Endometriotic Cyst Treatment in Gurgaon, India
What is an Endometriotic Cyst (Chocolate Cyst)?
An endometriotic cyst, also called a chocolate cyst, forms when endometrial tissue (the lining of the uterus) grows outside the uterus, especially on the ovaries. This tissue bleeds during periods, just like the normal uterine lining. But since it has no way to exit the body, it gets trapped, forming a cyst filled with dark, old blood, hence the name "chocolate cyst."These cysts are a type of endometriosis and can cause pain, fertility issues, and discomfort during periods or sex.
What are the Symptoms of an Endometriotic Cyst?
Endometriotic cysts don’t always cause noticeable symptoms, especially in the early stages. However, as they grow or affect other areas, many women start experiencing discomfort or unusual signs, especially related to their menstrual cycle or pelvic area. Here are the most common symptoms explained in more detail:
Pelvic Pain (Especially During Periods)
This is the most common symptom. The pain often starts a few days before your period and can last throughout your cycle. It might feel like sharp cramps or a dull, ongoing ache deep in the lower abdomen or back. The pain may get worse over time if the cyst keeps growing or pressing on nearby tissues.
If the cyst is pressing on tissues in or around the vagina, sex can become painful. Many women feel a deep, stabbing pain during penetration or a lingering soreness afterwards. This symptom can also affect emotional well-being and intimacy with a partner.
Pain During Urination or Bowel Movements
When endometriotic cysts grow near the bladder or bowel, they can cause discomfort while urinating or having a bowel movement, especially during your period. Some women report burning, cramping, or even a feeling of incomplete emptying.
Irregular or Heavy Periods
The presence of endometriotic tissue can mess with your normal cycle. You might notice:
Endometriotic cysts can affect fertility by:
Some women discover they have an endometriotic cyst only after trying unsuccessfully to conceive.
Bloating or Swelling in the Abdomen
Endometriotic cysts can cause the belly to feel swollen, tight, or bloated, especially around your period. Some women describe it as a “pregnant belly” look. You may also feel full quickly after eating or experience mild nausea.
What Causes Endometriotic Cysts?
Doctors are still working to understand the exact cause of endometriotic cysts (also known as endometriomas), but several theories help explain how and why they might develop. These cysts form when tissue similar to the lining of the uterus (endometrium) grows in the ovaries and becomes trapped, forming a fluid-Here are the most commonly believed causes and contributing factors:filled sac.
Retrograde Menstruation
This is one of the leading theories. During a normal period, menstrual blood flows out of the uterus through the cervix and vagina. But in retrograde menstruation, some of this blood flows backwards—up through the fallopian tubes and into the pelvic cavity. This backwards flow can carry endometrial cells into areas where they don’t belong, such as the ovaries. Once there, the cells may stick to the tissue, continue growing, and eventually form cysts.
Hormonal Imbalances
Estrogen, the female hormone that controls the menstrual cycle, plays a big role in endometriosis. Higher levels of estrogen can encourage the growth and buildup of endometrial-like tissue outside the uterus. When this abnormal tissue continues to grow in the ovaries, it can form cysts that swell and bleed with each menstrual cycle. Over time, this creates a dark, thick fluid inside the cyst, often called a "chocolate cyst" because of its appearance.
Genetics (Family History)
There’s a strong link between endometriosis and family history. If your mother, sister, or another close female relative has had endometriosis, your chances of developing it are higher. Researchers believe certain genes may make some women more likely to develop this condition, though specific genes are still being studied.
Immune System Problems
But in some women, the immune system may not work properly, it fails to eliminate the stray endometrial-like cells that travel into the pelvic area. A healthy immune system should be able to recognise and destroy tissue that grows in the wrong place. This weak immune response allows abnormal tissue to implant, survive, and eventually grow into cysts on the ovaries or other pelvic organs.
What are the Different Types of Endometriotic Cysts?
Endometriotic cysts are also known as endometriomas, and they’re a specific type of cyst formed when endometrial-like tissue grows inside the ovaries. While the term “endometriotic cyst” often refers to this type alone, there are a few ways to understand their variations based on location, size, and complexity. Let’s break down the types:
Ovarian Endometriomas (Classic Type)
These are the most common and well-known endometriotic cysts. They form when endometrial tissue grows inside the ovaries and bleeds during the menstrual cycle. Over time, the blood gets trapped, turning into a dark, sticky fluid often called a “chocolate cyst” because of its color.
Size: Can range from small (less than 1 cm) to large (over 10 cm).
Symptoms: Pelvic pain, pain during periods or sex, trouble getting pregnant.
One or both ovaries can be affected.
Bilateral Endometriomas
When endometriotic cysts form on both ovaries, they’re referred to as bilateral. These cases may cause more severe symptoms and can affect fertility more significantly than a cyst on just one side.
Deep Infiltrating Endometriotic Cysts
These are more complex and aggressive. While not limited to the ovaries, they may still involve cyst-like growths within the reproductive organs. Deep endometriosis grows into the tissues and organs deeper than 5 mm below the surface.
Can affect the uterus, bowel, bladder, or vaginal wall.
Often causes severe pain and complications.
Requires careful surgical treatment.
Hemorrhagic Endometriomas
These cysts have active bleeding inside them due to the breakdown of the endometrial-like tissue. The blood collects and turns dark, causing the classic "chocolate" appearance.
May rupture, causing sudden, severe pain.
It can sometimes be confused with other types of ovarian cysts.
Recurrent Endometriotic Cysts
These are cysts that return after previous treatment, such as surgery. Some women are more prone to recurrence due to hormonal or genetic factors.
When Should I Consult the Doctor for an Endometriotic Cyst?
You should see a doctor if you’re experiencing persistent pelvic pain or other symptoms that interfere with your daily life. Endometriotic cysts can sometimes go unnoticed, but in many cases, they cause discomfort or lead to complications if left untreated. Here are specific signs you shouldn't ignore:
If you're feeling a dull or sharp ache in your lower abdomen, especially one that gets worse during your periods, it may be a sign of an endometriotic cyst.
Painful Periods (Dysmenorrhea)
It's normal to have some cramps, but if your periods are extremely painful every month and regular painkillers don’t help, it’s time to get evaluated.
Painful intercourse (called dyspareunia) is a common symptom of endometriosis. It may signal that endometrial tissue is growing in areas near the vagina or pelvis.
Pain During Urination or Bowel Movements
If you feel sharp pain while peeing or pooping, especially during your period, this could be due to deep endometriotic tissue or cysts pressing on your bladder or bowels.
Heavy or Irregular Periods
Unusually heavy bleeding, spotting between periods, or irregular menstrual cycles may indicate hormonal imbalances caused by endometriosis.
Difficulty Getting Pregnant
Endometriotic cysts can affect fertility. If you’ve been trying to conceive for over 6–12 months without success, it’s wise to consult a gynaecologist.
Bloating or a Feeling of Fullness
Cysts can grow large and cause a bloated belly or the feeling of pressure or heaviness, especially in the lower abdomen.
Sudden, Severe Abdominal Pain
This could mean a ruptured cyst, which is a medical emergency. You may also feel nausea, vomiting, or dizziness and seek immediate care.
How are Endometriotic Cysts Diagnosed?
Doctors use several tools to confirm the presence of endometriotic cysts:
Test | What It Does |
Pelvic exam | Feels for large cysts or lumps around the uterus or ovaries |
Ultrasound | Uses sound waves to see cysts in the ovaries |
MRI scan | Gives a detailed image of the reproductive organs |
Laparoscopy | A small camera inserted through a tiny cut in the belly to look for and sometimes remove cysts |
What are the Treatment Options for Endometriotic Cysts?
Treatment depends on the size of the cyst, your symptoms, and whether you want to have children. Here are your main options:
Medications
Pain relievers: Help reduce discomfort during periods
Hormonal therapy: Birth control pills, hormonal IUDs, or injections can shrink or stop cyst growth by controlling estrogen.
Surgery
If the cyst is large, painful, or affecting fertility, your doctor may suggest surgery.
Laparoscopic cyst removal: A minimally invasive surgery to remove the cyst while keeping the ovary intact.
Oophorectomy: Removes one or both ovaries if damage is severe.
Hysterectomy: Removes the uterus, and sometimes the ovaries, in severe cases (usually for women not planning future pregnancies).
At Artemis Hospital, we use advanced laparoscopic techniques to remove cysts with minimal pain and faster recovery.
Recovery Tips After Endometriotic Cyst Treatment
Recovering from endometriotic cyst treatment whether it’s medication, minimally invasive surgery (like laparoscopy), or major surgery requires care, rest, and a few lifestyle adjustments. Here's how you can support your body and feel better faster.
Rest is Essential
Take it easy for the first few days after surgery.
Don’t rush back into work, heavy lifting, or strenuous exercise.
Listen to your body if you’re tired, rest.
Eat Light and Nutritious Meals
After surgery, your digestion may be a bit slow. Stick to easily digestible foods like soups, cooked vegetables, rice, or oats.
Stay hydrated with water, coconut water, and herbal teas help.
Include anti-inflammatory foods like leafy greens, turmeric, and berries to support healing.
Gentle Movement Helps
Short walks help with circulation, reduce bloating, and prevent blood clots.
Avoid vigorous activity for at least 2–4 weeks or until your doctor clears you.
Follow Your Medication Plan
Care for the Incision (If You Had Surgery)
Keep the wound clean and dry.
Watch for signs of infection: redness, swelling, discharge, or fever.
Avoid applying powders or creams unless your doctor advises.
Attend Follow-Up Appointments
These are crucial to monitor healing and adjust your treatment if needed.
Discuss any ongoing symptoms, like pain or irregular periods.
Pay Attention to Your Mental Health
Avoid These During Early Recovery
Tampons or sexual intercourse (usually for 4–6 weeks, or as advised).
Heavy lifting or intense workouts.
How Can I Prevent Endometriotic Cyst?
While you can’t always prevent endometriosis or its cysts completely, especially if it runs in your family you can take steps to lower your risk or manage it better.
Manage Estrogen Levels
Excess estrogen can fuel the growth of endometriosis. Try:
Hormonal birth control (pills, patches, IUDs) if recommended by your doctor.
Maintaining a healthy weight—fat tissue produces estrogen.
Limiting high-fat, processed foods that may increase estrogen levels.
Reduce Inflammation Naturally
Chronic inflammation may worsen endometriosis. You can help calm your body by:
Eating an anti-inflammatory diet (leafy greens, berries, omega-3 fats like salmon).
Reducing sugar and processed foods.
Practicing stress-reducing activities like yoga, meditation, or walking.
Regular Medical Checkups
See your gynecologist regularly, especially if you have painful or irregular periods.
Early detection and treatment can stop small cysts from becoming larger and more painful.
Follow Prescribed Treatments
If you've been treated for endometriotic cysts before, follow your doctor’s advice on long-term management—this may include hormonal therapy.
Don’t skip maintenance medication if it helps control symptoms.
Post-Treatment Self-Care
After cyst removal surgery, follow all recovery and prevention tips to avoid recurrence.
Avoid delaying follow-up appointments and always report any new or returning symptoms.
Avoid Smoking
Why Choose Artemis Hospital for Endometriotic Cyst Treatment in Gurgaon?
At Artemis Women & Child Centre we offer the highest quality of care and most advanced treatments for every mother, every baby and woman of every age. Every day, we are dedicated to improving and advancing the well being of our patients. For women, we offer obstetric services, including high- risk maternal-fetal medicine, in addition to a full range of gynecologic services.
For our young patients, we provide consultation and care in more than 10 specialties including adolescent medicine, allergy and immunology, cardiology, critical care, endocrinology, hematology/oncology, infectious disease, neonatal-perinatal medicine, neurology, pulmonary medicine and surgery to name some. We take pride in our level IV nursery care for complex and critically ill newborns.
Our Services
Gynaecology
Specialized medical and surgical management of gynecological problems.
Laparoscopic and Hysteroscopic Surgeries for treating various gynaecological diseases like ovarian cysts, endometriosis, chronic pelvic pain, ectopic pregnancy, fibroids and other diseases.
Gynaecological Oncology - Comprehensive treatment for genital cancers of the uterus, cervix, vagina, vulva and ovaries.
Birthing (Obstetrics)
Prenatal Counseling
Professional counseling & care throughout pregnancy, childbirth and early parenthood
Deliveries of normal & high risk pregnancies in the hands of experts
Obstetrical care - Ante-natal & postnatal classes, dietary counseling, fetal monitoring, stem cell banking
Prenatal diagnosis & Ultra Sonography with 3D/4D ultrasound
Lactational Advice Services
Six LDR (labor, delivery and recovery) rooms and a neonatal Intensive Care Unit to take exclusive care for the mother and newborn.
Painless deliveries (Epidural analgesia)
Newborn care by expert paediatricians
Fetal Medicine
Genetic Medicine
Clinical genetics.
Prenatal genetic evaluation.
Accurate fetal diagnosis of an evolving condition.
Treatment services throughout pregnancy.
To book an appointment with some of the best gynaecologists in Gurgaon at Artemis Hospitals, call our customer care at +91-124-451-1111 or WhatsApp us at +91 959-928-5476. Appointments can also be scheduled through the online patient portal or by downloading the Artemis Personal Health Record mobile app, available on both iOS and Android devices.
Reviewed By Dr. Nidhi Rajotia (Goel)
Sr. Consultant - Obstetrics & Gynaecology
Artemis Hospitals
Frequently Asked Questions
Are endometriotic cysts contagious?
No, endometriotic cysts are not contagious. They form inside the body and are related to internal factors like hormones, genetics, and immune response—not infections that spread from person to person.
Can I get pregnant if I have an endometriotic cyst?
It’s possible, but endometriotic cysts can make it harder to conceive. They may affect the ovaries or fallopian tubes. Many women with mild to moderate cases still get pregnant naturally or with medical help.
How long does recovery take after surgery for endometriotic cysts?
Recovery depends on the type of surgery. For laparoscopic surgery, most people recover in 2–4 weeks. Full healing may take longer if the cyst was large or if both ovaries were affected.
Can endometriotic cysts come back after treatment?
Yes, there is a chance of recurrence, especially if the underlying endometriosis isn’t managed. Hormonal treatments and lifestyle changes may help reduce the risk.
Do all endometriotic cysts need surgery?
Not always. Small cysts without severe symptoms may be managed with medication and regular monitoring. Surgery is considered when pain is severe or if the cyst affects fertility.
Are endometriotic cysts cancerous?
Most endometriotic cysts are benign (non-cancerous). However, in very rare cases, long-standing cysts may lead to complications, so regular follow-up is important.
What are the symptoms I shouldn’t ignore?
Watch for persistent pelvic pain, pain during sex, painful periods, bloating, or difficulty getting pregnant. These may indicate an endometriotic cyst that needs medical attention.
Who should I consult for endometriotic cyst treatment in Gurgaon?
You should see a gynecologist experienced in endometriosis. Artemis Hospitals, Gurgaon, has top specialists for diagnosis, surgery, and hormonal therapy.
What factors affect the cost of endometriotic cyst treatment in Gurgaon?
Endometriotic cyst costs depend on the type of treatment (surgery vs. medication), hospital charges, specialist’s experience, and diagnostic tests. Contact Artemis Hospitals for personalized cost details.
Which is the best hospital for endometriotic cyst treatment in Gurgaon?
Artemis Hospitals is among the best hospitals in Gurgaon for women’s health. They offer advanced laparoscopic surgery, expert gynecologists, and complete post-operative care for endometriotic cysts.
Who is the best doctor near me for Endometriotic Cyst Treatment?
Artemis Hospitals, Gurgaon, has some of the best gynecologists experienced in diagnosing and treating Endometriotic Cysts with both medical and surgical options personalized to your needs.
