Endometrioma and Infertility

Pinkee Saxena
In: Fertility Science and Research · 2025 · vol. 12 , pp. 13 · doi:10.25259/fsr_6_2025 · W4411032833
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews the commonality of endometriomas in young women, their presentation with pain or infertility, and analyzes the pros and cons of various medical and surgical treatment options.

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

This paper reviews endometrioma—ovarian “chocolate cysts”—and how they relate to infertility, including underlying mechanisms and medical or surgical management options. It discusses evidence that chronic inflammation and fibrosis in endometriosis can disrupt folliculogenesis, with multiple studies reporting worse ovarian reserve metrics in younger women with endometrioma (e.g., lower follicle numbers/AMH in some studies), while also noting controversy such as systematic review findings that antral follicle counts may be identical with or without endometrioma. For treatment, it summarizes hormonal options like dienogest for symptom improvement and cyst volume reduction, and surgical strategies (e.g., cystectomy vs ablation), emphasizing that postoperative decreases in AMH and effects on ovarian reserve have been reported and that technique (such as bipolar electrocoagulation) may influence the magnitude of this decline; explicit limitations include ongoing debate and variability across studies and measurement issues. This paper is centrally about endometriosis—specifically ovarian endometrioma and its association with infertility, ovarian reserve, and treatment-related ovarian function.

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Abstract

Endometrioma is common in young women. They often present with pain or infertility. Treatment can be medical or surgical. Various treatments are discussed, and the pros and cons are analysed.

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Outcome instruments

rASRM

Condition tags

endometriomainfertility

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.

References (61)

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last seen: 2026-06-10T17:14:06.276822+00:00
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