Ovarian Endometriotic Cyst

What is an ovarian endometrioma?

An ovarian endometrioma is a cyst that’s filled with the same fluid that’s in the lining of your uterus (endometrium). Sometimes called “chocolate cysts,” the fluid inside an ovarian endometrioma resembles chocolate syrup. Instead of being in your uterus, though, ovarian endometriomas form in your ovaries. Having an ovarian endometrioma is a sign that you have endometriosis, a condition that happens when endometrial-like tissue takes hold in places outside your uterus.

What medications/treatments are used?

Since there’s no cure for endometriosis, there’s no way to stop an ovarian endometrioma from forming. But, your provider may suggest medications to help prevent an ovarian endometrioma from growing bigger or growing back once it’s been removed. Medication can help with managing the pain, too. Your doctor may prescribe:

Progestins.
Vaginal ring.
Birth control pills.
Birth control patch.
Gonadotropin-releasing hormone (GnRH agonist).

What are the symptoms?

Pain or tenderness in your pelvis is the most common way to know that you have an ovarian endometrioma. You may notice other symptoms, too:

Periods that are especially painful.
Pain during intercourse (dyspareunia).
Pain when you’re peeing or pooping.
Feeling the urge to pee more.
Back pain.
Vomiting.
Bloating.
Nausea.