Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.).
I am 24 years old, unmarried and infertile. In October 2011, I had an ultrasound to detect a chocolate cyst in the adnexal region, size 4.1*3*2.9, serum CA125 is 62.25. I have normal menstruation and no painful menstruation, how to treat it? I heard that there are two methods, catheter intervention and laparoscopy, which one is better and does it have any effect on future fertility after surgery.
I have had 3 ultrasounds in 2 months and the results are all the same. Doctor: If he has a pregnancy plan, it is recommended to get pregnant first. Patient: How should I treat it if I have no plans to get married or pregnant in the near future? Doctor: The main effect of coeliacs on young women is pregnancy. If you are infertile because of coeliacs, its treatment, especially surgical treatment, is time-dependent. In your case, you can consider pregnancy first, and if pregnancy is affected by coeliacs, you can consider medication or surgical treatment. You should get pregnant early after surgical treatment, because if you do not get pregnant in the near future after surgery, there is a possibility of recurrence in the future. Patient: Thank you for your patient answer, I am not getting married in the near future, marriage may take about 27, now this situation is the first surgery, now there are still several years before marriage, is it necessary to operate first, will it affect pregnancy in the future? Doctor: You do not have a pregnancy requirement, and the effect of coeliacs on pregnancy is not known yet, because having coeliacs is not a 100% effect on pregnancy. There is no recent pregnancy requirement, you can observe closely, or you can operate now, and after the operation, according to the condition in the operation, use should GNRHA or contraceptive pills, and stop when there is a pregnancy requirement. My opinion is for reference only, the specific treatment, it is recommended to be decided by your doctor. I wish you a speedy recovery!