Ovarian cysts basically are fluid-filled sacs within the ovary that may look as tiny as a grape, and they can sometimes appear quite big too. Nevertheless, they all contain some kind of fluid. When a cyst gets filled up with stale blood mimicking chocolate tinge, it becomes known as chocolate ovarian cyst . However, clinically speaking, these in reality are endometrial cysts.
Endometrial or chocolate ovarian cysts form when a small part of the lining of the womb, medically termed endometrium bleeds, gets detached, become transplanted and begins to grow in size within the ovaries due to neglect or lack of treatment. When the cyst eventually ruptures or bursts , the contents naturally spill over into the pelvic region, overflowing onto the surface of the uterus, bowel, bladder and the relative space between these vital organs. As a result, adhesions develop, leading to a medley of gynecological complications including pain, fever and nausea.
Treatment for symptomatic endometriosis may begin with NSAIDS (Non-steroidal anti-inflammatory drugs) to provide relief to the pelvic tenderness, which is followed by oral contraceptives to achieve an anovulatory state. If the patient fails to respond to these non-invasive approaches, either Laparoscopic surgery is carried out or conservative surgery is applied to preserve the fertility in women of child bearing age.
However, both the above cyst treatments address the symptoms but not the root causes. Complicated ovarian cyst and normal cysts too can be best treated with holistic remedies because they can eradicate the root causes of the problem and not just the symptoms.