Impact of the Endometriomas on the Ovarian Follicles

Paul J. Yong, Mohamed A. Bedaiwy
In: Endometriosis-related Infertility · 2024 · pp. 19–29 · doi:10.1007/978-3-031-50662-8_3 · W4392309619
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Ovarian endometriomas can impair oocyte quantity and quality through anatomical effects, oxidative stress, inflammation, granulosa cell abnormalities, and follicular hyperactivation.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This chapter reviews literature on how ovarian endometriomas biologically affect ovarian follicles, focusing on mechanisms linking endometrioma presence to oocyte quantity and quality. It synthesizes evidence that endometriomas may impair follicle and oocyte development through anatomical effects (adhesions, deep endometriosis affecting ovulation and oocyte capture), and ovarian microenvironmental changes including iron-mediated oxidative stress, inflammation, granulosa cell apoptosis, altered steroidogenesis/aromatase and estradiol production, and tissue stretch that can hyperactivate follicles and reduce ovarian reserve. The caveat is that the chapter is a narrative review, so conclusions reflect heterogeneity across studies and models rather than a single controlled dataset. This paper is centrally about endometriosis — it reviews endometrioma-mediated damage to ovarian follicles and oocyte quality/quantity, which is directly relevant to endometriosis-related infertility.

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last seen: 2026-06-10T17:14:06.276822+00:00
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