Ovarian Endometrioma

Guidelines for Selection of Cases for Surgical Treatment or Expectant Management

Molly Carnahan; Jennifer Fedor; Ashok Agarwal; Sajal Gupta


Expert Rev of Obstet Gynecol. 2013;8(1):29-55. 

In This Article

Five-year View

Today, there is little consensus on the proper treatment of women with ovarian endometriomas, as new research suggests that ART outcomes are not significantly different between those who undergo laparoscopic cystectomy and those who are treated with expectant management. In the future, new treatments will be developed based on how ovarian endometriomas affect fertility, in order to improve natural conception and/or enhance ART. In women with ovarian endometriomas who have an increased risk of premature ovarian failure, fertility preservation techniques will be developed for ovarian tissue and oocyte cryopreservation.