Abstract
Endometriomas in the assisted reproductive technology patient present a challenging
clinical scenario for the infertility specialist. Although surgical management is
often pursued in cases of pain or large cyst diameter, patients without such factors
must be counseled regarding surgical versus expectant management. Decisions to pursue
surgery must be viewed in the context of potentially decreased ovarian reserve and
more difficult stimulation for in vitro fertilization. In this article, three distinct
cases are presented along with a summary of the most current literature available
to guide clinicians in the optimal management of in vitro fertilization patients with
endometriomas.
Keywords
endometriomas - ovarian cystectomy - assisted reproductive technology - ovarian reserve