Clinical Management of Ovarian Endometriotic Cyst (Chocolate Cyst): Diagnosis, Medical Treatment, and Minimally Invasive Surgery

Abstract

In the clinical management of endometriotic cyst, three major clinical disruptions need to be addressed adequately: pain, infertility, and malignant transformation. Symptoms differ according to the patient's age and her life stage, and they should be managed individually. This review discusses the role of medical treatment with currently available drug regimens as well as surgical interventions for endometriotic cyst in terms of each symptom. Endometriosis-associated ovarian cancer is an important issue in the management of endometriosis in relatively elderly women, although it is not yet widely recognized. The need for standard management of these patients is also discussed. 2012 Springer Science+Business Media, LLC.