Endometriosis is commonly associated with:

“The ovary is the most common site and involved in 30–40% of cases. The lesion is nearly always bilateral. It sometimes appears as multiple burnt match head spots on the surface of the ovary and sometimes as the typical tarry cysts in a disorganised organ surrounded by dense adhesisions.” Chocolate cysts of ovary: • They are true cysts • The cysts enlarge with cyclic bleeding. The serum gets absorbed in between periods and the content inside becomes chocolate, tarry brown in color. • Histology – Lining epithelium is columnar epithelium. – Beneath the epithelium are large macrophages called as pseudoxanthoma cells which have brown cytoplasm due to ingested blood pigments like hemosiderin. • Treatment of chocolate cyst/endometrioma. Laparoscopic management is the preferred management Before concluding lets rule out other options. • Adenomyosis is associated with endometriosis but vice versa is not true; similarly fibroid uterus is associated with endometriosis but vice versa is not true (Ruling out options “b” and “c”). • Multiple luteal cysts in the ovary are seen in case of – Pregnancy – Multiple pregnancy – HCG therapy – Hydatidiform Mole – Choriocarcinoma Thus option “d” is incorrect. There is no association between endometritis and endometriosis i.e. option “e” is incorrect.