Is there any difference in between patients with primary endometriomas and recurrent endometriomas?

Hale Göksever Çelik, Engin Celik, Gökçe Turan, İbrahim Polat
In: Istanbul Medical Journal · 2017 · doi:10.5152/imj.2017.27136 · W2774844485
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This retrospective study compared patients with primary versus recurrent endometriomas and found no significant demographic or clinical differences, though recurrent cases had larger cysts and higher CA-125 levels.

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Abstract

Introduction: Repeated surgery for recurrent endometriomas is harmful to the ovarian reserve. The aim of the study was to identify predictive factors determining recurrence of endometriomas based on demographic and clinical characteristics.

Methods

A total of 151 patients who underwent surgery for endometriomas between May 2014 and May 2016 were included in this retrospective cohort study. The patients were grouped according to the presence of recurrent surgery for endometriomas and compared based on demographic and clinical characteristics.

Results

A total of 8 patients had repeated surgery for recurrent endometriomas. The patients with recurrent endometriomas had larger cysts and higher cancer antigen-125 levels. There is no statistically significant difference between patients who underwent surgical treatment primarily or secondarily.

Conclusion

There was no significant difference found in patients who underwent primary or secondary surgery for endometriomas according to demographic and clinical characteristics. It was found that it is not possible to predict the patients in whom endometriomas will recur. Therefore, excision of the cyst in the first surgery should be carefully performed to minimize the ovarian damage and delay recurrence.

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