Chocolate cysts of 5 centimeters can be removed without removing the ovaries if the woman has reproductive requirements. However, if a woman is over 45 years old and also has no requirement for fertility, medication is not effective and the chocolate cyst continues to grow, ovariectomy may be considered.
Whether a chocolate cyst requires removal of the ovaries is not only related to the size of the chocolate cyst, but also to the woman’s age, her fertility requirements and other factors. Chocolate cysts that are less than 4 centimeters in size usually do not need to be removed, but if a woman’s chocolate cyst reaches 5 centimeters and she has fertility requirements, ovarian cyst removal may be performed.
If a woman’s chocolate cyst reaches 5 centimeters, her menstrual pain is obvious, and her chocolate cyst has a tendency to increase in size, and she is over 45 years old and does not have any childbearing requirement, she can consider radical surgery to avoid recurrence of the disease after the surgery, which means surgical removal of the uterus, the ovaries, and the lesions that are visible to the naked eye.
For the same disease, patients with different physical conditions and at different stages of the disease, the treatment methods are different and should be standardized under the guidance of doctors.