Management of ovarian endometriomas
Abstract
The efficiency of medical therapy as a unique treatment for endometrioma has not been demonstrated. Operative laparoscopic management is the 'gold standard' for surgical treatment, and there are no indications to prescribe medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptives does not significantly affect the long-term recurrence of endometriosis after surgical treatment. In case of infertility, the management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.
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Endometrioma management is difficult because their link to pain is uncertain.
“Treating endometriomas is not straightforward as their association with pain is unclear (Chapron et al., 2002;Vercellini et al., 2009b).”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Chapron et al., 2002
The Introduction (p. 1) describes problems managing endometriomas. The section on medical treatment (p. 4) notes that postoperative studies did not distinguish endometriomas from other lesions when assessing pain, but it does not state that the association between endometriomas and pain is unclear or identify that uncertainty as the reason treatment is difficult. (LLM, conf=0.80)
Experimental — accuracy not yet measuredA cyst recurrence rate of approximately 10% per year has been reported after surgery for ovarian endometriomas.
“A cyst recurrence rate of ~10% per year has been reported after surgery for ovarian endometriomas (Chapron et al., 2002; Koga et al., 2006; Liu et al., 2007; Guo, 2009; Koga et al., 2015).”
From When more is not better: 10 ‘don’ts’ in endometriosis management. An ETIC* position statement (2019) · cites this paper as Chapron et al., 2002
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Cites
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Research works printed but not linked: 3
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- Authors
- Chapron, C.
- Affiliations
- Hôpital Cochin (FR)
- Corresponding author
- Chapron, C.
- ORCID
- Chapron, C.
- Venue
- Human Reproduction Update
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-11-01
- Volume
- 8
- Issue
- 6
- Pages
- 591-597
- ISSN
- 1355-4786 (ISSN-L)
- 1460-2369
- OpenAlex
- W2123779105
- Cited by
- 244
- References
- 3
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 12 · 2023: 5 · 2022: 8 · 2021: 13 · 2020: 12 · 2019: 18 · 2018: 11 · 2017: 12 · 2016: 10 · 2015: 16 · 2014: 6 · 2013: 10 · 2012: 12
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction Update (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometrioma, endometriosis, laparoscopic cystectomy, medical therapy, low-dose oral contraceptives, endometriosis recurrence, infertility
- MeSH terms
- Contraceptives, Oral, Endometriosis, Female, Humans, Infertility, Female, Ovarian Diseases, Laparoscopy, Recurrence, Pelvic Pain, Reproductive Techniques, Assisted
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