Impact of Endometrioma Surgery on Ovarian Reserve

Currently, ovarian endometrioma (OMA) laparoscopic excision using the stripping technique is considered the gold standard among OMA surgical treatments. Excisional surgery allows for pain resolution, a high rate of spontaneous pregnancies and a lower recurrence rate of ovarian cysts when compared to drainage and ablation techniques. Because the follicles are tightly attached to the endometrioma’s pseudo capsule, risking being removed during the cystectomy or damaged by coagulation, a cystectomy may cause healthy loss of ovarian tissue, thus reducing the ovarian reserve and fertility. For this reason, new methods have been developed to be effective and feasible, but also safe, with less impact on the ovarian reserve. In this chapter, we focus on the latest procedures, which may use different energy sources, such as CO2 laser, argon plasma or diode laser. Various studies have demonstrated the pros and cons of each method, including in terms of conservation of the ovarian reserve, by analysing two main markers: the anti-Mullerian hormone (AMH) and the antral follicular count (AFC). Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 International Society of Gynecological Endocrinology About this chapter Cite this chapter Angioni, S., Scicchitano, F., Sigilli, M., Succu, A.G., Saponara, S., D’Alterio, M.N. (2021). Impact of Endometrioma Surgery on Ovarian Reserve. In: Genazzani, A.R., Nisolle, M., Petraglia, F., Taylor, R.N. (eds) Endometriosis Pathogenesis, Clinical Impact and Management. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-030-57866-4_8 Download citation DOI: https://doi.org/10.1007/978-3-030-57866-4_8 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-57865-7 Online ISBN: 978-3-030-57866-4 eBook Packages: MedicineMedicine (R0)