Current treatment of endometrioma

Apostolos Kaponis, Taniguchi F, Fuminori Taniguchi, Yukihiro Azuma, Azuma Y, Imari Deura, Deura I, Charalampos Vitsas, Vitsas C, Vitsas Charalampos, Decavalas GO, George Decavalas, George O Decavalas, Tasuku Harada, Harada T
Obstetrical & gynecological survey · 2015 · vol. 70(3) , pp. 183–195 · doi:10.1097/ogx.0000000000000157 · PMID:25769433 · W1994023907
Review OA: closed CC0 ⤵ 20 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This review examines current endometrioma management, finding a lack of data to guide optimal treatment and questioning surgery's fertility benefits for women with ovarian endometriomas.

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Abstract

IMPORTANCE: Ovarian endometrioma is the most common form of endometriosis. Laparoscopy is frequently chosen for its treatment because medical treatment alone is inadequate. However, the role of laparoscopic treatment of ovarian endometriomas has been challenged by evidence questioning the benefits of surgery, especially in cases of young or infertile women. Other therapeutic modalities include expectant management, medical therapy, and, in cases of infertility, ovulation induction and assisted reproductive technology. None of these treatments offer cure of endometriosis. OBJECTIVE: The objective of this study was to present data concerning the current management of endometrioma. Benefits and complications after treatment and the impact on in vitro fertilization outcome are also highlighted. EVIDENCE ACQUISITION: An extensive literature search (PubMed) and Cochrane Library review up to December 2013 were performed using the following keywords: "endometrioma," "cystectomy," "infertility," "IVF," "malignant transformation," "management," and "recurrence." RESULTS: There is a lack of data from randomized trials to inform the optimal management of endometriomas with respect to pain relief, recurrence, and fertility. CONCLUSIONS AND RELEVANCE: Further studies are needed to determine the optimal management of endometrioma. Currently, there is no evidence that surgical management improves the fertility of women with endometrioma.

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Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Ovarian Diseases Endometriosis Endometriosis Endometriosis Female Female Fertilization in Vitro Fertilization in Vitro Humans Humans Infertility, Female Infertility, Female Infertility, Female Neoplasm Recurrence, Local Neoplasm Recurrence, Local Ovarian Diseases Ovarian Diseases Ovarian Diseases Treatment Outcome

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 (90)

Cited by (20)

Source provenance

europepmc
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pubmed
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License: CC0 · commercial use OK