{"paper_id":"1c7e1152-e425-4047-8eb6-6947c3c42014","body_text":"YUHASpace Repository\n0\n1033\nCited 0 times in\nCited 12 times in\nTherapeutic Efficacy of Catheter-directed Ethanol Sclerotherapy and Its Impact on Ovarian Reserve in Patients with Ovarian Endometrioma at Risk of Decreased Ovarian Reserve: A Preliminary Study\n- Authors\n- Jae Kyung Lee ; So Hyun Ahn ; Hye In Kim ; Yong Jae Lee ; Sunghoon Kim ; Kichang Han ; Man-Deuk Kim ; Seok Kyo Seo\n- Citation\n- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, Vol.29(2) : 317-323, 2022-02\n- Journal Title\n- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY\n- ISSN\n- 1553-4650\n- Issue Date\n- 2022-02\n- Keywords\n- Antimüllerian hormone ; Decreased ovarian function ; Endometriosis ; Endometriotic cyst ; Minimally invasive procedure\n- Abstract\n- Study objective: To investigate the therapeutic efficacy of catheter-directed ethanol sclerotherapy (CDS) and its effect on ovarian reserve in patients with endometrioma at risk of decreased ovarian reserve.\nDesign: Retrospective study.\nSetting: Teaching hospital.\nPatients: We evaluated 18 patients with ovarian endometrioma measuring ≥3 cm and preprocedural serum antimüllerian hormone (AMH) levels of <2 ng/mL.\nInterventions: An 8.5-F catheter was inserted either transabdominally or transvaginally into the endometrioma. After aspiration, sclerotherapy with 99% ethanol was performed, with a subsequent 20-minute ethanol retention.\nMeasurements and main results: Ultrasonography was performed preprocedurally and 6 months after CDS to evaluate any recurrence or changes in cyst size. Furthermore, serum AMH levels, cancer antigen 125 (CA-125) levels, and the visual analog scale scores for dysmenorrhea were obtained to analyze the ovarian reserve and treatment efficacy, preprocedurally and at 6 months after CDS. The mean cyst size on ultrasonography and serum CA-125 levels decreased 6 months after CDS (p <.001 and p = .001, respectively). All patients reported a decreased visual analog scale score for dysmenorrhea (p <.001). However, the difference in serum AMH levels before and after CDS was statistically insignificant (p = .875).\nConclusion: CDS was efficacious in reducing pain and serum CA-125 levels in patients with low AMH levels without adversely affecting their ovarian reserve.\n- Appears in Collections:\n- 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers\n1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers\n- Yonsei Authors\n-\nKim, Man Deuk(김만득)\nhttps://orcid.org/0000-0002-3575-5847\nKim, Sung Hoon(김성훈) https://orcid.org/0000-0002-1645-7473\nKim, Hye In(김혜인) https://orcid.org/0000-0001-7961-5988\nSeo, Seok Kyo(서석교) https://orcid.org/0000-0003-3404-0484\nAhn, So Hyun(안소현)\nLee, Yong Jae(이용재) https://orcid.org/0000-0003-0297-3116\nHan, Ki Chang(한기창) https://orcid.org/0000-0002-9701-9757\nItems in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.","source_license":"CC0","license_restricted":false}