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The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance

  • Chapter
Reproductive Surgery in Assisted Conception

Abstract

Endometriomas, which are commonly encountered in women presenting with subfertility, usually represent a dilemma to the Reproductive Specialist. Surgery remains the only effective treatment for endometriomas larger than three cm in diameter. National and international surveys have revealed that the majority of Gynaecologists and Reproductive specialists offer surgery for endometriomas in subfertile patients before fertility treatment. This is despite evidence that endometrioma surgery does not improve success rates of IVF. Furthermore, increasing evidence suggests that surgery for endometriomas significantly damages ovarian reserve and compromises ovarian responsiveness to COH during IVF. It is therefore reasonable to recommend that endometrioma surgery before IVF should only be considered in patients with marked symptoms or with vary large endometriomas, which could interfere with oocyte retrieval.

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Authors and Affiliations

  1. Department of Gynaecology, Nottingham University, The Medical School, Royal Derby Hospital, Derby, UK

    Saad A. K. Amer FRCOG, MSc, MD

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  1. Saad A. K. Amer FRCOG, MSc, MD
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Correspondence to Saad A. K. Amer FRCOG, MSc, MD .

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Editors and Affiliations

  1. Reproductive Medicine and Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom

    Mostafa Metwally

  2. Obstetrics and Gynaecology, Chinese University of Hong Kong, Hong Kong, China

    Tin-Chiu Li

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Amer, S.A.K. (2015). The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance. In: Metwally, M., Li, TC. (eds) Reproductive Surgery in Assisted Conception. Springer, London. https://doi.org/10.1007/978-1-4471-4953-8_5

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  • DOI: https://doi.org/10.1007/978-1-4471-4953-8_5

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