{"paper_id":"a7dc7ba7-2c7a-4613-b257-a9d4f709175d","body_text":"Ovarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment\nC.C. Vaduva, L. Dira, A. Carp-Veliscu, A.M. Goganau, A.M. Ofiteru, M.A. Siminel Department of Obstetrics and Gynaecology, Craiova University of Medicine and Pharmacy, Filantropia Clinical Hospital, Craiova, Romania. hitmed@gmail.com\nOBJECTIVE: To preserve ovarian reserve, we treated ovarian endometriomas by ultrasound-guided aspiration followed by sclerotherapy of the cyst mucosa. We compared the results with laparoscopic cystectomy.\nPATIENTS AND METHODS: We conducted a retrospective study of 96 women with ovarian endometriomas. In 54 of the women, ultrasound-guided aspiration of the contents was performed, followed by chemical sclerotherapy of the cyst plaque with ethanol. Laparoscopic cystectomy was performed in the remaining 42 women.\nRESULTS: Statistical analysis of anti-Mullerian hormone (AMH) levels before and after the procedures showed a significant decrease in the case of cystectomy compared with ethanolic ovarian sclerotherapy (EOS).\nCONCLUSIONS: Conservative treatment by echo-assisted puncture and sclerotherapy with ethanol proved to be a viable treatment for the removal of ovarian endometriomas. It is a simple procedure that does not affect ovarian reserve or fertility.\nFree PDF DownloadThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License\nTo cite this article\nC.C. Vaduva, L. Dira, A. Carp-Veliscu, A.M. Goganau, A.M. Ofiteru, M.A. Siminel\nOvarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment\nEur Rev Med Pharmacol Sci\nYear: 2023\nVol. 27 - N. 12\nPages: 5575-5582\nDOI: 10.26355/eurrev_202306_32795\nPublication History\nPublished online: 27 Jun 2023","source_license":"CC0","license_restricted":false}