Management of Endometriomas

Chiara Di Tucci, Ludovico Muzii, Mara Di Feliciantonio, Giulia Galati, Ludovica Verrelli, Violante Di Donato, Cláudia Marchetti, Claudia Marchetti, Pierluigi Benedetti Panici
Seminars in reproductive medicine · 2016 · vol. 35(01) , pp. 025–030 · doi:10.1055/s-0036-1597126 · PMID:27926971 · W2560428550
review OA: closed CC0 ⤵ 45 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews treatment options for ovarian endometriomas, focusing on surgical excision as the preferred choice when balancing ovarian reserve concerns with pain relief, pregnancy rates, and malignancy exclusion.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Ovarian endometriomas affect 17 to 44% of women with endometriosis, and are often associated with pelvic pain and infertility. Treatment options include expectant management, medical and/or surgical treatment, and in vitro fertilization and embryo transfer (IVF-ET). The choice of treatment depends mostly on the associated symptoms. In most cases, surgery is the preferred choice, since endometriomas do not respond to medical treatment, which may only treat associated pain. In case of infertility, IVF-ET may be a suitable alternative to surgery, particularly when there is no associated pain. According to the best available scientific evidence, laparoscopic excision of the endometrioma wall should be considered the procedure of choice. Concerns have been raised as to the possibility that surgical excision may damage the ovarian reserve, but recent evidences demonstrate that part of the damage may be due to the presence of the endometrioma itself. Indication to surgical treatment should balance the possible risks of damaging the ovarian reserve with the advantages of surgery in terms of satisfactory pain relief rates and pregnancy rates, and of obtaining tissue specimen for ruling out the rare cases of unexpected ovarian malignancy. A score system to guide the clinician in the decision to perform or withhold surgery is presented.

My notes (saved in your browser only)

Condition tags

mesh:D004715endometriosisendometriomainfertility

MeSH descriptors

Contraceptives, Oral Endometriosis Laparoscopy Laparoscopy Ovarian Cysts Ovariectomy Ovary Ovary Combined Modality Therapy Contraceptives, Oral Contraceptives, Oral Endometriosis Endometriosis Endometriosis Female Humans Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Reserve

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (45)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:20:43.714878+00:00
License: CC0 · commercial use OK