Effectiveness of Combined Surgical and Hormonal Therapy in Treatment of Endometriomas

ekaterine chikhashvili, Jenara Kristesashvili, Manana Urjumelashvili

Abstract


Introduction: Endometrioma is a specific form of endometriosis that develops in the ovaries and is characterized by the presence of the tissue similar to endometrium that forms cysts within the ovary.High rate of recurrence after surgical intervention presents a significant challenge in the management of this disease.

Aim of the study: Aim of the study was to review the literature to identify optimal methods of managing endometrial cysts in terms of preventing recurrences, achieving high rates of pregnancy and reducing pain intensity.

Material and methods: For  this  purpose  following  electronic  databases  were  searched:  Pubmed,  Medline,  Cochrane Library,  Web of Science,  EMBASE,   Europe  PMC,  Science  Direct,  NCBI,  Semantic  Scholar,  Natonal  Library  of  Medicine,  Springer.

Results:  129  articles  were  reviewed,  70  of  them  attracted  our  attention  with  their  statistical  significance  and  were  analyzed  and  discussed  in  our  article.

Conclusion: Heterogenous data obtained after the litarature data review do not allow to define the optimal method of treating endometrioma, which means that it is reasonable to continue research in this direction to improve the effectiveness of management of endometriomas.


Keywords


Endometrioma, recurrences, Dienogest, COC, Dydrogesterone, management of endometrioma

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References


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