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Gynecology and Obstetrics
प्रश्न #50292
7 घंटे पहले
44

चॉकलेट सिस्ट और उससे जुड़ी दर्द के लिए समाधान की तलाश - #50292

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चॉकलेट सिस्ट का साइज 12 सेमी है और CA125 लेवल 471 है, जिसकी वजह से पीठ दर्द और ऊपरी पेट में दर्द हो रहा है। खाने के बाद पेट में दर्द होता है। क्या इसका कोई समाधान नहीं है? गायनेकोलॉजिस्ट ने बताया कि CA125 का लेवल 471 होने की वजह से उन्होंने लैप्रोस्कोपी की सलाह दी है।

How long have you been experiencing the back and upper belly pain?:

- 1-6 months

What triggers your belly pain after eating?:

- No specific triggers

Have you noticed any changes in your menstrual cycle?:

- Increased pain
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डॉक्टरों की प्रतिक्रियाएं

chocolate cyst is medically called an endometrioma. It forms due to endometriosis (when uterine lining grows outside uterus). Inside the cyst → old dark blood collects → looks like melted chocolate. 📊 CA-125 Level 471 – What Does It Mean? CA-125 can increase in: Endometriosis (very common) Large ovarian cysts Infection Inflammation Rarely ovarian cancer 👉 In endometriosis with large cyst (12 cm), CA-125 can go high. But 471 is significantly elevated, so doctors suggest surgery to: Remove cyst Send tissue for biopsy Rule out malignancy This is a safety protocol. 🤕 Your Symptoms Match Large Endometrioma You said: Back pain (1–6 months) Upper belly pain Pain after eating Increased menstrual pain A 12 cm cyst is large. It can: Press on bowel → pain after eating Press on nerves → back pain Cause inflammation → upper abdominal discomfort Increase period pain So yes, symptoms are related. ❗ Can It Be Treated Without Surgery? Honest answer: 🔹 Small cyst (<4–5 cm) → medicines sometimes help 🔹 12 cm cyst → medicines usually cannot shrink it fully Risks of leaving it: Rupture Torsion (ovary twisting – emergency) Further CA-125 rise Fertility impact That is why laparoscopy is advised. 🔬 Why Laparoscopy? Minimally invasive Small cuts Remove cyst Preserve ovary (if possible) Biopsy to confirm diagnosis Faster recovery (5–7 days usually) In experienced hands, it is safe. 🌿 Can Ayurveda Help? Ayurveda can: Reduce inflammation Improve digestion Reduce recurrence risk Balance hormones Support recovery post-surgery But for 12 cm cyst, Ayurveda alone is usually not sufficient. If you delay surgery, pain may worsen. ❤️ My Honest Guidance For You Because: Size = 12 cm (large) CA-125 = 471 (high) Pain increasing 👉 I would not advise delaying too much. You can: Take second opinion from senior gynecologist Do MRI pelvis if not done Check HE4 marker if doctor suggests But don’t ignore it.

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