Manejo conservador del endometrioma ovárico con escleroterapia usando etanol previo a fecundación in vitro

Juan Carlos Rojas Ruiz, Xanadú Salazar–Cuba, Segundo B Guzmán-Pérez
In: Revista Peruana de Ginecología y Obstetricia · 2023 · vol. 69(1) · doi:10.31403/rpgo.v69i2483 · W4362551639
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Ultrasound-guided transvaginal ethanol sclerotherapy of a large ovarian endometrioma reduced its size by 65% and facilitated subsequent successful in vitro fertilization and pregnancy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

El artículo describe el manejo conservador de un endometrioma ovárico mediante escleroterapia con etanol previa a la fecundación in vitro, presentando el caso de una mujer de 32 años con reserva ovárica disminuida y un endometrioma mayor de 100 mm. Se realizó aspiración transvaginal ecoguiada seguida de escleroterapia con etanol, logrando una reducción del tamaño del quiste del 65% a los tres meses; posteriormente se llevó a cabo FIV y se obtuvo embarazo. Como limitación implícita, el texto presenta una experiencia de caso y discute la controversia general de la exéresis por su posible impacto en la reserva ovárica, sin reportar una comparación sistemática con otras estrategias. This paper is centrally about endometriosis — specifically conservative endometrioma (ovarian endometrioma) management using ethanol sclerotherapy prior to IVF.

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Abstract

Ovarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransvaginal aspiration and subsequent sclerotherapy with ethanol, achieving a65% reduction in size after three months. Subsequently, in vitro fertilization (IVF)was performed, and pregnancy was achieved. The excision of the endometriomais controversial because it reduces the ovarian reserve. Sclerotherapy has beenshown to preserve ovarian reserve, is associated with a low recurrence rate andfacilitates ovarian accessibility. Ethanol sclerotherapy of endometrioma is a safeand effective outpatient technique that allows pregnancy in women with infertility.

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Condition tags

endometriomainfertility

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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last seen: 2026-06-10T17:14:06.276822+00:00
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