Chocolate Cyst and IVF

Portfolio Description

In vitro fertilization treatment is a form of treatment that requires care.

In case of ovarian endometriosis, or endometrioma, popularly known as chocolate cyst, more care is required in case of in vitro fertilization treatment. There are several reasons for this situation.

I want to talk about the main reasons.

1-Generally, in case of chocolate cyst, the egg reserve decreases and this negatively affects the number of eggs collected during the egg collection process, which is one of the most important steps of in vitro fertilization treatment.

2-There are also publications in the literature indicating that chocolate cysts may negatively affect egg quality.

3-Another important situation is that the chocolate cyst creates difficulty in egg collection. During egg collection, if possible, the needle should not be inserted into the endometrioma, that is, the chocolate cyst. Insertion with a needle causes abscess formation in the eggs and tubes and in the abdomen.

In addition, since pain is prominent in some patients with chocolate cysts, we want to freeze the embryos in most of our patients after the egg collection process, plan the surgery, and transfer the embryos after the surgery.

For all these reasons, it will be in the favor of patients to have in vitro fertilization treatment performed by physicians who are experts in this field, that is, physicians who can perform advanced surgery, in vitro fertilization treatment successfully, and manage this situation in case of abscess formation.

You can access the relevant videos on Instagram with the links I share below.

Geçenlerde daha önce myom ameliyatı yapıp 63 myomunu çıkardığım yabancı bir hastamdan bahsetmiştim. Tüp bebek tedavisine almıştım. Dün geç vakitte gebe olduğunu öğrendim. Benim için çok büyük bir mutluluktu?
Bugün tüp bebek tedavisi yaptığımız bir hastamızdan daha güzel haberler aldık?? Sevinçliyiz?
We were able to give happier news to one of our IVF patients. The hardest part of this job is that sometimes we give negative results. But we still do our best for our patients.
In vitro fertilization treatment can be a financially and morally exhausting process for couples. ?It is a period of high anxiety for couples. ?During this period, we are doing our best to be with our patients with our professional team and reduce their anxiety levels.
?Unfortunately, egg reserve may be reduced in the presence of endometrioma. “When we determined that our 26-year-old patient’s egg reserve was low, we discussed the option of egg freezing. Our patient wanted to undergo egg freezing because she wanted to preserve her future fertility. ?In the presence of endometrioma or chocolate cyst, it is very important to collect the eggs before they enter the cyst. ?In this process, we managed to collect the eggs without entering the cyst???


Stay with love and health….





Onur Hodja was very supporter and encouraging from the beginning of the process to the postoperatively. He explained all the details of the process completely and clearly and informed us in the best and correct way. I would like to thank my Honor Hoca and I definitely I am looking for a doctor in this field.

Arz*** A***

Onur Hodja was very supporter and encouraging from the beginning of the process to the postoperatively. He explained all the details of the process completely and clearly and informed us in the best and correct way. I would like to thank my Honor Hoca and I definitely I am looking for a doctor in this field.

Se..n Ba..lı

I had adenomyosis and chocolate cyst. I was able to conceive with the treatment of my teacher Onur.

I would recommend it to everyone.

Iş..l   Ha…ez

After many unsuccessful in vitro fertilization, we found Honor Hoca after my research online. I was so indecisive now, I didn’t even want to have IVF. After the evaluations, he stated that there was no reason for me to give up. Thank God I was pregnant in the first attempt.



I can’t tell you about my painful days of nightmares. Sleepless Nights … I didn’t want to do anything in my daily life. I couldn’t take care of my child. Emergency needles serums painkillers … How many years I ran away from surgery. But now I look at it, God bless you from Honor. Thanks to the good m. I’ve suffered all these years in vain. I was scared in vain. Believe me, I toured dozens of doctors. I met Honor late. I wish I could meet before. Very understanding, very professional doctor who describes everything one by one. Deep endometriosis, adenomniosis, nodule, adhesions. Thanks to the survivor? Honor teacher is good. I got healed, thank goodness our house has healed. My wife says that I will not go to anyone else from the Honor Hoca, if you are reading these comments, you are looking for a remedy. I called a lot and thank God I found Honor teacher. I have read a lot of comments too. My only regret, I found my honor late. But from now on, my only doctor?

Sev*** Y***

Endometriozis konusunda araştırarak gittiğim Onur hocayı şiddetle tavsiye ediyorum. Daha önce tanı konulamadığı için çektiğim tüm acıları düşününce doğru hekim çok önemli. Laparoskopik cerrahiyle olduğum ameliyat sonrası ağrılarım ciddi oranda azaldı. Onur hocam bilgisi ve tecrübesiyle bu alanda ben im gördüğüm en iyi hekim. Herşey için teşekkürler ❤️ ❤️

Sed*** A***


In short, what I can say is that I entrust myself to my teacher and my most loved ones with great peace of mind. Moreover, since I entrusted myself to him, my health and my life healed in very important ways. As a physician, as a scientist, and as a human being, it is good! Assoc, Dr Onur Topçu. Thank you very much. My longer story is as follows: When I finally found Honor Hocam, I have suffered from the customs that have been very painful for many years, and recently become completely unbearable, affecting my quality and functionality very badly, and in fact, my hope and psychological resistance. I was coming to situations that could not be able to walk, eat or work as a normal individual, and the number of my painful days was increasing. First, I want to share my process before I find Honor – Maybe those who read this are going through similar experiences, and they see that they are not alone. Over the years I went to different specialist doctors. At some point, fibroids were diagnosed, but they all skipped my endometriosis. In the end, I learned that there was a disease called endometriosis with my own research and efforts, and I saw that I have overlapped with the discomfort in me, but I was very scared of what I read on the internet, I was concerned about whether I have endometriosis. I was passing too much without focusing on, maybe there, but the necessary examinations were not requested, and I was passed by nothing new for treatment. Mostly, although I said that it was not enough for pain and that I didn’t help other strange and disturbing symptoms that I felt outside the pain period, I was advised to buy the same style of painkillers and again. It was also recommended to take my fibroids, explaining that the pain may be good, but the doctors I visited until then said that they would perform this as an open surgery. As a person who hasn’t had children yet and who wanted to preserve his fertility, I wasn’t looking for surgery from my uterus, and unfortunately I couldn’t come across the physicians who could tell them with a specialty, openness, patience, and compassion. E medicine was not also beneficial. My situation worsened from month to month. And the doctor had visited the doctor, told him about trouble, draws the material and moral fatigue of this process, and then led me to despair and exhaustion. At such a time, I had the chance to get to know my dear Honor Hodja. When I read what he wrote on his own website, endometriosis patients with real expertise, interest, and responsibility, and his career is very stable to investigate this disease, inform the public on this issue, doctors training on this subject, and the necessary interest and specialization of the patients with the necessary interest and expertise I saw you dedicate it to it. As a physician, I learned a lot about his experience and achievements as a physician, and his beautiful personality that comforted people in pain at this sensitive time. In the end, I first met Honor, I met me for a long time, carefully, and with respect to a great person. Just like this, even sincerity by someone who wants to help you and help you really brings healing and goodness to people, giving strength. My teacher looked at my former examinations, but he did a detailed examination that no doctor had done to me before. He was diagnosed with endometriosis and confirmed the definition of fibroids. He explained my treatment options in the details that I need in the details of my personality. It would do my surgery closed (laparoscopic) for fibroids and endometriosis. I was very comfortable to know that I could be closed surgery that gives better results than open surgery but requesting more expertise. Honor Hodja answered my endless questions. But when he realized that I started to ask questions like the bottomless well that puts myself too much stress, he reminded me that I could entrust some details to him and relax myself – he was really right! 🙂 It was really good for me to start to release the stress of trustering and confirming everything when I find a doctor I can trust. Honor, my teacher, he said in a very clear but not oppressive and non -hasty ways. When we say which treatment plan, medicine is very clear on some issues, but there are some questions that cannot be answered from the medical framework, and at this point it would be appropriate for the patient to decide considering his own wishes and values. For example, both the need to have surgery as well as the need to protect my fertility personally, provided me with very good importance on my honor. As a result, thanks to my honor, I feel mentally ready for mentally, mentally, despite all my fear at the beginning, I can finally entrust myself with great peace of mind.In an operation I understand, Honor Cleaned My Endometriosis Focus and removed the fibroids. Due to the location and depth of endometriosis foci, I might have to have a much more invasive and heavy surgery in the hands of a surgeon with another, less experienced and less responsibility. Thanks to the careful surgery of Honor, I spent this process in the slightest possible way. Thanks to my teacher, Honor continued to follow up as well as before the surgery and continued to inform me in my recovery process and to relieve me that everything would be good. I know I have written very long, but my honor, my teacher gave me such a great medical and human support in my time, even to my family, who was worried about my health, and patiently supported that it took a long time to try to explain my treatment and recovery process with him. It is a great treasure that we have doctors and scientists who I feel that they are competent in the highest level of international standards, like Onur Hodja. I would like to thank Honor Hodja very, very much. I recommend him to his heart. I would also like to thank the administrative team and nurses who support us with great courtesy and warmth in this process.

Sil*** S***

Our paths crossed with our teacher Onur as a result of my research on deep endometriosis. When we went to see him, we had been examined by many doctors and we were very confused. However, our teacher Onur patiently listened to all I experienced about this disease, gave detailed information about the disease, and after the examination, he immediately diagnosed me with his experience. After the difficult times I went through, I felt very relieved. I trusted him very much and we started in vitro fertilization treatment. Our teacher’s calmness and understanding relieved my concerns during this process. I am pregnant now. I thank my teacher very much.

elv.. o..


We met my teacher Onur at a time when my wife and I decided to have children. With his approach to both me and my wife, his support, his polite and modest attitude, and his interest as a doctor, he is one of the rare people we are glad to have met and crossed paths with. At the end of the journey we set out to have a child, we are now waiting for the day when we will hold our daughter in our arms, thanks to the support and friendliness of our teacher Onur as a physician. We can’t thank him enough. I’m glad to have you sir, I’m glad our paths crossed. If you have any problems with your area, it is the only address you can go to with peace of mind without hesitation. I wish him continued success. Thank you very much sir



Hello, I met Assoc. I came, but I came with such a psychological state that the only thought in my mind was whether I had cancer. I had my examination and they welcomed me so beautifully and so perfectly, it was as if we had known each other for a very long time. He was unlike any other doctor I had ever seen before. He answered the questions I asked calmly and with a smiling face and did not judge me at all. I had my examination, he told me that I needed surgery and I had my surgery, my pathology results were clear, we were at peace because I did not have cancer and we had never met a doctor who was as happy with my results as we were. I got pregnant after my surgery and thankfully we had our babies a month ago. The only doctor I know that I can trust blindly is not in Ankara, but the only doctor in Turkey is Assoc.



Two years ago I had uterine fibroids, where I had serval operations to clear them in vain. Dr Hassan Onur performed myomectomy surgery on me and he excellently removed 63 Fibroids. One year later Dr Onur suggested I do IVF treatment, Which I ended up going through and miraculously got Pregnant on first attempt. I want to thank Dr Onur Hassan for the miracles you have brought to my life and difference you make in the lives of your patients. You are truly a remarkable Doctor and professional that we respect and trust. Thank you for your incredible care, comfort and concern during the procedure and visits. Now I am a normal and healthy mother to be.


May God bless my teacher Onur, I had a bilateral chocolate cyst, first she did in vitro fertilization and froze our embryos, then she relieved my pain with surgery, and then thanks to her, we held our Mert in our arms.

Se..n Ba..lı

I had adenomyosis and chocolate cyst. I was able to get pregnant with my teacher Onur’s suppression treatment.

I would recommend it to everyone.

Iş..l   Ha…ez

After repeated unsuccessful in vitro fertilization attempts, we found Onur teacher after researching on the internet. I was so indecisive now, I didn’t even want to have in vitro fertilization. After his evaluations, he stated that there was no reason for me to give up. Thank God, I got pregnant on the first try.


We first went to my teacher Onur’s clinic 3 months ago with the desire to have a child. He took into account both my and my wife’s values and evaluated us both separately. After the examination, I learned that I had polycystic ovary. That’s why we started a simple drug treatment to have a child. He always reassured us throughout this process and comforted us with his kindness. He told us to trust him regarding medication and it happened as he said. I got pregnant after the second try without the need for in vitro fertilization treatment. I am currently 8 weeks pregnant and the process is progressing very well. He answers all my and my wife’s questions sincerely and thanks to his approach, I have a stress-free process. I’m glad our paths crossed, thank you very much for everything.☺️
Ayş.. D..