[Management of endometriosis ovarian cysts]

C. Chapron, Chapron C, Charles Chapron, Dubuisson JB, J B Dubuisson, A Fauconnier, Arnaud Fauconnier, Fauconnier A, M Vieira, Vieira M
Journal de gynecologie, obstetrique et biologie de la reproduction · 2001 · vol. 30(1 Suppl) , pp. S78–85 · PMID:11917379 · W2418026549
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Operative laparoscopic management is the gold standard for endometriomas, with no evidence for preoperative medical treatment or significant long-term recurrence reduction with postoperative oral contraceptives.

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Abstract

The efficacy of medical treatment as unique treatment for endometrioma is not demonstrated. Operative laparoscopic management is the gold standard for surgical treatment. There is no indication to prescribe preoperatively medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptive does not significantly affect long-term recurrence rate of endometriosis after surgical treatment. In cases of infertility, management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.

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Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Endometriosis Ovarian Cysts Ovarian Cysts Contraceptives, Oral, Combined Contraceptives, Oral, Combined Contraceptives, Oral, Combined Endometriosis Endometriosis Female Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy

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