Ovarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment

C C Vaduva, Constantin-Cristian Văduva, L Dira, Laurențiu Mihai Dȋră, A Carp-Veliscu, A M Goganau, Alexandru Marian Gogănău, Anca Maria Ofiţeru, A M Ofiteru, M A Siminel, Mirela Anişoara Siminel
European review for medical and pharmacological sciences · 2023 · vol. 27(12) , pp. 5575–5582 · doi:10.26355/eurrev_202306_32795 · PMID:37401294 · W4383059066
article OA: closed CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Ethanolic sclerotherapy of ovarian endometriomas resulted in significantly less decrease in anti-Mullerian hormone levels compared to laparoscopic cystectomy.

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Abstract

OBJECTIVE: To preserve ovarian reserve, we treated ovarian endometriomas by ultrasound-guided aspiration followed by sclerotherapy of the cyst mucosa. We compared the results with laparoscopic cystectomy. PATIENTS AND METHODS: We conducted a retrospective study of 96 women with ovarian endometriomas. In 54 of the women, ultrasound-guided aspiration of the contents was performed, followed by chemical sclerotherapy of the cyst plaque with ethanol. Laparoscopic cystectomy was performed in the remaining 42 women. RESULTS: Statistical analysis of anti-Mullerian hormone (AMH) levels before and after the procedures showed a significant decrease in the case of cystectomy compared with ethanolic ovarian sclerotherapy (EOS). CONCLUSIONS: Conservative treatment by echo-assisted puncture and sclerotherapy with ethanol proved to be a viable treatment for the removal of ovarian endometriomas. It is a simple procedure that does not affect ovarian reserve or fertility.

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Condition tags

endometriosis

MeSH descriptors

Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts

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