Causes and symptoms of the disease "chocolate bags" that suffered by Yasmine Abdel Aziz

The artist, Yasmine Abdel Aziz, announced the reality of her illness, which is that she had a disease of chocolate cysts on the ovary, confirming that she had performed this operation about 5 times, during her talk on the program with you, Mona El-Shazly.

What are bags of chocolate?

It is a bag that contains old blood, which is the blood of the menstrual cycle, and it is called the chocolate cyst disease, because its color is dark brown like chocolate. bladder or colon.

Chocolate bags are made up of endometrial cells themselves, and are affected by the level of the hormones estrogen and progesterone, just as the endometrium is affected every month with the onset of menstruation, so chocolate bags are one of the symptoms of endometriosis.

What are the causes of chocolate cyst disease?

Chocolate bags form with each menstrual cycle, and there are no chocolate bags inside the uterus, because the blood comes out first during menstruation. As for the migratory parts of the endometrium that are stable above the surface of the ovary or fallopian tubes, they cannot descend naturally with menstrual blood, so they swell and form cysts It contains old period blood.

Chocolate bags affect those aged 20-40 years with a greater percentage, but this does not prevent them from developing it at any other age stage, and there is no clear and conclusive reason for endometriosis, but there are several reasons with which the incidence of endometriosis and chocolate bags increases, Which:

A defect in the immune system. Some doctors say that endometriosis occurs due to a disease in the immune system, which leads to the migration of endometrial cells to the surface of the ovaries and fallopian tubes.

There may be genetic causes, as one of the first-degree family may suffer from endometriosis, so the chance of infection in this case is great.

One of the reasons is that menstrual blood comes out in the opposite direction, instead of going through the cervix into the vagina, and out into the pelvis through the uterine canal.

What are the symptoms of chocolate cysts?

Symptoms always differ from one woman to another, and there is no direct relationship between the size of the chocolate bag and the increase in symptoms, the chocolate bag may be small and the woman suffers from severe symptoms, and vice versa, and some women do not complain of any symptom and discover the presence of chocolate bags by chance during the treatment of delayed pregnancy The symptoms of chocolate cysts are similar to those of many other pelvic diseases such as polycystic ovary syndrome.

1- Pain in the pelvis other than the menstrual cycle, where many women complain of intermittent pain in the pelvis, similar to menstrual pain.

2- Heavy menstrual bleeding, and you will notice that you use many sanitary napkins during one day, or that your period continues for more than 7 days in an unusual way.

3- Feeling severe pain during intercourse, as the woman with chocolate bags complains of pain during intercourse.

4- Delayed pregnancy, so chocolate bags are diagnosed during a visit to the gynecologist to treat delayed pregnancy, as chocolate bags are one of the causes of delayed childbearing in women, and in a few cases cause infertility.

The doctor cannot diagnose chocolate cysts by knowing your complaint only, he needs to do an ultrasound to make sure that there are cysts on the ovary and in the pelvic area, and the ultrasound will not tell him the type of cyst, and he may resort to taking a sample of the cyst through the laparoscope and the pelvis.

5- Chocolate bags also work on digestive problems, which leads to painful bowel movements, especially during menstrual periods, and leads to difficulty getting pregnant.

How to treat bags of chocolate

In fact, this disease was not dangerous, so it could be treated and dealt with easily if the matter did not deteriorate as a result of negligence, through analgesics: such as paracetamol or ibuprofen, to treat severe pain associated with menstruation, and the use of birth control pills that calm and calm the lining of the uterus, and reduce symptoms Chocolate cysts, and there is another solution such as surgery, which is the removal of chocolate cysts from the ovaries, fallopian tubes and any pelvic organ affected by them.

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