Surgical treatment of ovarian endometriomas: state of the art?

Surgery has a fundamental role to play in the treatment of endometriomas. Considerable surgical experience is required, however, to minimize ovarian damage.

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Authors

Pascale Jadoul, M.D., Michio Kitajima, M.D., Ph.D., Olivier Donnez, M.D., Jean Squifflet, M.D., Ph.D., Jacques Donnez, M.D., Ph.D.

Vol 98, Issue 3, Pages 556-563

Abstract

To define the role of surgery in the treatment of endometriomas, we review the literature available via PubMed and cross-reference the published data. We analyze the arguments in favor of and against surgical treatment of endometriomas and compare surgical techniques. Pain relief and pregnancy rates of more than 50% after surgery are the most important arguments in favor of surgery. Histologic and biologic markers of ovarian reserve show a risk of decreased ovarian reserve that should be taken into consideration, especially in cases of repeated surgery. Considerable surgical expertise is required, and the lack of comparative studies yields no conclusions on the best surgical technique. Despite the risk of decreased ovarian reserve due to the surgical procedure, surgery has an important role in the treatment of ovarian endometriomas, and more studies are required to define the most appropriate surgical technique.

Read the full text at: http://www.fertstert.org/article/S0015-0282(12)00676-0/fulltext


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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