“…The amount of ovarian parenchyma loss seems to increase proportionally to the increase in cyst diameter. According to this hypothesis, damage to the ovarian reserve can be a consequence to permanent loss of ovarian tissue, and should then persist over time after surgery (16) . Ovarian reserve could likewise be assessed by sonographic evaluation of Antral Follicle Count (AFC), ovarian volume, stromal blood flow.…”
Objectives:To compare between laparoscopic ovarian cystectomy and laparoscopic ovarian coagulation on ovarian reserve in cases of ovarian endometrioma. Cases, methods: Prospective randomized cohort study
“…The amount of ovarian parenchyma loss seems to increase proportionally to the increase in cyst diameter. According to this hypothesis, damage to the ovarian reserve can be a consequence to permanent loss of ovarian tissue, and should then persist over time after surgery (16) . Ovarian reserve could likewise be assessed by sonographic evaluation of Antral Follicle Count (AFC), ovarian volume, stromal blood flow.…”
Objectives:To compare between laparoscopic ovarian cystectomy and laparoscopic ovarian coagulation on ovarian reserve in cases of ovarian endometrioma. Cases, methods: Prospective randomized cohort study
“…It affects about 6-10% of women in the reproductive age group and is characterized by chronic pelvic pain, dyspareunia, dysmenorrhoea and infertility [1,2]. Another presentation of endometriosis is as endometriomas or "chocolate cysts" which are cysts lined by ectopic endometrial tissue usually on the ovaries [3].…”
“…The presence of endometriomas and the surgical management of them both have a damaging effect on the ovarian function and reserve [8], this fact creates the debate on the ideal management infertile women. The choices here will be either to go to IVF versus surgical management by laparoscopy [1].…”
Background: Management of recurrent endometrioma should balance between the risk of unexpected hidden malignancy and the damaging effect of second surgery to ovarian tissue. Dienogest is a fourth generation of progestin and has been used in endometriosis with effective and save reports.
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