Since the opening of the website, a large number of patients with chocolate cysts have consulted and come to Han from all over the country for interventional treatment, for which I am grateful, but from the exchange of many patients, I believe that there are still some misconceptions in the treatment of chocolate cysts. 1, the relationship between chocolate cysts and infertility misconceptions: chocolate cysts is one of the complications of endometriosis, as I said in my article, the three major hazards of endometriosis are infertility, dysmenorrhea, endometriosis cysts that is chocolate cysts, simple treatment of cysts is easy and also helpful to pregnancy, but the causes of infertility is very complex, cure chocolate cysts will not necessarily be pregnant. That is, it is easy to cure chocolate cyst, but difficult to cure endometriosis infertility. 2, surgery, laparoscopy and interventional misconceptions: according to the literature, the recurrence rate of surgery for endometriosis cysts is 22.9%, causing adhesions and encapsulated cysts 5.4%, while the one-time cure rate of interventional is 73%, none of which can be completely cured, and all of which require systematic medication to consolidate the effect and reduce recurrence or reoccurrence. These three methods are not contradictory to the conservative treatment of internal medicine, there is a need to borrow from each other to complement each other’s strengths and weaknesses. It is just that interventional treatment is simple, with slight damage, facilitating repeated treatment and much lower cost, especially for those who have recurred after open or lumpectomy and for patients with encapsulated effusion cysts that cannot be treated surgically again due to abdominal adhesions. Therefore, even for those patients with chocolate cysts that have had multiple surgeries or recurrence after laparoscopy because of severe adhesions and cannot be operated again, ultrasound interventional puncture can achieve better results, not to mention chocolate cysts with lighter adhesions or no adhesions without a history of surgery, ultrasound interventional puncture treatment will be more convenient and effective. 3, the misconception of the treatment department: most patients with chocolate cysts are seen in obstetrics and gynecology, to the ultrasound examination, obstetricians and gynecologists will recommend surgery, especially laparoscopic surgery, because this is the skilled strength of obstetricians and gynecologists, do interventional treatment mostly for ultrasound intervention in the ultrasound department to do, at present, not all ultrasound departments have carried out this business, and not many hospitals carry out, patients can consult more. 4, anhydrous alcohol damage to the ovaries misconceptions: only the endometriotic cysts growing on the ovaries may damage the ovaries, but the penetration of alcohol is limited, can be completely coagulated cyst wall of ectopic endothelial cells on the thank God, to carry out this work for more than 10 years, have not seen reports have definite evidence that anhydrous alcohol has a sclerotic effect on the ovaries, step back, a few minutes of anhydrous The effect of a few minutes of alcohol coagulation on the ovaries is much less than surgical excision or partial excision, right? In addition, we now also have sclerotherapy without the use of anhydrous alcohol, which can be chosen by patients allergic to alcohol or those who need endocrine therapy, and is effective and has lower side effects. 5, the problem of cyst skin: endothelial ectopic cysts that chocolate cysts are benign lesions, as long as the elimination of the cyst, the cyst wall is self-normal tissue, mostly peritoneal, only the endothelial cells are completely coagulated necrosis no longer bleeding, the cyst wall will be absorbed through its own tissue repair, will not have an impact on the body. 6, the misconception of the treatment effect: cyst intervention therapy to pump cyst fluid, inject sclerosing agent to make the cyst wall cells coagulation necrosis, the formation of sterile inflammation, the initial period of treatment, (1 week to 1 month) will produce exudation, so that the cyst produces more exudate, 1 month after the exudation stopped, began to absorb, cyst fluid gradually reduced to disappear, and finally the cyst completely closed, only called cure, generally 3-6 months Most of the cysts will disappear, very few of them may reach 1 year before they disappear completely. If the cyst disappears completely, it is called a cure; if it shrinks by half, it is called effective; if it does not shrink at all after 3-6 months, it is called ineffective. 7, infertility treatment misconceptions: the increasing incidence of infertility in modern society, with social life pressure, environmental impact, premature sex before marriage, frequent abortions and other female male factors, the reasons are complex, the overall decline in the quality of male sperm, the female uterus, fallopian tubes, ovaries eggs, as long as there is a problem in one of the many factors, will affect conception. However, the development of technology can now also give 90% of infertility a chance of fertility. Chocolate cysts are first of all mechanical pushing on the fallopian tubes and ovaries, so that the ovaries cannot ovulate smoothly and the fallopian tube umbrella cannot pick up eggs. Ultrasonic interventional puncture to extract the cystic fluid has reset many fallopian tubes and ovaries and enabled normal ovulation and egg picking, together with follicle monitoring to guide the timing of pregnancy, which is the easiest and most effective treatment to help conceive, and nearly one third of endometriosis infertility patients can thus conceive a baby at This is the easiest and most effective treatment, and nearly one third of endometriosis infertility patients can conceive a baby as a result, with minimal cost. In addition, further tubal patency test, uterine examination, semen examination of the male partner, basal body temperature monitoring, etc. can be used for a series of diagnosis and treatment. Generally speaking, we observe that those who are still not pregnant within six months of endometriosis treatment have a much lower chance of conceiving naturally and may need artificial in vitro fertilization and other artificial means of pregnancy assistance to get a little baby.