This video shows an understanding the different types of Ovarian Cysts.
A hemorrhagic ovarian cyst (HOC) is an adnexal mass formed because of the occurrence of bleeding into a follicular or corpus luteum cyst. Hemorrhagic cysts are commonly seen in clinical practice because hemorrhage into a cyst is usually painful, triggering the patient to consult her physician.
Many radiologists use the term “complex” to describe all cysts other than totally clear, simple cysts. However, many benign entities are complex, such as dermoid cysts, endometriomas, hemorrhagic cysts, and cystadenomas.
Having a hemorrhagic ovarian cyst is not necessarily a problem. Many times these cysts don't cause symptoms and are often found during a pelvic exam that's done for another reason. If a cyst is small or medium-size and isn't causing you any pain or other symptoms, then your doctor likely will recommend monitoring it.
A hemorrhagic or a ruptured ovarian cyst is the most common cause of acute pelvic pain in an afebrile, premenopausal woman presenting to the emergency room. They can occur during pregnancy.
Hemorrhagic cysts are normal in ovulatory women, usually resolving within 8 weeks. They can be quite variable in appearance, however, and can be confused with ovarian endometriomas.
Endometriomas, also known as chocolate cysts or endometriotic cysts, is a localized form of endometriosis and are usually within the ovary.
Chocolate cysts are noncancerous, fluid-filled cysts that typically form deep within the ovaries. They're also called ovarian endometriomas. The color comes from old menstrual blood and tissue that fills the cavity of the cyst. A chocolate cyst can affect one or both ovaries and may occur in multiples or singularly.
Endometrioma is distinguished from other types of ovarian cysts by a somewhat grainy and not completely anechoic content.
Endometriosis causes chocolate cysts. Endometrial tissue lines the uterus, and endometriosis causes this tissue to grow outside the uterus as well. Endometrial tissue can attach to the ovaries, fallopian tubes, and nearby organs, such as the bladder.
An ovarian cyst is a fluid-filled sac that develops in or on the ovary and usually disappears after ovulation. Most ovarian cysts don't cause any problems and go away on their own.
Chocolate cysts are common in women with endometriosis. Symptoms can often be managed with medication. In some cases, the cysts will need to be removed. According to a study, about 30 percent of surgically removed chocolate cysts will return, especially if they were large or medically treated.
If ovulation occurs less often, or if the eggs are less healthy, the chances of pregnancy decrease. It is important to remember that endometriomas do not inevitably cause infertility. In fact, some women with advanced endometriosis and chocolate cysts easily get pregnant.
Endometriomas may be considered the most serious threat to a woman's reproductive potential, with the exception of cancerous tumors of the reproductive tract. These cysts can represent a medical dilemma even while women are receiving fertility treatments such as assisted reproductive technologies (ART).

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