Chocolate cyst (endometrioma, endometrial cyst) is a type of ovarian cyst that affects women – actually it is ovarian endometriosis. Endometriosis is a condition when endometrial tissue grows outside the uterus usually on the ovaries, Fallopian tubes or in the pelvis area.
Every month (during menstrual period) the endometrial tissue inside the cyst responds to monthly hormones – it bleeds and fills the interior of these cysts with not clotted dark blood. The terminology “chocolate cysts” came from the dark old blood that grossly resembles chocolate.
If chocolate cyst continues growing, it can become a part of ovary, replacing the normal tissue needed for regular menstrual cycles. Inflammation and irritation from chocolate cysts can spread to nearby organs in pelvic cavity. Endometrial cyst sizes could be different – starting from 1-2 cm (like grapes) and ending by 10-15 cm (softball size) in diameter.
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