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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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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Manejo conservador del endometrioma ovárico con escleroterapia usando etanol previo a fecundación in vitro DOI: https://doi.org/10.31403/rpgo.v69i2483Palabras clave: Endometrioma, Escleroterapia, Etanol, Infertilidad, Fertilización in vitroResumen El endometrioma ovárico es un quiste con tejido endometrial ectópico que se asocia a disminución de la reserva ovárica, siendo su manejo en infertilidad controversial. Presentamos el caso de una mujer de 32 años con reserva ovárica disminuida y endometrioma mayor de 100 mm. Fue sometida a aspiración transvaginal ecoguiada y a escleroterapia con etanol, lográndose reducción del tamaño en 65% a los tres meses. Posteriormente se realizó fecundación in vitro (FIV), consiguiéndose embarazo. La exéresis del endometrioma es controversial, debido a que reduce la reserva ovárica. La escleroterapia demuestra conservarla, se asocia a una tasa baja de recurrencia y facilita la accesibilidad ovárica. La escleroterapia con etanol del endometrioma es una técnica ambulatoria, segura y eficaz que permite el embarazo en mujeres con infertilidad. Descargas Publicado Número Sección Licencia Derechos de autor 2023 Juan C Rojas-Ruiz, Xanadu Salazar-Cuba, Segundo B Guzmán-Pérez Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0. Esta revista provee acceso libre inmediato a su contenido bajo el principio de que hacer disponible gratuitamente la investigación al publico, lo cual fomenta un mayor intercambio de conocimiento global.

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endometriomainfertility

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