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Review
. 2002 Nov-Dec;8(6):591-7.
doi: 10.1093/humupd/8.6.591.

Management of ovarian endometriomas

Charles Chapron  1 , Paolo Vercellini, Habib Barakat, Marco Vieira, Jean-Bernard Dubuisson
Affiliations
Review

Management of ovarian endometriomas

Charles Chapron et al. Hum Reprod Update. 2002 Nov-Dec.

Abstract

The efficiency of medical therapy as a unique treatment for endometrioma has not been demonstrated. Operative laparoscopic management is the 'gold standard' for surgical treatment, and there are no indications to prescribe medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptives does not significantly affect the long-term recurrence of endometriosis after surgical treatment. In case of infertility, the management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.

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