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Treatment of Chocolate Cysts
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.
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.
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.
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 Kochi, 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:
The goal isn’t just to find the cyst—but to understand how it’s affecting your body, cycles, and fertility.
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Mahakavi Vailoppilli Rd, Palarivattom, Kochi - 682025
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Pristyn Care Doctors Hospital is a growing hospital group situated in Kasaragod, Kerala, built on a strong objective that getting medical treatment shouldn’t feel like a financial burden. Everyone deserves quality care and that’s our major focus. We lead with compassionate, and competent medical care, backed by a strong team of experienced doctors and healthcare professionals.
Our hospitals are led by a family of doctors with more than 90 years of combined experience, and a management team that runs healthcare the right way, efficiently, ethically, and always putting patients first.
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Delivering Seamless Surgical Experience in India
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.
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.
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.
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.
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.
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.
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.
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.
Yes, Pristyn Care offers safe and advanced chocolate cyst removal through laparoscopic procedures in Kochi. Our gynecologists and medical staff ensure personalized care with quick discharge and complete support post-surgery.
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.
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.
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 | 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 |
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 Kochi, contact Pristyn Care.
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