Fertility preservation in women with ovarian endometriosis
This review focuses on fertility preservation for women with severe ovarian endometriosis, emphasizing experienced surgical techniques to minimize ovarian tissue loss and preserve future fertility.
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This review article focuses on fertility preservation strategies in women with severe ovarian endometriosis, describing how endometriosis is managed across objectives including fertility preservation, pain reduction, and delaying recurrence. It summarizes evidence that, in moderate and severe disease, medico-surgical management remains a standard approach, while reporting that laparoscopic cystectomy for endometriomas is associated with low ovarian reserve, attributed to excision of normal ovarian tissue along with the cyst wall. A key caveat is that the paper synthesizes published reports rather than presenting new patient-level outcomes, and it emphasizes the need for experienced surgeons to optimize ovarian tissue preservation. This paper is centrally about endometriosis — it specifically addresses fertility preservation in women with ovarian (endometriosis-related) endometriomas and ovarian reserve impacts of cystectomy.
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Cited by (12)
- Endometriosis 2025
- Fertility Preservation in Women with Ovarian Endometriomas 2021
- Number needed to freeze: cumulative live birth rate after fertility preservation in women with endometriosis 2021
- Endometriosis and strategies of fertility preservation: a systematic review of the literature 2020
- Fertility preservation in women for medical and social reasons: Oocytes vs ovarian tissue 2020
- The Role of Fertility Preservation in Women with Endometriosis: A Systematic Review 2019
- Robotic-Assisted Management of Endometriosis 2014
- Laparoscopic Excision of Endometriosis 2014
- Surgical Therapy of Endometriosis: Challenges and Controversies 2013
- Tumeurs ovariennes présumées bénignes et fertilité 2013
- Endometriosis: Diagnosis and Treatment: From Fingernails to the Robot 2012
- Ovarian endometrioma: guidelines for selection of cases for surgical treatment or expectant management 2012
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- last seen: 2026-06-10T17:14:06.276822+00:00