June 8, 2023
Endometrioma and Hemorrhagic Cyst

5 Best Difference Between Endometrioma and Hemorrhagic Cyst

Introduction of endometrioma and hemorrhagic cyst women of reproductive age may become affected by ovarian cysts. Endometrioma and hemorrhagic ovarian cysts are two types of fibroid cysts; both conditions feature a cystic structure in the ovary but their characteristics, causes, and implications may differ significantly.

Endometrioma, commonly referred to as chocolate cyst, is often seen in conjunction with endometriosis and occurs when endometrial tissue protrudes outside of the uterine wall.

A hemorrhagic ovarian cyst occurs as a result of ruptured or leaking blood vessels, leading to accumulation of blood within its walls and thus creating hemorrhagic cysts containing large quantities of blood in its interior. Understanding the differences between these two forms is vital in making an accurate diagnosis and managing them appropriately.

This discussion will address the causes, risks, and implications associated with endometrioma and hemorrhagic ovarian cysts as well as their distinguishing characteristics. Understanding these conditions will enable individuals and healthcare providers to more quickly recognize ovarian cysts while providing patients with excellent care.

Endometrioma, hemorrhagic syringomyelia and other related conditions: a brief overview


Endometrioma – endometriomas occur when endometrial tissue that lines the uterus adheres abnormally to one or both ovaries, creating an anomoly. As hormone levels change, this tissue can respond and grow into a large cyst filled with blood – known as an endometrioma.

The fluid will be dark chocolate in color. Endometriomas tend to be associated with endometriosis. This is a condition where this abnormal tissue grows in other parts of the pelvis. These tumors can cause pelvic discomfort, irregular menstruation, and even fertility problems.

Hemorrhagic cyst: hemorrhagic ovarian cysts, commonly referred to as blood-filled cysts, occur when blood accumulates within an ovarian cyst after rupture of an internal blood vessel due to hormone fluctuations or trauma to the organ. Hemorrhagic cysts usually resolve without treatment and usually remain asymptomatic unless larger or persistent cysts arise that can cause pain and discomfort in the pelvis region.

Endometrioma, a type ovarian cyst that is associated with endometriosis and filled with old, dried blood, can cause fertility problems and symptoms. A hemorrhagic ovarian cyst, on the other hand is a cyst filled with blood that usually resolves without symptoms. However, larger cysts may cause pelvic discomfort.

Understanding the differences of Endometrioma and Hemorrhagic Cyst is important

Understanding the difference between endometrioma (endometrial cancer) and hemorrhagic syringomyelia for several reasons is vitally important.

1. Diagnosis is important: accurate diagnosis requires accurate differentiation between hemorrhagic and endometrioma. These two    conditions may have similar symptoms and clinical presentation, so it is important to distinguish them using the right diagnostic        method. A correct diagnosis is essential for the right treatment and management.

2. Treatment choices: there may be different approaches for managing endometrioma versus hemorrhagic syringomas. Endometriomas associated with endometriosis require treatment options to address both cyst and endometriosis symptoms; on the   other hand, hemorrhagic cysts typically do not need active management. They often resolve themselves. Understanding the   differences will allow healthcare providers to select the best treatment option for each case.

Endometriomas have been linked with infertility, so when trying to conceive it’s crucial that accurately identify an endometrioma. It   may require fertility treatment or intervention. Hemorrhagic cysts, on the other hand, do not usually affect fertility. The specific type   of cyst helps healthcare providers to provide the appropriate guidance and counseling regarding fertility concerns.

3. Long-term impacts: endometriomas or endometriosis can have long-term repercussions for patients’ reproductive and general   health, so understanding their relationship and follow up can provide proper monitoring, treatment, and care. Although   hemorrhagic   cysts tend to self-resolve with no lasting ill effects on health, they should still be evaluated and monitored regularly.

4. Patient support and education: healthcare providers can educate and support patients more effectively if they know the       difference between endometrioma, hemorrhagic syringes and other conditions. Patients can actively participate in their own   healthcare by learning about the symptoms, complications and treatment options of each condition.

Understanding the differences between endometrioma, hemorrhagic syringe, and uterine fibroids allows for accurate diagnosis, selection of appropriate treatment, consideration of fertility effects, anticipating long-term consequences, and effective patient support.


Endometrioma is also called an endometriotic or chocolate cyst. It is a type of ovarian ovaries cyst associated with endometriosis. Here are some important facts about endometrioma.

Endometrioma: definition and characteristics. An endometrioma forms when endometrial tissues, which line the uterus normally, implant and grow outside the uterus. These cysts contain old blood and have a dark, thick and chocolate-like appearance.
Risk factors and causes: although the exact cause of the endometrioma is unknown, it is thought to be caused by the flow of menstrual fluid backward through the fallopian tube and the subsequent implantation endometrial tissue on the ovaries. Endometriosis and a family history of this condition are risk factors for the development of endometrioma.

Clinical presentation and symptoms: endometriomas may cause a variety of symptoms including pelvic and back pain, particularly during menstruation. They can also cause chronic pelvic and back pain, as well as pain during sexual activity and infertility. The severity of symptoms varies from person to person.

Diagnostic methods: the diagnosis of endometrioma can be made by combining clinical evaluation, medical history, pelvic exam, and imaging methods such as magnetic resonance imaging (mri). These imaging techniques can be used to determine the size and shape of the cyst.

Treatment options: for endometrioma depend on a variety of factors including severity, desire to be fertile, and general health. Treatment options may include medication to manage pain, hormonal therapy to suppress endometriosis, or surgical intervention to remove cysts (cystectomy), or in severe cases to remove the affected ovary.
Potential complications: endometriomas may cause complications, such as adhesions, which can cause organs and tissues to stick together.

They can also lead to ovarian twisting, which can cause severe abdominal pain, possibly damaging the ovary and causing fertility issues due to endometriosis’ impact on reproductive organs.

Consult a professional to ensure an accurate diagnosis of endometrioma and the appropriate treatment, especially if your symptoms affect your daily life or your fertility goals.

Definition and characteristics

Endometrioma is also called an endometriotic or chocolate cyst. It is a type ovarian cyst that’s characterized by endometrial tissues outside of the uterus. The following are some key facts about the characteristics and definition of endometrioma.

Definition: endometriomas are ovarian cysts that form when endometrial tissues, which line the uterus normally, implant and grow on the surface or within the tissue of the ovary. This tissue reacts to hormonal fluctuations, resulting in the formation of cysts containing old blood.

Endometriomas can be round, oval or of varying sizes. Due to degenerated blood, they are filled with a thick, dark and chocolate-like liquid. They are encapsulated by a fibrous membrane that separates the cyst from surrounding ovarian tissue.

Endometriosis and endometriosis have an intricate connection. This condition occurs when endometrial tissues grow outside of the uterus. Endometrioma in the ovaries is considered to be a manifestation of endometriosis.

Endometriomas may occur unilaterally on one ovary, but they are more likely to appear bilaterally in severe cases of endometriosis.
Endometriomas may have a negative impact on the ovarian reserve and function, which could affect fertility. These cysts can disrupt normal ovarian tissue, preventing the release of eggs at ovulation.


Endometriomas tend to recur, especially in cases where there is underlying endometriosis. Recurrence can be monitored and addressed with proper management and follow-up.

Consult a medical professional to ensure an accurate diagnosis of endometrioma and the appropriate treatment, particularly if you are experiencing symptoms like pelvic pain or concerns about fertility.

Causes and risk factor


Endometrioma can result from many different factors and causes, each contributing in their own way to its development. Risk factors and causes associated with endometrioma should also be taken into consideration.

Endometriosis is commonly associated with endometrioma. Endometriosis occurs when endometrial tissues grow outside the uterine cavity and outside its boundaries, creating scar tissue on organs such as the ovaries or pelvis.

Endometriosis develops when endometrial tissue that normally sheds during menstruation grows on organs of the pelvic cavity including ovaries; over time these cells may cause endometriomas on them and lead to endometriomas to form on them.

Retrograde menstruation – retrograde menstruation occurs when menstrual fluid containing endometrial tissue flows through the fallopian tube and into the pelvic area, instead of being expelled. This backward flow may lead to endometrial cell implantation on the ovaries, and can contribute to endometrioma.

Hormonal imbalance – estrogen has long been recognized as being responsible for endometrioma development. Estrogen promotes growth and proliferation within endometrial tissue. Elevated estrogen levels may contribute to abnormal growth outside of the uterus.

Genetic factors. Endometrioma or endometriosis could have a genetic predisposition; women whose families have experienced endometriosis and endometrioma are at increased risk of these conditions.

Reproductive factors – certain reproductive factors can increase the risk of endometrioma. Menstruation can begin at a young age. A shorter menstrual period and a longer menstrual duration are also factors. These factors can increase the number menstrual cycle a woman has in her lifetime. This could lead to retrograde menstruation or endometrial implant.

Previous surgery: previous pelvic surgery such as a cesarean or ovarian section can disrupt normal pelvic anatomy, and contribute to endometrioma.

Understanding these causes and risks can help healthcare professionals identify individuals at higher risk for developing endometrioma, and implement screening, monitoring and management strategies.

Hemorrhagic cyst

Hemorrhagic or blood-filled cysts are ovarian cysts that form when a blood vessels ruptures in the ovary and blood builds up within the cystic structures. Hemorrhagic cysts are a common condition.

The rupture of a blood vessel can lead to a hemorrhagic ovarian cyst. This occurs when a blood vessels within the ovaries ruptures and leaks. Blood then accumulates within the cystic structure. The cyst usually develops from the lining or a functional cyst such as the corpus luteum or follicular cyst.

Hemorrhagic cysts are commonly associated with hormonal factors that relate to the menstrual cycles. They can occur during ovulation, when a matured follicle ruptures and releases an egg (follicular cyst), or during the formation of the corpus-luteum.

Symptoms and clinical presentation: small hemorrhagic lesions tend to be symptom-free and go undetected, but larger cysts or those associated with bleeding may cause pelvic pain on either side of the affected ovary, along with symptoms like bloating and heavy abdominal feelings as well as irregular menstrual blood.

Hemorrhagic cysts can be detected using imaging techniques, such as ultrasound. They may appear on ultrasound as fluid-filled cysts with internal echos or as a mixture fluid and blood clots. Tests such as those that measure levels of human chorionic gonadtropin (hcg) can be used to rule out other cyst causes.

Hemorrhagic cysts can resolve spontaneously in many cases. Over time, the blood in the cyst breaks down and the body absorbs it. It is usually recommended that you have a follow-up image taken to monitor the size of the cyst and make sure it has resolved.

Hemorrhagic cysts can cause complications, although they are rare. They may cause internal bleeding and severe abdominal pain, or rupture the cyst, resulting in acute pelvic pain.

Consult a healthcare provider for an accurate diagnosis of hemorrhagic syringes and the appropriate treatment, especially if your symptoms are severe or complications are suspected.

Definition and characteristics

The presence of blood in the cystic structure is what makes a hemorrhagic ovarian cyst. The following are some key facts about hemorrhagic ovarian cysts, including their definition and characteristic.

Definition: a hemorrhagic ovarian cyst forms when blood accumulates within the cyst. The rupture or leakage blood vessels in the ovary is usually the cause.
Hemorrhagic cysts can be easily identified by their size and appearance; typically having dark to reddish hues from being filled with blood and fluid. Their walls may be thick or thin depending on how much blood is present at any one time and for how long.

Hemorrhagic cysts are commonly associated with hormonal fluctuations related to menstrual cycles. These cysts can be caused by the normal ovulation process, including follicular or corpus-luteum cysts. If bleeding occurs, they can become hemorrhagic.

Symptoms and clinical presentation: small hemorrhagic lesions are often not noticeable and can resolve themselves without treatment. Larger cysts, or those that are associated with bleeding, can cause pain in the pelvis, particularly on the side affected by the ovary. Other symptoms may include irregular bleeding, bloating or a feeling that your abdomen is heavy.

Diagnostics: hemorrhagic cysts can be detected using imaging techniques such as ultrasound. Ultrasound can reveal a cystic mass filled with blood and fluid. Blood tests can be done to rule out any other possible causes.

Treatment: hemorrhagic cysts can often resolve on their own, without the need for medical intervention. The treatment is usually focused on managing the symptoms. For example, pain relief medications. Surgery is an option if symptoms are severe, the cyst is large and causing severe pain, or there are complications such as ovarian torsion or cyst rupture.

Consult a healthcare provider for an accurate diagnosis of hemorrhagic syringes and the appropriate treatment, especially if your symptoms are severe or complications are suspected.

Causes and risk factor

Hemorrhagic cysts have a number of causes that are unknown. However, several factors can contribute to the development of these cysts. Here are some of the potential causes and associated risk factors for hemorrhagic cysts.

Hormonal fluctuations : changes in hormones during the menstrual period can affect the development of hemorrhagic cysts. These cysts can occur during ovulation, when a matured follicle ruptures and releases an egg (follicular cyst) or during the development and regression of the corpus luteum. These processes are characterized by complex hormonal interactions. Disruptions or imbalances of hormone levels may contribute to the formation of hemorrhagic lesions.

Ovarian cyst rupture: hemorrhagic cysts can also be caused by the rupture or leakage from preexisting ovarian cysts such as functional cysts like follicular cysts or corpus-luteum cysts. A ruptured cyst can cause internal bleeding, which leads to the development of a hemorrhagic ovarian cyst.

Trauma and injury: a trauma or injury to the ovary can lead to bleeding, which in turn leads to the formation of a hemorrhagic cyst. Accidents, surgery, or other factors can cause this.

Blood clotting disorders

Certain blood clotting disorders or conditions that interfere with normal clotting processes may increase the risk of hemorrhagic adenomas, making blood vessels more vulnerable to bleeding and rupture, which may eventually result in the development of blood-filled tumors.
Hemorrhagic cysts and ovarian cancers: in rare instances, certain types of ovarian cancers may be associated with hemorrhagic cytomas.

These tumors may disrupt the normal integrity of blood vessels and cause bleeding inside the cyst.

Hormonal medicines: certain hormonal medications such as hormone replacement therapy or fertility treatments can increase the risk for hemorrhagic ovarian cysts. These medications may affect hormone levels, and the growth and function ovarian cysts and follicles.

While these factors can contribute to hemorrhagic adenomas, they do not necessarily lead to them. Consulting a healthcare provider is essential for an accurate diagnosis and proper assessment of risk factors.

Differences between endometrioma and hemorrhagic cyst

Endometrioma and hemorrhagic cyst are two distinct types of ovarian cysts with different characteristics and underlying causes.

Here are the key differences between endometrioma and hemorrhagic cyst:

Underlying cause:
Endometrioma: endometrioma is associated with endometriosis, a condition where endometrial tissue grows outside the uterus. Endometrial tissue implants and grows on the ovaries, leading to the formation of endometriomas.

Hemorrhagic cyst: a hemorrhagic cyst forms when a blood vessel within the ovary ruptures or leaks, causing blood to accumulate within the cystic structure. It is often related to hormonal fluctuations or the rupture of preexisting ovarian cysts.

Endometrioma: endometriomas are filled with old blood, giving them a dark, thick, and chocolate-like appearance. They contain endometrial tissue.
Hemorrhagic cyst: hemorrhagic cysts contain fresh blood, resulting in a reddish or dark appearance. The blood is typically not mixed with endometrial tissue.

Association with endometriosis:
Endometrioma: endometrioma is strongly associated with endometriosis. It is considered a specific manifestation of endometriosis in the ovaries.
Hemorrhagic cysts: hemorrhagic cysts are not associated directly with endometriosis. They can also occur in people without endometriosis due to hormonal fluctuations or rupture of cysts.

Clinical presentation:
Endometrioma: endometriomas can cause symptoms such as pelvic pain, especially during menstruation, chronic pelvic pain, pain during sexual intercourse, and fertility problems.

Hemorrhagic cysts: small hemorrhagic cysts can be asymptomatic, and they may go away on their own. Cysts that are larger or associated with bleeding or rupture may cause pelvic or abdominal pain.

Endometrioma and Hemorrhagic Cyst
Endometrioma and Hemorrhagic Cyst

Figure 03 Endometrioma and hemorrhagic cyst

Diagnosis: Endometrioma: diagnosis of endometrioma is typically made through a combination of clinical evaluation, medical history assessment, pelvic examination, and imaging techniques such as ultrasound or MRI.
Hemorrhagic cysts: hemorrhagic cysts can be detected using imaging techniques, such as ultrasound. Ultrasound can reveal a cystic structure filled with blood.

Treatment: Endometrioma: treatment options for endometrioma may include pain management with medication, hormonal therapies to suppress endometriosis and reduce cyst size, or surgical intervention to remove the cyst.
Hemorrhagic cyst: small hemorrhagic cysts often resolve on their own without medical intervention.Treatment may focus on managing symptoms, and surgery is typically considered if the cyst is large, causes severe symptoms, or is associated with complications.

Understanding the differences between endometrioma and hemorrhagic cyst is important for accurate diagnosis, appropriate management, and addressing specific underlying conditions such as endometriosis. A healthcare professional can provide guidance and personalized treatment based on individual circumstances.


Endometrioma and hemorrhagic cyst are two distinct ovarian cysts with distinct characteristics, causes, and implications. Endometriomas, which contain endometrial tissue, are associated with endometriosis while hemorrhagic cysts result from bleeding within their cyst and are unrelated to endometriosis directly.

Endometriomas are filled with old blood and have a dark chocolate-like appearance; hemorrhagic cysts contain fresh blood that appears reddish or dark in appearance. Recognizing these differences is critical for accurate diagnosis, appropriate management and treating any potential underlying conditions effectively.

Consultation with healthcare providers is recommended in order to receive proper assessment and tailored treatments tailored specifically for individual circumstances.