Balancing ovarian preservation and recurrence risk: A systematic review and meta-analysis of cystectomy versus ablative methods in endometrioma management.

Eur J Obstet Gynecol Reprod BiolJul 6, 2026 (epub)
Clinical ResearchObstetrics & Gynecology

P Romeo, A Tassone, L Bonanno et al.

✦ AI-curated · Sources linked

In 30 seconds

This systematic review and meta-analysis evaluated cystectomy versus ablative techniques for managing ovarian endometriomas in women. Cystectomy showed a trend toward lower recurrence risk (RR 0.61, p = 0.054), while ablative methods better preserved ovarian reserve, indicated by a smaller decline in antral follicle count (MD -1.96, p < 0.001).

Key findings

  • Cystectomy showed a trend toward lower recurrence compared to ablative techniques (RR 0.61, p = 0.054).
  • Ablative techniques resulted in a significantly smaller decline in antral follicle count (MD -1.96, p < 0.001).
  • No significant differences were found in overall pregnancy rates (RR 1.02).
  • No significant differences were observed in ART/IVF pregnancy rates (RR 0.83).

Why it matters

Understanding the trade-offs between cystectomy and ablative techniques is crucial for clinicians to tailor surgical management of ovarian endometriomas, balancing recurrence risk with ovarian reserve preservation and fertility outcomes.

Source

PubMed · PMID 42424709

Published in Eur J Obstet Gynecol Reprod Biol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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