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Review

Effect of endometrioma and its surgical excision on fertility (Review)

  • Authors:
    • Danni Jiang
    • Xiaocui Nie
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    Affiliations: Graduate School, Dalian Medical University, Dalian, Liaoning 116044, P.R. China, Department of Gynecology, Shenyang Women's and Children's Hospital, Shenyang, Liaoning 110011, P.R. China
  • Article Number: 114
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    Published online on: September 18, 2020
       https://doi.org/10.3892/etm.2020.9242
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Abstract

Endometrioma is the cystic lesion of ovaries originating from endometrial glands and stroma; it is identified in 17‑44% of patients with endometriosis. Numerous existing studies have reported the association between endometrioma and infertility. However, an absolute cause‑effect association requires further confirmation. Available evidence has suggested that ovarian reserve may be impaired by spatial occupation influences, local reaction or both, affecting the reproductive health of females. Given the increased focus on the pathophysiological mechanisms of endometrioma, surgical excision has commonly been considered to avoid further ovarian damage. However, the potential adverse effect of this surgery on the ovarian reserve has recently become a focal point. Whether or not surgical excision can facilitate subsequent conception in young females planning to be pregnant is controversial. As shown in the present review on the effects of endometrioma and its removal in females requiring assisted reproductive technology, prior surgery for endometrioma may not improve assisted fertility results and may further decrease the number of oocytes retrieved in the affected females. Subsequent studies are needed to ascertain the optimal management of infertility in the setting of endometriomas.
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Copy and paste a formatted citation
Spandidos Publications style
Jiang D and Nie X: Effect of endometrioma and its surgical excision on fertility (Review). Exp Ther Med 20: 114, 2020.
APA
Jiang, D., & Nie, X. (2020). Effect of endometrioma and its surgical excision on fertility (Review). Experimental and Therapeutic Medicine, 20, 114. https://doi.org/10.3892/etm.2020.9242
MLA
Jiang, D., Nie, X."Effect of endometrioma and its surgical excision on fertility (Review)". Experimental and Therapeutic Medicine 20.5 (2020): 114.
Chicago
Jiang, D., Nie, X."Effect of endometrioma and its surgical excision on fertility (Review)". Experimental and Therapeutic Medicine 20, no. 5 (2020): 114. https://doi.org/10.3892/etm.2020.9242
Copy and paste a formatted citation
x
Spandidos Publications style
Jiang D and Nie X: Effect of endometrioma and its surgical excision on fertility (Review). Exp Ther Med 20: 114, 2020.
APA
Jiang, D., & Nie, X. (2020). Effect of endometrioma and its surgical excision on fertility (Review). Experimental and Therapeutic Medicine, 20, 114. https://doi.org/10.3892/etm.2020.9242
MLA
Jiang, D., Nie, X."Effect of endometrioma and its surgical excision on fertility (Review)". Experimental and Therapeutic Medicine 20.5 (2020): 114.
Chicago
Jiang, D., Nie, X."Effect of endometrioma and its surgical excision on fertility (Review)". Experimental and Therapeutic Medicine 20, no. 5 (2020): 114. https://doi.org/10.3892/etm.2020.9242
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