Factors associated with recurrent endometriomas after surgical excision

• Published in: Middle East Fertility Society Journal Vol. 28; no. 1; pp. 21 - 5
• Main Authors: Atwa, Khaled A., Ibrahim, Zakia M., Bassuony, Eman M. El, Taha, Omima T.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2023; Springer; Springer Nature B.V; SpringerOpen
• Subjects: Age; Cysts; Divorce; Embryology; Endometrioma; Endometriosis; Gynecology; Infectious Diseases; Infertility; Laparoscopy; Medical research; Medical treatment; Medicine; Medicine & Public Health; Medicine, Experimental; Multivariate analysis; Ovaries; Pain; Parity; Population; Prediction; Recurrence; Reproductive Medicine; rology; Sexual disorders; Stem Cells; Surgery; Ultrasonic imaging; Recurrence; Endometrioma; Prediction
• ISSN: 1110-5690; 2090-3251
• DOI: 10.1186/s43043-023-00146-6

Background Endometriosis affects women in reproductive age and causes a great impact on their lives. When affecting the ovary, excision represents the main management option. However, recurrence represents a challenging situation for patients and physicians. This study aimed to determine factors contributing to endometriomas recurrence after surgical excision. Results This was a quasi-experimental study recruiting 60 patients with ovarian endometrioma. The mean age was 30.33 ± 7.95 years. The mean parity was 1.27 ± 0.69. The recurrence rate after excision was 11/60 (18.3%) after a mean follow-up period of 22.62 ± 4.96 months. None of the patients’ characteristics or endometriosis-related characteristics were significant factors contributing to cyst recurrence (age, parity, history of infertility, preoperative endometrioma diameter, preoperative AFC, preoperative AMH, degree of pelvic pain, degree of dysmenorrhea, degree of dyspareunia, pelvic tenderness, and induration) ( p value > 0.05). Conclusion The patient’s related factors and endometrioma characteristics did not predict its recurrence.