant.

Chocolate Cyst Size Chart: Simple Analysis

Chocolate cyst size Approx size of the cyst How it may feel What you must know
Very small Less than 2cm Mostly silent or occasional menstrual cramps Mostly harmless, routine monitoring is enough
Small to medium sized  2-4 cm Mild pelvic pain and discomfort during periods Medicines can help, doctor tracks any signs of growth or changes
Moderate sized 4-6 cm Pain before or during periods, problem in conceiving Medication impacts fertility, you may consider surgery it recurs
Large sized 6-8 cm Persistent pain in the pelvis, pain during intercourse Chances of rupturing or twisting increase, surgery is often necessary
Too much enlarged More than 8 cm Noticeable bloating, stinging pain and digestive problems Often leads to severe complications, need immediate medical care

 

Why is Chocolate Cyst Treatment Important?

 

Not every chocolate cyst causes pain immediately or in the initial stages, but that doesn’t mean it’s safe to neglect. These cysts keep growing silently, overstretch your ovaries, and are filled with thick, trapped menstrual blood. Over time, they exert pressure on the nearby organs, twist the ovary, or even burst, causing sharp pain, internal bleeding, or infection.

Along with the physical health risks, untreated chocolate cysts can also affect your daily life, interrupting sleep, intimacy, periods, and even your chances of conceiving. You may feel fatigue all the time, or anxious about the next flare-up.

Getting timely treatment for chocolate cyst keeps away complications and allows you to have better control over your reproductive health and your future. For safe and effective treatment from expert gynecologists in Delhi, contact Pristyn Care.

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What Our Patients Say

Based on 9 Recommendations | Rated 5.0 Out of 5
  • NA

    Nandita

    verified
    5/5

    my chocolate cyst, and the pelvic pain disappeared immediately.

    City : Delhi
    Treated by : Dr. Ketaki Tiwari
  • GA

    Gauri

    verified
    5/5

    Removal of the cyst finally eased my pelvic pain and improved my fertility.

    City : Delhi
    Treated by : Dr. Vishakha Munjal
  • DA

    Damini

    verified
    5/5

    She has been very helpful and informative throughout the process. She was such a good person to talk to.

    City : Delhi
  • BH

    Bhavana

    verified
    5/5

    Great recovery from the doctor help.

    City : Delhi
    Treated by : Dr. Vishakha Munjal
Best Chocolate Cyst Treatment In Delhi
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5.0(9Reviews & Ratings)

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