The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance

Endometriomas, which are commonly encountered in women presenting with subfertility, usually represent a dilemma to the Reproductive Specialist. Surgery remains the only effective treatment for endometriomas larger than three cm in diameter. National and international surveys have revealed that the majority of Gynaecologists and Reproductive specialists offer surgery for endometriomas in subfertile patients before fertility treatment. This is despite evidence that endometrioma surgery does not improve success rates of IVF. Furthermore, increasing evidence suggests that surgery for endometriomas significantly damages ovarian reserve and compromises ovarian responsiveness to COH during IVF. It is therefore reasonable to recommend that endometrioma surgery before IVF should only be considered in patients with marked symptoms or with vary large endometriomas, which could interfere with oocyte retrieval. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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(eds) Reproductive Surgery in Assisted Conception. Springer, London. https://doi.org/10.1007/978-1-4471-4953-8_5 Download citation DOI: https://doi.org/10.1007/978-1-4471-4953-8_5 Publisher Name: Springer, London Print ISBN: 978-1-4471-4952-1 Online ISBN: 978-1-4471-4953-8 eBook Packages: MedicineMedicine (R0)