Gynaecologist, Laparoscopic Surgeon
It is highly unusual for a completely excised endometrioma (chocolate cyst) to re-form so soon after treatment. This would raise the possibility that it was not completely excised however having not performed the laparoscopy I could not comment on the completeness of the excision. Certainly in our practice we aim to esnure that ALL of the cyst capsule is excised to avoid this problem. There have been a number of papers regarding the pre or postoperative use of Zoladex (GnRH analogs) to supress hormonal activity after excision of an endometrioma and this may be suitable in your situation. It would certainly reduce any pain for the 6 months you are taking it BUT you would not be able to conceive during this treatment.
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