Endometriotic cysts at oocyte retrieval

Graciela Kohls Ilgner, Juan A. García-Velasco
In: Assisted Reproduction Techniques · 2021 · pp. 363–368 · doi:10.1002/9781119622215.ch59 · W1591443528
other OA: closed CC0
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews the management of endometriotic ovarian cysts in women undergoing IVF, considering cyst size, location, follicle accessibility, and surgical intervention in specific cases.

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Abstract

This chapter includes clinical cases, background, evidence-based practical management options, preventive measures, key-point summaries of endometriotic cysts at oocyte retrieval and answers to questions patients ask. Endometriotic ovarian cysts (endometriomas) are a common form of the disease and may be present in up to 20–40% of women with endometriosis scheduled for IVF. Patient management depends on the size and location of the cyst, accessibility of ovarian follicles, history of previous surgeries and ovarian response. Classically, it was advised to remove endometriotic ovarian cysts surgically in patients requiring IVF, as this was thought to improve ovarian responsiveness and facilitate oocyte retrieval. Surgery should be considered in specific circumstances, such as to treat concomitant pain symptoms that are refractory to medical treatment, when malignancy cannot be reliably ruled out or in the presence of large cysts.

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Condition tags

endometriosis

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.

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