Wednesday, May 10, 2006

chocolate cysts... their connection with diet.

today a surgery was performed in a 28 year old lady who is married for the past ten years, but has not yet conceived . she had visited a lot of hospitals, but no doctor had given her the details about her delay in conception. She reported to our Out patient department last week and after getting all the preliminary investigations, she was diagnosed to have ovarian cysts. So she was operated on. her right ovaries were filled with blood what we term it as chocolate cyst. But the painful thing was that both her ovaries and tubes were diseased. Since she is very young we had to leave a portion of the ovary. If ever she conceives, it is only by God's great miracle. I read a recent journal and the reasearchers say that diet and ovarian cysts have a connection. they said that women who consumed the most beef and cheese developed the most ovarian cysts. In contrast, consumption of green vegetables provided a strong protective effect. This study makes it clear that what you eat will influence whether or not you develop ovarian cysts.
Endometrioma or "chocolate cyst". These are cysts that form when endometrial tissue (the type that lines the inside of the uterus) invades an ovary. It is responsive to monthly hormonal changes, which causes the cyst to fill with blood. It’s called a “chocolate cyst” because the blood is a dark, reddish-brown color. Multiple endometriomas are found in the condition called "endometriosis". Although often asymptomatic, chocolate cysts can be painful, especially during your period or during intercourse. How Ovarian Cysts are DiagnosedPelvic Exam. An ovarian cyst may be discovered by your doctor during a pelvic exam, while she is palpating your ovaries. If a cyst is suspected, an ultrasound is usually the next step.
Pelvic Ultrasound.: Ultrasound is a painless procedure where sound waves are transmitted through your pelvic area and an image of your ovaries and uterus is shown on a video screen. The image is analyzed to determine the nature of the cyst.
Laparoscopy. Laparoscopy is a surgical procedure performed when your doctor wants to see the cyst. A thin, lighted telescope, called a laparoscope, is inserted through a small incision into your abdomen. Laparoscopy may be used for treatment as well as diagnosis

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