Surgical removal of the ovary may be considered if the chocolate cyst is large and localized compression or cyst torsion leading to ovarian necrosis has occurred or if radical surgery is feasible for women over 45 years of age who have no reproductive requirements.
The need for oophorectomy with a chocolate cyst in the ovary is related to the severity of the disease. If the chocolate cysts are small and do not have a serious impact on fertility, removal of the ovaries is usually not necessary. However, if the chocolate cyst is large, and the function of the ovary cannot be preserved if it presses on the ovary or even necrotic or if there is a torsion of the ovarian cyst tip that leads to necrosis, then removal of the ovary may be considered.
For patients over 45 years old with severe endometriosis, all ectopic endometrial lesions in the uterus, both adnexa and pelvis can be resected and cleared without estrogen supplementation therapy after the operation, and there is almost no recurrence.
For most patients with ovarian chocolate cysts, they can be detected and treated early, and the ovaries are very likely to be preserved. For the same disease, patients with different physical conditions and different stages of the disease, the treatment methods are different and should be standardized under the guidance of doctors.