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Management of ovarian endometriomas
Charles Chapron1, Paolo Vercellini, Habib Barakat
1Assistance Publique, Hopitaux de Paris (AP-HP), Clinique Universitaire Baudelocque, CHU Cochin-Saint Vincent-de-Paul, Paris, France. charles.chapron@cch.ap-hop-paris.fr
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.