{"paper_id":"16bcf823-df77-40c0-b7ce-f0f2681d94de","body_text":"Abstract\nIntroduction\nThe presence of an endometrioma has been proposed to affect the ovarian function in a negative way. Our aim was to present the key evidence on multiple aspects of endometriomas’ management in subfertile couples scheduled for assisted reproduction technologies (ART).\nMaterials and Methods\nA critical review of the existing literature was performed focusing on the need of endometrioma treatment prior to ART, the relevant options, the potentially participating surgeon’s characteristics and the socioeconomic perspective.\nResults\nTo date, we have no definitive data to suggest whether the damage to the ovaries observed in women with endometriomas may be related to the mere presence of the cyst, the surgical procedure to remove it, the combination of the two, or factors currently unknown. Moreover, there is no conclusive evidence that, for subfertile couples, removal of endometriomas increases the chance of having a baby. The uncertainty regarding the best treatment strategy and factors such as the limited number of tertiary centers for laparoscopic surgery throughout the world seems to further complicate the decision.\nConclusions\nUntil research addresses the current “grey areas”, the management of endometriomas in patients undergoing ART should be individualized and take into consideration numerous parameters.\nSimilar content being viewed by others\nReferences\nBenaglia L, Somigliana E, Vercellini P et al (2009) Endometriotic ovarian cysts negatively affect the rate of spontaneous ovulation. Hum Reprod 24:2183–2186\nPractice Committee of the American Society for Reproductive Medicine (2006) Endometriosis and infertility. 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Gynecol Obstet Invest 71:170–176\nAcknowledgments\nThe authors would like to thank Elena Gagari, DMD, DMSc (Assistant Professor of Mucosal Diseases-Dermatology, University of Athens, School of Medicine) for all her advice on the English grammar and syntax of the manuscript.\nConflict of interest\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nSiristatidis, C., Chrelias, C., Sioulas, V.D. et al. Controversies in the management of endometriomas in patients undergoing assisted reproduction. Arch Gynecol Obstet 286, 1563–1569 (2012). https://doi.org/10.1007/s00404-012-2538-5\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-012-2538-5","source_license":"CC0","license_restricted":false}