Ovarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment

C.C. Vaduva, L. Dira, A. Carp-Veliscu, A.M. Goganau, A.M. Ofiteru, M.A. Siminel

Department of Obstetrics and Gynaecology, Craiova University of Medicine and Pharmacy, Filantropia Clinical Hospital, Craiova, Romania. hitmed@gmail.com

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• Gynecology
• Surgery

OBJECTIVE: To preserve ovarian reserve, we treated ovarian endometriomas by ultrasound-guided aspiration followed by sclerotherapy of the cyst mucosa. We compared the results with laparoscopic cystectomy.

PATIENTS AND METHODS: We conducted a retrospective study of 96 women with ovarian endometriomas. In 54 of the women, ultrasound-guided aspiration of the contents was performed, followed by chemical sclerotherapy of the cyst plaque with ethanol. Laparoscopic cystectomy was performed in the remaining 42 women.

RESULTS: Statistical analysis of anti-Mullerian hormone (AMH) levels before and after the procedures showed a significant decrease in the case of cystectomy compared with ethanolic ovarian sclerotherapy (EOS).

CONCLUSIONS: Conservative treatment by echo-assisted puncture and sclerotherapy with ethanol proved to be a viable treatment for the removal of ovarian endometriomas. It is a simple procedure that does not affect ovarian reserve or fertility.

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