Surgical Techniques to Reduce the Diminished Ovarian Reserve Risk of Endometrial Cyst

Muhammad Rusda, Ichwanul Adenin, Oki M. Prabudi, J. Syaputra, Andrina Yunita Murni Rambe
In: Open Access Macedonian Journal of Medical Sciences · 2021 · vol. 9(T3) , pp. 108–110 · doi:10.3889/oamjms.2021.6342 · W3169443550
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This report details a case of endometriosis and a laparotomy cystectomy performed to treat an endometrial cyst, finding comparable ovarian reserve and reduced pain with this surgical approach in infertile women.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports an endometriosis case involving a 32-year-old woman with 1 year of worsening cyclic lower abdominal pain and a right ovarian unilocular cyst on transvaginal ultrasound, with enlarged uterus and ovary and markedly increased CA-125. The authors performed laparotomy cystectomy and describe it as a surgical technique aimed at reducing the risk of diminished ovarian reserve, with reported outcomes including comparable ovarian reserve, reduced pain symptoms, and increased conception in infertile patients, though these conclusions are based on a single case report/series-style presentation. The major limitation is that the evidence is not from controlled or comparative study designs, so generalizability and causal inference are constrained. Relevance to endometriosis: the paper’s title and case diagnosis are endometriosis with an endometrial cyst treated by ovarian cystectomy to address ovarian reserve risk, directly aligning with endometriosis research.

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Abstract

AIM: The objective of the study was to report the endometriosis case and surgical technique to reduce the diminished ovarian reserve risk. CASE PRESENTATION: A 32-year-old woman was presented with the lower abdominal pain since 1 year ago, intermittent, and got worse during menstruation. The mobile cystic mass was palpable on the abdomen without pain during palpation. Vaginal examination showed mobile and smooth surface cystic mass was palpable, the upper pole was three fingers below the umbilicus, and lower pole was in line with pubic symphysis. Transvaginal ultrasonography (TVUS) showed uterus and right ovary enlargement; and unilocular cyst with homogenous echo pattern. There was a marked increase in CA-125. Based on International Tumor Analysis, the tumor was classified as B1 unilocular cyst and the malignancy risk index was 600. The patient was diagnosed with endometriosis and laparotomy cystectomy was performed. CONCLUSION: Patient was diagnosed with endometrial cyst and laparotomy cystectomy was performed as treatment. Ovarian cystectomy in infertile women was shown to have comparable ovarian reserve (OR), reduced pain symptoms, and increased conception among infertile patients.
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Conclusion

Patient was diagnosed with endometrial cyst and laparotomy cystectomy was performed as treatment. Ovarian cystectomy in infertile women was shown to have comparable ovarian reserve (OR), reduced pain symptoms, and increased conception among infertile patients.Downloads Metrics Plum Analytics Artifact Widget Block

References

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J Ovarian Res. 2016;9(1):37. https://doi.org/10.1186/s13048-016-0241-z PMid:27329142 DOI: https://doi.org/10.1186/s13048-016-0241-z Downloads Published How to Cite Issue Section Categories License Copyright (c) 2021 Muhammad Rusda, Ichwanul Adenin, Oki M. Prabudi, J. Syaputra, Andrina Yunita Murni Rambe (Author) This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)

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