Outcome of in vitro fertilization and ovarian response after endometrioma stripping at laparoscopy and laparotomy.
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Laparoscopic endometrioma stripping was associated with better ovarian response and lower FSH requirements for IVF compared to laparotomy.
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Abstract
OBJECTIVE: To add further data on in vitro fertilization (IVF) outcome and ovarian response after endometrioma stripping via either laparoscopy or laparotomy. STUDY DESIGN: IVF outcome and ovarian response parameters in patients who had undergone unilateral endometrioma stripping at laparoscopy (n=28) or laparotomy (n=10) before IVF were retrospectively compared. RESULTS: Fertilization rates, number of embryos transferred and pregnancy rates did not differ between the groups. Significantly more recombinant FSH was used to induce folliculogenesis, and fewer metaphase II oocytes were retrieved in the laparotomy group. The laparotomy-postcystectomy ovaries were significantly smaller and malpositioned. In both stripping groups, significantly smaller operated-on ovaries with lower numbers of antral and mature follicles were observed as compared to intact ovaries. CONCLUSION: A higher amount of FSH is needed to achieve an acceptable IVF outcome after unilateral endometrioma surgery. Indications for surgical treatment of patients having larger and bilateral cysts with an expectation for future fertility should be cautiously reviewed
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Cited by (23)
- Ovarian responsiveness in assisted reproductive technology after CO2 fiber laser vaporization for endometrioma treatment: preliminary data 2021
- The effect of surgical management of endometrioma on the IVF/ICSI outcomes when compared with no treatment? A systematic review and meta-analysis 2018
- Direct Proportional Relationship between Histopathologic and Sonographic Analysis of Laparoscopic Removal Ovarian Endometriotic Cyst: Evaluating the Effects on Ovarian Reserve 2017
- The impact of endometrioma on IVF/ICSI outcomes: a systematic review and meta-analysis 2015
- The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance 2015
- Surgical diminished ovarian reserve after endometrioma cystectomy versus idiopathic DOR: comparison of in vitro fertilization outcome 2015
- Laparoscopic excision of ovarian endometrioma does not exert a qualitative effect on ovarian function: insights from in vitro fertilization and single embryo transfer cycles 2015
- Current Treatment of Endometrioma 2015
- Pathological assessment of follicular loss in laparoscopic endometrioma excision: Effects of cyst size and surgeon's experience 2014
- Ovarian damage after laparoscopic endometrioma excision might be related to the size of cyst 2013
- Ovarian response during IVF cycle following laparascopic cystectomy of ovarian endometrioma 2013
- Endometrioma ≤3 cm in Diameter per se Does Not Affect Ovarian Reserve in Intracytoplasmic Sperm Injection Cycles 2012
- Surgical treatment of ovarian endometriomas: state of the art? 2012
- Unoperated ovarian endometriomas and responsiveness to hyperstimulation 2011
- The impact of endometrioma and laparoscopic cystectomy on serum anti-Müllerian hormone levels 2011
- Ovarian endometriomas and IVF: a retrospective case-control study 2011
- Ultrasonographic evaluation and anti-mullerian hormone levels after laparoscopic stripping of unilateral endometriomas 2011
- Surgical measures for endometriosis-related infertility: A plea for research 2011
- Ovarian endometriomas: 2011
- Evidence-based management of endometrioma 2010
- Rate of severe ovarian damage following surgery for endometriomas 2010
- Endometriosis and<i>in vitro</i>fertilisation: A review 2009
- Management of endometriomas in women requiring IVF: to touch or not to touch 2008
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- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
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- pubmed
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