Abstract

RESTREPO-CANO, Gustavo Adolfo. Endometriomas and infertility: a review of therapeutic alternatives. Rev Colomb Obstet Ginecol [online]. 2011, vol.62, n.1, pp.82-87. ISSN 0034-7434.

Objective: reviewing the pertinent literature concerning endometrioma treatment in the area of infertility. Materials and methods: this work consisted of a qualitative systematic review involving a search of the PubMed/MEDLINE, Hinari and Cochrane databases to compile information published in both English and Spanish from February 2000 to March 2010, choosing those articles which evaluated treatment of endometriomas regarding infertility. Results: the best available evidence regarding the management of endometriomas in infertility was found in the differences between surgical techniques for treating them. Laparoscopic cystectomy was seen to be the most effective surgical method; it had the least effect on ovarian follicular reserve and significantly reduced the risk of recurrences. It did not affect in vitro fertilization (IVF) results in terms of pregnancies. Conclusions: laparoscopic excision surgery (cystectomy) of the endometriomas offers advantages when compared to other available techniques.

Keywords : endometrioma; infertility; endometriosis; cystectomy; laparoscopy.

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