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Chocolate cyst can interfere with normal conception. Most of the time the patient is not able to conceive after the normal treatment, we do advise the patients to undergo laparoscopic treatment. Laparoscopic surgery involves removal of the cyst. The cysts are adhering to the uterus or the adnexa. So it distorts the anatomic structures of the pelvis that can affect the fertility. Chocolate cyst we remove the cyst, not just draining the cysts. Once the chocolate cyst is removed we also remove the adhesions and correct the anatomical deformities caused by the chocolate cyst. Once the surgery for chocolate cyst is done, we advise the patients to conceive as early as possible because we know that chocolate cyst can reoccur or endometriosis can worsen as the days go by, we don’t recommend medical treatment. As soon as surgery is done, after 1 month gap, we put the patient on one moth gap so that the patient can conceive.