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Semin Reprod Med 2013; 31(02): 164-172
DOI: 10.1055/s-0032-1333482
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endometriomas and Assisted Reproductive Technology

Rebecca Flyckt
1   Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
,
Enrique Soto
1   Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
,
Tommaso Falcone
1   Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
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Publication History

Publication Date:
27 February 2013 (online)

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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
 

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