The new possibilities of differenzial diagnosis of endometriomas

Objective: Endometriomas are found in 17% to 44% of patients with endometriosis and represent 35% of benign ovarian cysts requiring surgery. In recent years, laparoscopy has become the gold-standard for the treatment of endometriomas. But with two-dimensional pelvic ultrasound sometimes it is difficult to differentiate them from other diffuse, low-level echoes cysts, that increases the frequency of unnecessary surgical treatment. Our aim was to estimate the three-dimensional power Doppler ultrasound parameters for the discrimination of ovarian endometriomas from hemorrhagic cysts.