Comparing Two Laparoscopic Techniques for Conservative Surgery of Endometriomas Using CO2 Laser to Preserve Ovarian Reserve

What this Trial Is About

Researchers are evaluating two surgical techniques for treating endometriomas to determine which better preserves ovarian reserve. The study focuses on women with endometriotic cysts who experience infertility or pain. The trial compares the combined technique and CO2 laser vaporization only, assessing ovarian reserve through Anti-Mllerian Hormone AMH serum levels before and after surgery. Two surgical methods are studied the combined technique involves stripping about 80% of the cyst wall followed by ablation of the remaining 20%, while the CO2 laser vaporization method uses CO2 laser to ablate the entire inner cyst wall after draining and inspecting the cyst. The laser settings are carefully controlled to preserve healthy tissue beneath the cyst surface. Participants will have their AMH levels measured three months after surgery to assess ovarian reserve. The study includes women aged 18 to 40 with specific cyst sizes and requires contraception use before surgery. Researchers monitor outcomes through hormone measurements and clinical follow-up to evaluate the effect of each surgical approach on ovarian function.

Conservative Endometrioma Surgery