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[Management of endometriosis ovarian cysts]
C Chapron1, J B Dubuisson, A Fauconnier
1Clinique Universitaire Baudelocque, CHU Cochin-Saint-Vincent-de-Paul, 123, boulevard Port-Royal, 75014 Paris. charles.chapron@cch.ap-hop-paris.fr
Abstract:
The efficacy of medical treatment as unique treatment for endometrioma is not demonstrated. Operative laparoscopic management is the gold standard for surgical treatment. There is no indication to prescribe preoperatively medical treatment before cystectomy. Post-operative administration of low-dose cyclic oral contraceptive does not significantly affect long-term recurrence rate of endometriosis after surgical treatment. In cases of infertility, management of endometriomas is controversial. Recurrent ovarian surgery is not recommended.