Comparison of Pregnancy Rates After Cystectomy, Plasma Vaporization, or Sclerotherapy in Women With Endometriomas

What this Trial Is About

This trial investigates different surgical methods for treating endometriomas, which are ovarian cysts larger than 2 cm, in adult women aged 18 to 43 who have symptoms like pelvic pain or fertility issues. The study aims to compare pregnancy rates within 24 months after surgery, along with birth rates, types of pregnancies, recurrence of cysts, complications, and changes in pain levels. Researchers seek to find which surgical approach yields better pregnancy outcomes and fewer problems. Participants are randomly assigned to one of three surgical treatments: cystectomy, where the cyst wall is gently removed from the ovary; plasma vaporization, which destroys the cyst wall using plasma energy; or ethanol sclerotherapy, which uses alcohol to destroy the cyst lining. After surgery, women will have follow-up visits at 3 months and 24 months to monitor their recovery and pregnancy progress. During the study, participants will be evaluated through medical imaging, symptom questionnaires, and monitoring of pregnancy outcomes including natural and assisted pregnancies. Researchers will track recurrence of cysts over 24 months and assess pain using a standardized scale. Safety and complications will be recorded during the first 3 months post-surgery. The total participation spans from surgery through two years of follow-up evaluations.

Ablative Technique For Ovarian Preservation In Endometrioma