Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jul;42(5):778-784.
doi: 10.1080/01443615.2021.1962817. Epub 2021 Oct 25.

Do techniques of surgical management of ovarian endometrioma affect ovarian reserve? A narrative review

Affiliations
Review

Do techniques of surgical management of ovarian endometrioma affect ovarian reserve? A narrative review

Konstantinos Samartzis et al. J Obstet Gynaecol. 2022 Jul.

Abstract

Endometriotic ovarian cysts are one of the more common gynecological disorders found in reproductive-aged and infertile women. The aim of this review is to summarise information regarding the effect of surgical treatment of endometrioma on ovarian reserve. In women with endometrioma ovarian reserve is decreased compared to similarly aged healthy women and surgical management techniques cause an additional reduction. Evidence suggests that laparoscopic ovarian cystectomy via stripping is the preferable surgical technique for management of endometrioma, compared with excisional/ablative techniques, in the fields of pain improvement, spontaneous pregnancy rates, and ovarian cyst recurrences. Ablation techniques, combined technique and three-step approach demonstrate a less decline in anti-Müllerian hormone postoperatively. A successful operation involves not only removal of ovarian pathology, but also maintenance of ovarian function and future reproductive potential. Patients should be counselled about the risks of surgery and the management plan should be individualised to patient's symptoms and reproductive goals.

Keywords: Anti-Müllerian hormone; cystectomy; endometrioma; fertility; ovarian reserve.

PubMed Disclaimer

Substances

LinkOut - more resources