I would suggest you to go for laparoscopy and once the biopsy reports we get can decide about the plan of treatment But now without any negligence go with surgery
Thank you mam
HELLO, -CHOCOLATE CYST of 12 cm- this is a large ovarian cyst. cysts over 5-6 cm usually do not resolve on their own. -CA-124 LEVEL OF 471- This is significantly evaluated. while CA-125 can rise in endometrosis, a level this high must be carefully evaluated to rule out malignancy or severe disease -Recurrent cyst after previous surgery -Persistent back pain, upper abdominal pain, post meal discomfort -low energy and fatigue These symptoms suggest -advanced or recurrent endometriosis -possible adhesions -pressure effects from the large cyst -nee d to rule out ovarian malignancy WHY SURGERY IS STRONGLY RECOMMENDED Your gynec advice for laparoscopy is medically appropriate because -12cm cyst will not shrink with medicine or ayurveda -Large cyst can twist (ovarian torsion-emergency) , rupture, cause internal bleding -High CA- 125 requires direct visualisation and biopsy -Pain and digestive stomas suggest pressure or spread PLEASE PROCEDD WITH -Laproscopic surgery as advised -Histoathology testing -Evaluation by a gynac oncologist After surgery you may use supportive Ayurvedic or lifestyle therapies to reduce recurrent -but not as a replacement for surgery in this situation This is not a condition to manage conservatively or only with Ayurveda SURGERY is the safest and most appropriate step right now THANK YOU



