Endometrioma
1 Replies
troppo - August 17

Hi, it appears I have between 1 and 4 of these wonderful cysts. 1 is definite endometrioma, the other 3 may be follicular cysts.

My question is whether or not you would remove an endometrioma in 40yo with good FSH and good responder?

2 RE's say no but a 3rd opinion says yes. Her main concern is 'infection'. I have no s or s of infection. I am afraid that the sugery will damage my ovary/ies, increase my fsh and bring my ivf career to a halt!

Any thoughts would be appreciated.
Thank you
Troppo

 

Barry Jacobs, M. D. - August 17

Today, the only reasons I operate for endometriosis is for pain or failure to produce the adhesion molecule felt to be important for embryo implantation. I have provided information about this molecule on our web site, <www.texasfertility.com>. If I were to operate on an ovarian endometrioma, I would do it through the laparoscope, and use a LASER to open the endometrioma, and then destroy the lining of the cyst wall.
Good luck.

 

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