Repeat transvaginal ultrasound-guided aspiration of ovarian endometrioma in infertile women with endometriosis
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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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Cited by (18)
- Research Progress on the Treatment of Ovarian Endometrioma 2025
- Treatment after endometrioma recurrence: a narrative review 2023
- Exploring the Impact of Endometrioma Aspiration and Dienogest Combination Therapy on Cyst Size, Inflammatory Cytokines in Follicular Fluid and Fertility Outcomes 2023
- Efficacy of ablation and sclerotherapy for the management of ovarian endometrioma: A narrative review 2022
- Pelvic Artificial Isolation with Ultrasound-Guided Fluid: A New Technique In Ovarian Endometriotic Cyst Transabdominal Sclerotherapy 2022
- Effects of ovarian endometrioma aspiration on in vitro fertilization-intracytoplasmic sperm injection and embryo transfer outcomes: a systematic review and meta-analysis 2021
- Contrast-enhanced ultrasound evaluation of a refractory ovarian endometrial cyst and ultrasound-guided aspiration sclerotherapy using urokinase and lauromacrogol 2021
- Recovery Rate of Patients with Recurrent OvarianEndometriomas Using Sclerotherapywith 95% Ethanol 2018
- Ovarian Endometrioma and Infertility 2017
- A systematic review of ultrasonography-guided transvaginal aspiration of recurrent ovarian endometrioma 2016
- Mining unexpected patterns using decision trees and interestingness measures: a case study of endometriosis 2015
- Transvaginal ultrasound-guided aspiration of benign ovarian cysts 2014
- Ultrasound-Guided Aspiration and Ethanol Sclerotherapy (EST) for Treatment of Cyst Recurrence in Patients after Previous Endometriosis Surgery: Analysis of Influencing Factors Using a Decision Tree 2013
- The Ovarian Endometrioma: Clinical Setting and Ultrasound Findings 2013
- Surgical management of endometriosis 2013
- Assessing the efficacy of aspiration and ethanol injection in recurrent endometrioma before IVF cycle: A randomized clinical trial. 2013
- Ovarian endometrioma: guidelines for selection of cases for surgical treatment or expectant management 2012
- Chirurgie des endométriomes ovariens : de la physiopathologie à la prise en charge pratique pré-, per- et postopératoire 2011
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- pubmed
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