Effect of surgery for endometrioma on ovarian function

Area of Science:

• Reproductive Endocrinology
• Gynecology
• Surgical Oncology

Background:

• Endometriosis is prevalent in reproductive-aged women.
• Ovarian function is crucial for fertility preservation.
• Endometriomas are associated with reduced ovarian reserve.

Purpose of the Study:

• To review the association between endometriomas and diminished ovarian reserve.
• To assess the impact of endometrioma surgery on ovarian function.

Main Methods:

• Literature review of studies on endometriomas and ovarian reserve.
• Analysis of data on spontaneous ovulation, ovarian reserve markers, and stimulation response.
• Evaluation of surgical endometrioma resection effects.

Main Results:

• Ovarian endometriomas adversely affect ovulation, ovarian reserve markers, and ovarian stimulation response.
• Surgical endometrioma resection can acutely impair ovarian function.
• Data on pregnancy and live birth rates are inconsistent.

Conclusions:

• Endometriomas negatively impact ovarian reserve and function.
• Surgical intervention for endometriomas may lead to further ovarian function impairment.
• Long-term consequences of surgical excision require further research.