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Updated: Jan 1, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[An innovative approach to the combination treatment of endometriosis]
L V Shchegolikhina1, A N Minkina1
1Kazan State Medical University, Ministry of Health of Russia, Kazan, Russia.
Background:
According to modern statistics, endometriosis is a disease that occupies the third place among the most problematic diseases of the female reproductive system, since it develops mainly in young women and, therefore, negatively affects their reproductive function. The paper presents the data obtained from a clinical trial of the combination treatment of Stages I-III endometriosis, including those using sanatorium-and-spa aftercare using radon tampons.
Objective:
To identify the most effective treatment for endometriosis.
Material And Methods:
Examinations were made in 348 women of reproductive age (mean age 30±4 years) with Stages I-III endometriosis. According to the therapy received, the patients were divided into 2 groups: 1) 174 patients who used drug therapy and radon tampons; 2) 174 patients who received only drug therapy.
Results:
Resultative positive changes were observed in Group 1 patients who received a combination of anti-inflammatory therapy, pathogenetic therapy of endometriosis, and sanatorium spa aftercare with radon tampons. The investigators excluded pain syndrome in 93.7% of cases, dysmenorrhea in 85.2%, and dyspareunia in 100%; menstrual blood loss decreased in 55.6% of patients; pregnancy occurred in 97.1% of women; the psychoemotional background improved in 100% of cases; in 96.2% of cases, subsequent recurrences were not observed (in the study period of 2014-2018).
Conclusion:
The results of the study showed that a comprehensive and stage approach to treating Stages I-III endometriosis is fundamental to success in women's reproductive health.
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