Ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometrioma in a young patient with polycystic ovarian syndrome and a history of oophorectomy - a case report

Izabela Dymanowska, Karolina Frankowska, Anna Torres, Piotr Stachurski, Grzegorz Polak
Ginekologia polska · 2026 · doi:10.5603/gpl.110274 · PMID:42992677 · W7225414068
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This case report describes ultrasound-guided transvaginal ethanol sclerotherapy for an ovarian endometrioma in a young patient with polycystic ovarian syndrome and a history of oophorectomy.

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This case report describes the successful use of ultrasound-guided transvaginal ethanol sclerotherapy to treat an ovarian endometrioma in a young patient who also has polycystic ovarian syndrome and a prior history of oophorectomy. The clinical vignette highlights this minimally invasive approach as a potential strategy for managing endometriomas while aiming to preserve remaining ovarian function in complex reproductive scenarios. The authors note that this intervention offers an alternative to surgical excision, which may carry higher risks for ovarian reserve in patients with limited ovarian tissue. This paper is centrally about endometriosis — specifically the management of ovarian endometrioma using ethanol sclerotherapy in a patient with concurrent PCOS and prior surgery.

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Abstract

history of oophorectomy -a case report
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Abstract

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Keywords

endometriosisendometriomaethanol sclerotherapyovarian reserve

References

- Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2020; 114(6): 1151–1157. - Tal R, Seifer DB. Ovarian reserve testing: a user's guide. Am J Obstet Gynecol. 2017; 217(2): 129–140. - Rustamov O, Krishnan M, Roberts SA, et al. Effect of salpingectomy, ovarian cystectomy and unilateral salpingo-oopherectomy on ovarian reserve. Gynecol Surg. 2016; 13: 173–178. - Moreno-Sepulveda J, Romeral C, Niño G, et al. The Effect of Laparoscopic Endometrioma Surgery on Anti-Müllerian Hormone: A Systematic Review of the Literature and Meta-Analysis. JBRA Assist Reprod. 2022; 26(1): 88–104. - Kim GHa, Kim PH, Shin JiH, et al. Ultrasound-guided sclerotherapy for the treatment of ovarian endometrioma: an updated systematic review and meta-analysis. Eur Radiol. 2022; 32(3): 1726–1737. - Younis JS, Nelson SM. Does large endometrioma per se increase AMH level? Reprod Biomed Online. 2021; 42(4): 691–693.

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