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, Dira L, A Carp-Veliscu, Carp-Veliscu A, A M Goganau, Alexandru Marian Gogănău, Goganau AM, Anca Maria Ofiţeru, A M Ofiteru, Ofiteru AM, Mirela Anişoara Siminel, Siminel MA, M A Siminel
European review for medical and pharmacological sciences · 2023 · vol. 27(12) , pp. 5575–5582 · doi:10.26355/eurrev_202306_32795 · PMID:37401294 · W4383059066
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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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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

The paper studied ovarian reserve after two treatments for ovarian endometriomas: ultrasound-guided aspiration followed by ethanolic sclerotherapy of the cyst lining versus laparoscopic cystectomy. In a retrospective cohort of 96 women, 54 underwent echo-assisted ethanol sclerotherapy after aspiration and 42 had laparoscopic cystectomy, with anti-Mullerian hormone (AMH) measured before and after treatment. AMH levels significantly decreased after cystectomy compared with ethanolic ovarian sclerotherapy, indicating greater impact on ovarian reserve with surgical removal. The authors conclude that ethanol sclerotherapy is a viable conservative option, and explicitly frame it as not affecting ovarian reserve or fertility, while the study design is retrospective with non-randomized treatment allocation. This paper is centrally about endometriosis — specifically comparing ovarian reserve outcomes after ethanol sclerotherapy versus surgery for ovarian endometriomas.

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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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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. Free PDF DownloadThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License To cite this article C.C. Vaduva, L. Dira, A. Carp-Veliscu, A.M. Goganau, A.M. Ofiteru, M.A. Siminel Ovarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment Eur Rev Med Pharmacol Sci Year: 2023 Vol. 27 - N. 12 Pages: 5575-5582 DOI: 10.26355/eurrev_202306_32795 Publication History Published online: 27 Jun 2023

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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

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.

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