Chocolate cyst of ovary

Ovarian endometriomas

Which of the following hormones is increased in ovarian endometriosis?

A. Insulin
B. Progesterone
C. Androgen
D. Activin

Not true of endometriosis is –

A. Monocyte Chemotactic Protein (MCP-1)level is increased in the peritoneal fluid
B. Increased activity of type 2 helper lymphocytes
C. Impaired function of NK cells
D. Lower concentrations of IL 16

Which of the following type of endometriosis is more likely to cause infertility

A. Ovarian endometriosis
B. Peritoneal
C. Deep infiltrating endometriosis
D. Nodular endometriosis

Non-invasive tool for assessing pelvic floor morphometry in endometriosis is

A. Rectal Water Contrast Transvaginal Sonography
B. Colonorectoscopy
C. Transrectal ultrasound
D. Transperineal ultrasound

Not true of Elagolix in treatment of pelvic pain in endometriosis

A. Peptide GnRH (gonadotropin-releasing hormone) antagonist
B. Enables dose-dependent reductions in estrogen levels
C. Reduces bone mineral density
D. A drug for the treatment of moderate to severe pain

Most common histologic types of malignancy seen with ovarian endometriosis is

A. Adenocarcinoma
B. Sarcoma
C. Clear cell carcinoma
D. Squamous cell carcinoma

In short

  • The classic appearance of an endometrioma, often referred to as a “chocolate cyst” because of the presence of thick, dark, degenerated blood products, is a homogeneous, hypoechoic lesion within the ovary with low-level echoes and no internal blood flow
  • Rupture of an endometrioma is a rare condition, most commonly occurs during pregnancy because of rapid growth from hormonal stimulation of endometrial stromal elements
  • Small endometrioma (< 3 cm) is aspirated laparoscopically with cauterisation of the wall, larger than 4cm require laparoscopy for ovarian cystectomy and adhesiolysis.
  • When there is no improvement of infertility due to endometriosis with the usual treatment, couples should be counseled for ART.

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