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Minerva Ginecologica 2015 April;67(2):195-205

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Surgery for endometriomas before IVF: what are the benefits and risks?

Cooney L. G., Mainigi M. A.

Division of Reproductive, Endocrinology and Infertility, University of Pennsylvania, Philadelphia, PA, USA


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Endometriosis is present in up to one-third of infertility patients. In a subset of these patients, work-up will reveal the presence of an endometrioma. When the endometrioma is causing pelvic pain or dysmenorrhea, removal can greatly improve pain and quality of life. However, in the patient preparing for an in-vitro fertilization (IVF) cycle removal of an endometrioma can delay treatment. It is critical to know the benefits and risk of such a procedure prior to proceeding with surgical endometrioma removal. A great deal of literature had been published on the effect of endometriomas on fertility and IVF outcomes. In this review, we will summarize the current literature addressing the effects of endometrioma removal on ovarian response and pregnancy rates following IVF.

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