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

Wenjie Zhu, Zhu W, Zhen Tan, Tan Z, Zhihong Fu, Fu Z, Xuemei Li, Li X, Chen X, Xiumin Chen, Yonghong Zhou, Zhou Y
American journal of obstetrics and gynecology · 2010 · vol. 204(1) , pp. 61.e1–61.e6 · doi:10.1016/j.ajog.2010.08.040 · PMID:20934676 · W1974405377
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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

OBJECTIVE: We sought to investigate the effectiveness of repeated transvaginal ultrasound-guided aspiration of endometriomas in infertile women with endometriosis. STUDY DESIGN: A 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. RESULTS: Recurrences 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. CONCLUSION: The 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 Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Linear Models Linear Models Ovarian Cysts Ovarian Cysts Ovarian Cysts

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (16)

Cited by (18)

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