Repeat transvaginal ultrasound-guided aspiration of ovarian endometrioma in infertile women with endometriosis

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AI-generated summary by claude@2026-06, 2026-06-08

This study investigated the efficacy and safety of repeat transvaginal ultrasound-guided aspiration for treating ovarian endometriomas in infertile women with endometriosis.

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Abstract

ObjectiveWe sought to investigate the effectiveness of repeated transvaginal ultrasound-guided aspiration of endometriomas in infertile women with endometriosis.Study designA retrospective study was performed in our department of reproductive health on 129 infertile women who underwent monthly repeated transvaginal aspiration of endometriomas. The recurrence and pregnancy were monitored during a follow-up period of 24 months.ResultsRecurrences of cysts were found in 118 (91.5%) patients in the first postaspirate month and 86 (66.7%) in the second, 60 (46.5%) in the third, 28 (21.7%) in the fourth, 12 (9.3%) in the fifth, 7 (5.4%) in the sixth, and 36 (27.9%) in the 24th postaspiration month. Mean 3.1 ± 2.8 times of aspirations per patient were performed without any adverse effect. There was a linear regression relationship between the change of times of aspirations and the chance of recurrence of cysts. Overall pregnancy rate of 43.4% (56/129) was obtained.ConclusionThe repetitive aspiration of endometriomas is an effective therapeutic option in patients with endometriosis.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Diseases Ultrasonography, Interventional Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Linear Models Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Diseases Ovarian Diseases Pregnancy Pregnancy Rate Recurrence Reoperation

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last seen: 2026-07-26T06:08:39.051465+00:00
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