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.
Management of ovarian endometriomas / C. Chapron, P. Vercellini, H. Barakat, M. Vieira, J. Dubuisson. - In: HUMAN REPRODUCTION UPDATE. - ISSN 1355-4786. - 8:6(2002), pp. 591-597. [10.1093/humupd/8.6.591]
Management of ovarian endometriomas
P. VercelliniSecondo
;
2002
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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