Management of ovarian endometriomas.
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.
Chapron
Charles
C
Assistance Publique, Hopitaux de Paris (AP-HP), Clinique Universitaire Baudelocque, CHU Cochin-Saint Vincent-de-Paul, Paris, France. charles.chapron@cch.ap-hop-paris.fr
Vercellini
Paolo
P
Barakat
Habib
H
Vieira
Marco
M
Dubuisson
Jean-Bernard
JB
D003276:Contraceptives, Oral / Q000008:administration & dosage; D004715:Endometriosis / Q000150:complications / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000150:complications / Q000628:therapy; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000150:complications / Q000601:surgery / Q000628:therapy*; D017699:Pelvic Pain; D012008:Recurrence; D027724:Reproductive Techniques, Assisted
D003276:Contraceptives, Oral