Laparoscopic surgery for chocolate cyst, in principle, there is no clear time limit, as long as it is not in menstrual period, surgery can be performed. However, it is necessary to choose the opportunity in the following circumstances: First, if the chocolate cyst is complicated with infertility, tubal drainage should be carried out at the same time as the chocolate cyst peeling operation; Second, combined with uterine cavity lesions, when doing hysteroscopy under anesthesia, you should choose within 3-7 days of clean menstruation. Because whether it is fallopian tube drainage or hysteroscopy, if the endometrium is thick, it will lead to iatrogenic endometrial implantation and upward infection. So when the above operations are combined, you need to choose a specific time. If the chocolate cyst is simply removed, there is no need to choose a specific time. As long as it is not during menstruation, laparoscopic surgery for chocolate cysts can be performed.

Chocolate cyst can be fundamentally treated by surgery.

Chocolate cyst is also called endometriosis cyst. The treatment of chocolate cyst includes surgical treatment and drug treatment.

If the patient has fertility requirements and is relatively young, medication is generally used and regular follow-up examination is conducted. If the symptoms are serious, the effect of drug treatment is not obvious, or there is a large lump in the ovary, surgery can be used. There are laparoscopic surgery and open surgery at present. For ovarian chocolate cyst, if the patient has fertility requirements and is a young woman, open or laparoscopic chocolate cyst removal is generally selected. For women who have no fertility requirements or postmenopausal women, consideration can be given to removing the affected appendages. If it is a unilateral chocolate cyst and has never given birth, you can choose to get pregnant first. After pregnancy, you can choose cesarean section and remove chocolate cyst at the same time. However, it may still recur after conservative surgery. Patients should adhere to follow-up and strive for early pregnancy. For women over 45 years old with severe symptoms and no fertility requirements, the whole uterus, one or both ovaries and fallopian tubes can be removed.