Fertility Outcomes – Reducing Ovarian Damage During Endometriosis Surgery

Roy Mashiach, Dahlia Admon, Shlomo Mashiach
In: Endometriosis in Adolescents · 2020 · pp. 393–403 · doi:10.1007/978-3-030-52984-0_21 · W3102766864
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This chapter reviews the pathophysiology and prevalence of ovarian reserve decrease after endometrioma surgery and discusses innovative techniques for cyst excision to reduce surgical damage.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews ovarian reserve changes and fertility outcomes after surgical treatment of ovarian endometriomas, focusing on how different cyst excision techniques may reduce damage to healthy ovarian tissue. It summarizes the rationale for cystectomy as recommended by ESHRE to manage endometriomas while noting that surgery can cause postsurgical reduction in the number and quality of follicles. It presents pathophysiology, evaluation methods for decreased ovarian reserve, and multiple innovative surgical approaches, while explicitly stating that simple drainage alone is associated with a high recurrence rate and is therefore not recommended. This paper is centrally about endometriosis — specifically, how to reduce ovarian damage and preserve ovarian reserve during endometrioma surgery in adolescents and other patients.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK