Chocolate cysts mostly do not heal on their own and can only be controlled by pregnancy, medication or surgery. Chocolate cysts are ovarian endometriosis, a hormone-dependent disease. As long as menstruation exists, the ovaries are able to discharge eggs, and estrogen is secreted normally, chocolate cysts will continue to develop and will not heal on their own. It is not until after menopause, when ovarian function declines and estrogen secretion decreases, that the chocolate cysts will stop developing and gradually become smaller and shrink to heal themselves, but the adhesions caused by them will not heal themselves. If the chocolate cyst is small and the woman has reproductive needs, it is recommended that she get pregnant as soon as possible. After pregnancy, the woman will naturally have amenorrhea, and the chocolate cyst will gradually shrink and become smaller. If there is no need for childbearing, it can be controlled by oral medication through pseudo-menopausal therapy and conservative treatment. However, if the chocolate cyst is large, or if conservative treatment fails, surgery can be performed to remove the lesion to reduce the chance of recurrence. Patients with chocolate cysts should choose the appropriate treatment under the guidance of their doctors and according to their own conditions to avoid the cysts from developing continuously.