Management of ovarian endometriomas

C Chapron, Charles Chapron, Paolo Vercellini, Habib Barakat, Marco Vieira, Jean-Bernard Dubuisson
Human reproduction update · 2002 · vol. 8(6) , pp. 591–597 · doi:10.1093/humupd/8.6.591 · PMID:12498427 · W2123779105
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Operative laparoscopic management is the gold standard for endometriomas, with medical therapy showing no demonstrated efficacy as a sole treatment and post-operative hormonal therapy not reducing recurrence.

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Abstract

The efficiency of medical therapy as a unique treatment for endometrioma has not been demonstrated. Operative laparoscopic management is the 'gold standard' for surgical treatment, and there are no indications to prescribe medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptives does not significantly affect the long-term recurrence of endometriosis after surgical treatment. In case of infertility, the management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.

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Condition tags

endometriosischronic_pelvic_painendometriomainfertility

MeSH descriptors

Endometriosis Ovarian Diseases Contraceptives, Oral Contraceptives, Oral Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy Ovarian Diseases Ovarian Diseases Ovarian Diseases Pelvic Pain Recurrence Reproductive Techniques, Assisted

Citation neighborhood

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.

References (86)

Cited by (50)

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