When and How Is Surgery Required for Large Endometrioma prior to in vitro Fertilization: A Survey of Practices
Managing large endometriomas before IVF involves balancing surgical benefits with risks to ovarian reserve. The survey highlights significant variability in practices, with a median surgical threshold size of 50 mm. Laparoscopic cystectomy, while common, is associated with ovarian tissue loss, whereas emerging techniques like CO<sub>2</sub> laser ablation show promise in preserving ovarian reserve. The need for up-to-date evidence-based guidelines is essential to standardize practices and optimize outcomes for IVF patients.
Authors
- Nicola Pluchino (ORCID: https://orcid.org/0000-0002-7475-9082)
- Giuseppe Benagiano (ORCID: https://orcid.org/0000-0002-1247-6300)
- Milena Alec (ORCID: https://orcid.org/0000-0003-2110-9331)
- Antonio Simone Laganà (ORCID: https://orcid.org/0000-0003-1543-2802)
- Jonas Jean Mathieu Vibert
Institutions
- University Hospital of Geneva (CH)
- Department of Health (ES)
- Foundation for laboratory medicine (CH)
- Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo (IT)
- Geneva College (US)
- Sapienza University of Rome (IT)
- University of Lausanne (CH)
Publication Details
- Journal
- Gynecologic and Obstetric Investigation
- Published
- 2025-02-13
- DOI
- https://doi.org/10.1159/000543673
- Primary Topic
- Endometriosis Research and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00