Managing endometrioma to optimize future fertility

Maebh Horan, Louise Glover, Mary Wingfield
International Journal of Gynecology & Obstetrics · 2021 · vol. 158(3) , pp. 512–519 · doi:10.1002/ijgo.14020 · PMID:34767627 · W3212284798
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This review examines the impact of endometriomas on fertility and discusses surgical and assisted reproduction management strategies to optimize future fertility in affected women.

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Abstract

The management of endometriomas in women wishing to preserve their fertility is complex. While surgery can help to achieve pregnancy in some, it may also have a detrimental effect on a woman's ovarian reserve. The present article reviews the impact of endometriomas on fertility and the different management approaches that should be considered in women who wish to preserve their fertility. This study also reviews the role of assisted reproduction in the setting of endometriomas, and the evolving role of oocyte cryopreservation for this benign but progressive disease. Using evidence from the latest guidelines and major publications, we emphasize the need to consider the woman's future fertility when navigating the diverse range of management strategies available, and outline an evidence-based framework to help facilitate fertility-friendly discussion, counseling and management of this complex disease.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Endometriosis Fertility Preservation Infertility, Female Infertility, Female Infertility, Female Ovarian Reserve Female Fertility Humans Pregnancy

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 (40)

Cited by (3)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:24:08.918168+00:00
License: CC0 · commercial use OK