Effect of Surgery for Endometrioma on Ovarian Function

Divya K. Shah, Rachel B. Mejia, Dan I. Lebovic

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations


Endometriosis affects a significant proportion of reproductive-aged women. The impact of the disease on ovarian function is an important consideration when planning treatment in women who want to retain the potential of future childbearing. This review will specifically address the association between endometriomas and diminished ovarian reserve, with a particular focus on the impact of surgical endometrioma resection on ovarian function. The existing literature supports an adverse effect of ovarian endometriomas on spontaneous ovulation rates, markers of ovarian reserve, and response to ovarian stimulation, although data on clinical pregnancy and live birth rates remain inconsistent. Surgical removal of endometriomas may worsen ovarian function by removing healthy ovarian cortex or compromising blood flow to the ovary. It is evident that surgical excision of endometriomas acutely impairs ovarian function as measured by ovarian reserve markers; whether this represents progressive or long term impairment remains the subject of ongoing investigation.

Original languageEnglish
Pages (from-to)203-209
Number of pages7
JournalJournal of Minimally Invasive Gynecology
Issue number2
StatePublished - Mar 2014


Dive into the research topics of 'Effect of Surgery for Endometrioma on Ovarian Function'. Together they form a unique fingerprint.

Cite this