Endometriosis
Conditions
Keywords
Ovarian endometriomas, Laparoscopy, Cystectomy, Ablation
Brief summary
The aim of this study is to assess which of two commonly used surgical procedures in the treatment of ovarian cysts called endometriomas (cutting out of the cyst - cystectomy, or draining it and cauterising it's inner lining - ablation) causes the least damage to the ovary and is therefore best at maintaining the future fertility potential of a patient.
Interventions
Patients undergoing surgery for ovarian endometrioma
Sponsors
Study design
Eligibility
Inclusion criteria
* Women undergoing laparoscopic surgery for treatment of unilateral endometriomas measuring ≥ 3cm and ≤ 8cm in diameter
Exclusion criteria
* Patients who have received oestrogen suppressing drugs (e.g. oral contraceptive pills, GnRHa) during the previous six months * Patients who have previously undergone surgical treatment of endometriomas * Patients with bilateral endometriomas * Patients with endometriomas of less than 3cm in size or more than 8cm in size * Pre-surgical evidence of reduced ovarian reserve * Pregnant patients * Patients unable to give informed consent e.g. patients with mental incapacity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anti-Mullerian Hormone (AMH) | 6 months post-operatively | Change in anti-mullerian hormone level after surgery (at one week, three months and six months) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Follicle Stimulating Hormone (FSH) | 6 months | Change in follicle stimulating hormone levels after surgery (at one week, three months and six months) |
| Antral Follicle Count (AFC) | 3 months | Change in AFC after surgery (at three months) |
Countries
United Kingdom