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How should chocolate cyst be treated?
Medication or (and) surgical treatment (conservative or radical) can be used. So far, apart from radical surgery, there is no ideal radical method. Both drug therapy and conservative surgery have a high recurrence rate. Therefore, we should choose according to the patient's age, symptoms, signs, lesion scope, fertility requirements, patients' subjective wishes and other factors, and emphasize individualized treatment. It is advocated that the right drugs should be selected for active treatment, combined with close follow-up, pay attention to the changes in the nature of ovarian cysts, and then take corresponding countermeasures. For mild or asymptomatic lesions, expect treatment; Mild patients with fertility requirements should be treated with drugs first after a clear diagnosis, and those with serious illness should be treated with fertility preservation surgery; It is feasible to preserve ovarian function in young severe patients without fertility requirements, supplemented by drug treatment; Radical surgery is feasible for infertile patients with severe symptoms and lesions.

There are two surgical methods: open surgery and laparoscopic surgery. Laparoscopic surgery is the best treatment for this disease. At present, it is considered that laparoscopic diagnosis, surgery and medicine are the gold standards for the treatment of endometriosis. Laparoscopic surgery should be the first choice for the treatment of endometriosis in hospitals with conditions. However, the choice and effect of laparoscopic surgery largely depends on the equipment, instruments and the experience and skills of the operator. Open surgery can be used for laparoscopic operations that are not available or very complicated, such as severe adhesion and multiple surgical histories.