Laparoscopic treatment of endometrioma-associated infertility and pregnancy outcome

Takuma N, Naoyuki Takuma, Sengoku K, Kazuo Sengoku, Pan B, Bochen Pan, Keiko Wada, Wada K, Yamauchi T, Tomofumi Yamauchi, Miyamoto T, Toshinobu Miyamoto, Daisuke Ohsumi, Ohsumi D, Mutsuo Ishikawa, Ishikawa M
Gynecologic and obstetric investigation · 2002 · vol. 54(Suppl. 1) , pp. 30–35 · doi:10.1159/000066292 · PMID:12441658 · W2036602831
Other OA: closed CC0 ⤵ 9 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This study investigated laparoscopic treatment of endometriosis-associated infertility, finding fenestration with electrocoagulation superior for natural conception and ethanol fixation better for IVF-ET outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Ovarian endometriomas do not respond well to medical treatment with hormonal suppression, and surgical removal of the endometriomas is usually required. In this study, we attempt to identify the optimal laparoscopic procedures in laparoscopic treatment of ovarian-endometrioma-associated infertility. Among cases in which patients received no IVF-ET after the laparoscopic treatment, the pregnancy rate after complete cystectomy of endometriomas was statistically lower than that after fenestration with electrocoagulation of the cyst wall. Among cases in which patients received IVF-ET, there was no difference in ovarian response between patients that had complete cystectomy and fenestration with electrocoagulation of the cyst wall. However, the pregnancy rate in patients who had aspiration alone was statistically lower than that in patients who had aspiration followed by ethanol fixation. Thus, it appears that for patients who do not require follow-up IVF-ET, fenestration with electrocoagulation of the cyst wall is suitable, whereas for patients who need follow-up IVF-ET, ethanol fixation may be a better choice.

My notes (saved in your browser only)

Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Endometriosis Infertility, Female Infertility, Female Laparoscopy Pregnancy Outcome Pregnancy Outcome Adult Adult Electrocoagulation Electrocoagulation Embryo Transfer Embryo Transfer Endometriosis Endometriosis Ethanol Ethanol Ethanol Female Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (23)

Cited by (11)

Source provenance

europepmc
last seen: 2026-10-04T09:26:46.659050+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:00:45.472718+00:00
unpaywall
last seen: 2026-10-09T06:36:44.367587+00:00
License: CC0 · commercial use OK