Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
Ovarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransva...
| Autores: | , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Perú |
| Institución: | Sociedad Peruana de Obstetricia y Ginecología |
| Repositorio: | Revista Peruana de Ginecología y Obstetricia |
| Idioma: | español |
| OAI Identifier: | oai:ginecologiayobstetricia.pe:article/2483 |
| Acceso en línea: | https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483 |
| Access Level: | acceso abierto |
| Palabra clave: | Endometrioma Sclerotherapy Ethanol Infertility In vitro fertilization Escleroterapia Etanol Infertilidad Fertilización in vitro |
| Sumario: | Ovarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransvaginal aspiration and subsequent sclerotherapy with ethanol, achieving a65% reduction in size after three months. Subsequently, in vitro fertilization (IVF)was performed, and pregnancy was achieved. The excision of the endometriomais controversial because it reduces the ovarian reserve. Sclerotherapy has beenshown to preserve ovarian reserve, is associated with a low recurrence rate andfacilitates ovarian accessibility. Ethanol sclerotherapy of endometrioma is a safeand effective outpatient technique that allows pregnancy in women with infertility. |
|---|