Chocolate cysts, also known as endometriotic cysts, and GnRH-a, also known as gonadotropin-releasing hormone agonists. After surgery for a chocolate cyst, it is not always necessary to have a gonadotropin-releasing hormone agonist, but oral contraceptives and highly effective progestins are also available.
Endometriotic cysts are benign lesions that tend to recur after surgery. In order to prevent the recurrence of chocolate cysts after surgery, you can take first-line or second-line drugs under the guidance of your doctor according to your condition, and GnRH-a is only a second-line drug and is not mandatory.
1. First-line drugs. After surgery for ovarian chocolate cysts, young women can take oral contraceptive pills or high-potency progestin under the guidance of a doctor. With continuous use of the medication, there will be no more menstrual periods, and the chances of the chocolate cysts recurring are smaller.
2. Second-line medication. After surgery for chocolate cysts, women who are approaching menopause can be injected with GaRH-a, a gonadotropin-releasing hormone agonist, such as leuprolide or goserelin. However, some of the symptoms of menopause, such as vaginal dryness, loss of libido, osteoporosis, and hot flashes, may occur with the medication.