Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization

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Ovarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransva...

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Detalles Bibliográficos
Autores: Rojas-Ruiz, Juan C, Salazar-Cuba, Xanadu, Guzmán-Pérez, Segundo B
Formato: artículo
Fecha de Publicación:2023
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2483
Enlace del recurso:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483
Nivel de acceso:acceso abierto
Materia:Endometrioma
Sclerotherapy
Ethanol
Infertility
In vitro fertilization
Escleroterapia
Etanol
Infertilidad
Fertilización in vitro
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network_name_str Revista Peruana de Ginecología y Obstetricia
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spelling Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilizationManejo conservador del endometrioma ovárico con escleroterapia usando etanol previo a fecundación in vitroRojas-Ruiz, Juan CSalazar-Cuba, Xanadu Guzmán-Pérez, Segundo B EndometriomaSclerotherapyEthanolInfertilityIn vitro fertilization EndometriomaEscleroterapiaEtanolInfertilidadFertilización in vitroOvarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransvaginal aspiration and subsequent sclerotherapy with ethanol, achieving a65% reduction in size after three months. Subsequently, in vitro fertilization (IVF)was performed, and pregnancy was achieved. The excision of the endometriomais controversial because it reduces the ovarian reserve. Sclerotherapy has beenshown to preserve ovarian reserve, is associated with a low recurrence rate andfacilitates ovarian accessibility. Ethanol sclerotherapy of endometrioma is a safeand effective outpatient technique that allows pregnancy in women with infertility.El endometrioma ovárico es un quiste con tejido endometrial ectópico que se asociaa disminución de la reserva ovárica, siendo su manejo en infertilidad controversial.Presentamos el caso de una mujer de 32 años con reserva ovárica disminuiday endometrioma mayor de 100 mm. Fue sometida a aspiración transvaginalecoguiada y a escleroterapia con etanol, lográndose reducción del tamaño en 65% alos tres meses. Posteriormente se realizó fecundación in vitro (FIV), consiguiéndoseembarazo. La exéresis del endometrioma es controversial, debido a que reduce lareserva ovárica. La escleroterapia demuestra conservarla, se asocia a una tasa bajade recurrencia y facilita la accesibilidad ovárica. La escleroterapia con etanol delendometrioma es una técnica ambulatoria, segura y eficaz que permite el embarazoen mujeres con infertilidad.Sociedad Peruana de Obstetricia y Ginecología2023-04-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/248310.31403/rpgo.v69i2483The Peruvian Journal of Gynecology and Obstetrics ; Vol. 69 No. 1 (2023)Revista Peruana de Ginecología y Obstetricia; Vol. 69 Núm. 1 (2023)2304-51322304-5124reponame:Revista Peruana de Ginecología y Obstetriciainstname:Sociedad Peruana de Obstetricia y Ginecologíainstacron:SPOGspahttps://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483/2716https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483/2717Derechos de autor 2023 Juan C Rojas-Ruiz, Xanadu Salazar-Cuba, Segundo B Guzmán-Pérezhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:ginecologiayobstetricia.pe:article/24832026-01-12T15:21:11Z
dc.title.none.fl_str_mv Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
Manejo conservador del endometrioma ovárico con escleroterapia usando etanol previo a fecundación in vitro
title Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
spellingShingle Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
Rojas-Ruiz, Juan C
Endometrioma
Sclerotherapy
Ethanol
Infertility
In vitro fertilization
Endometrioma
Escleroterapia
Etanol
Infertilidad
Fertilización in vitro
title_short Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
title_full Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
title_fullStr Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
title_full_unstemmed Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
title_sort Conservative management of ovarian endometrioma with sclerotherapy using ethanol prior to in vitro fertilization
dc.creator.none.fl_str_mv Rojas-Ruiz, Juan C
Salazar-Cuba, Xanadu
Guzmán-Pérez, Segundo B
author Rojas-Ruiz, Juan C
author_facet Rojas-Ruiz, Juan C
Salazar-Cuba, Xanadu
Guzmán-Pérez, Segundo B
author_role author
author2 Salazar-Cuba, Xanadu
Guzmán-Pérez, Segundo B
author2_role author
author
dc.subject.none.fl_str_mv Endometrioma
Sclerotherapy
Ethanol
Infertility
In vitro fertilization
Endometrioma
Escleroterapia
Etanol
Infertilidad
Fertilización in vitro
topic Endometrioma
Sclerotherapy
Ethanol
Infertility
In vitro fertilization
Endometrioma
Escleroterapia
Etanol
Infertilidad
Fertilización in vitro
description Ovarian endometrioma is a cyst with ectopic endometrial tissue associatedwith decreased ovarian reserve. Its management in infertility is controversial.We present the case of a 32-year-old woman with decreased ovarian reserveand endometrioma larger than 100 mm. She underwent ultrasound-guidedtransvaginal aspiration and subsequent sclerotherapy with ethanol, achieving a65% reduction in size after three months. Subsequently, in vitro fertilization (IVF)was performed, and pregnancy was achieved. The excision of the endometriomais controversial because it reduces the ovarian reserve. Sclerotherapy has beenshown to preserve ovarian reserve, is associated with a low recurrence rate andfacilitates ovarian accessibility. Ethanol sclerotherapy of endometrioma is a safeand effective outpatient technique that allows pregnancy in women with infertility.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-04
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483
10.31403/rpgo.v69i2483
url https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483
identifier_str_mv 10.31403/rpgo.v69i2483
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483/2716
https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2483/2717
dc.rights.none.fl_str_mv Derechos de autor 2023 Juan C Rojas-Ruiz, Xanadu Salazar-Cuba, Segundo B Guzmán-Pérez
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2023 Juan C Rojas-Ruiz, Xanadu Salazar-Cuba, Segundo B Guzmán-Pérez
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
dc.source.none.fl_str_mv The Peruvian Journal of Gynecology and Obstetrics ; Vol. 69 No. 1 (2023)
Revista Peruana de Ginecología y Obstetricia; Vol. 69 Núm. 1 (2023)
2304-5132
2304-5124
reponame:Revista Peruana de Ginecología y Obstetricia
instname:Sociedad Peruana de Obstetricia y Ginecología
instacron:SPOG
instname_str Sociedad Peruana de Obstetricia y Ginecología
instacron_str SPOG
institution SPOG
reponame_str Revista Peruana de Ginecología y Obstetricia
collection Revista Peruana de Ginecología y Obstetricia
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 13.387653
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