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Case Report Volume 11 Issue 2
Cystic ovarian endometriosis and infertility: arguments for an early but less aggressive surgical treatment
Larissa Schindler, Sandra Schindler, Ussia Anastasia, Stephan Gordts, Arnaud Wattiez, Philippe R Koninckx
Dubai Fertility Centre of the Dubai Healthy Authority, UAE
Department of Human Reproduction, Medical school of the Federal University of Bahia, Brazil
Gruppo Italo Belga, Villa Del Rosario Rome Italy, Consultant Università Cattolica, Italy
Leuven Institute for Fertility & Embryology, Leuven, Belgium
Latifa Hospital, Dubai, UAE
Department of obstetrics and gynaecology, University of Strassbourg, France
Received: March 19, 2020 | Published: April 17, 2020
Citation: Schindler L, Schindler S, Anastasia U, et al. Cystic ovarian endometriosis and infertility: arguments for an early but less aggressive surgical treatment. Obstet Gynecol Int J. 2020;11(2):122-125. DOI: 10.15406/ogij.2020.11.00498
Abstract
Cystic ovarian endometriosis is a cause of pain and of infertility. For infertility, surgical treatment has been suggested for cysts larger than 3 or 4cm in diameter only. Surgical treatment is moreover postponed as long as possible or until pain becomes too severe in order to avoid ovarian damage and a decreased ovarian reserve and to avoid recurrences and repeat surgery and adhesion formation.
Our recent understanding of the pathophysiology of endometriosis, of its initiation and its growth, probably permits a more effective prevention of recurrences. In addition, adhesion free surgery has become a reality. We therefore suggest performing surgery for cystic ovarian endometriosis early in life when cysts are small followed by an active prevention of recurrences. When cysts are small e superficial destruction instead of excision seems logical. Also THL and under- water coagulation should be considered
In conclusion, without discussing the management of larger symptomatic cystic endometriosis, we suggest that early surgical treatment of small cyst is the way to go.
Keywords: Endometriosis, Cystic ovarian, Spermatozoa, Ovulation, Fertility, Peritoneal fluid
©2020 Schindler, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.