Management of ovarian endometriomas

Authors: Chapron C.1; Vercellini P.2; Barakat H.1; Vieira M.1; Dubuisson J-B.1

Source: Human Reproduction Update, Volume 8, Number 6, November 2002 , pp. 591-597(7)

Publisher: Oxford University Press

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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.

Keywords: endometrioma; intraperitoneal cystectomy; operative laparoscopy; surgery

Document Type: Research article

Affiliations: 1: Assistance Publique, Hopitaux de Paris (AP-HP), Service de Chirurgie Gynécologique (Pr. Dubuisson), Clinique Universitaire Baudelocque, CHU Cochin-Saint Vincent-de-Paul, Paris, France, 2: Department of Obstetrics and Gynecology, University of Milan, Italy and

Publication date: 2002-11-01

More about this publication?
  • Human Reproduction Update, first published in 1995, aims to provide invited, comprehensive, authoritative, up-to-date critical and balanced reviews covering all areas of human reproduction including reproductive physiology and pathology, endocrinology, andrology, gonad function, gametogenesis, fertilization, embryo development, implantation, pregnancy, genetics, genetic diagnosis, oncology, infectious disease, surgery, contraception, infertility treatment, psychology and counselling, ethics and social issues. These papers are peer-reviewed to the highest editorial and scientific standards. Human Reproduction Update is published on behalf of the European Society of Human Reproduction and Embryology (ESHRE).
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