.webp&w=384&q=75){kind=logo}
Loading, please wait...
Loading, please wait...
Surgical removal of ovarian endometriomas can improve pain in selected patients but may reduce ovarian reserve, particularly after bilateral or repeated procedures. Prospective studies using anti-Müllerian hormone demonstrate a decline in ovarian reserve after endometrioma surgery, with incomplete recovery in some women. For fertility-focused practice, the implication is that surgery should not be considered automatically before IVF or other fertility treatment. Age, symptoms, endometrioma size, prior surgery, ovarian reserve, accessibility of follicles and suspicion for malignancy all influence the decision. When surgery is necessary, experienced minimally invasive techniques and tissue-sparing approaches are important. Fertility preservation should be discussed in younger women at substantial risk of future ovarian compromise.
Read summarized clinical updates, watch expert medical content, and earn CME certifications right from your smartphone.
Open your smartphone camera to scan and install.
Surgical removal of ovarian endometriomas can improve pain in selected patients but may reduce ovarian reserve, particularly after bilateral or repeated procedures. Prospective studies using anti-Müllerian hormone demonstrate a decline in ovarian reserve after endometrioma surgery, with incomplete recovery in some women. For fertility-focused practice, the implication is that surgery should not be considered automatically before IVF or other fertility treatment. Age, symptoms, endometrioma size, prior surgery, ovarian reserve, accessibility of follicles and suspicion for malignancy all influence the decision. When surgery is necessary, experienced minimally invasive techniques and tissue-sparing approaches are important. Fertility preservation should be discussed in younger women at substantial risk of future ovarian compromise.
last month
A study demonstrates an explainable machine learning framework integrating clinical and echocardiographic metrics to predict left atrial appendage thrombus in non-valvular atrial fibrillation, utilizing SHAP analysis for clinical interpretability.
4 days back
A systematic review and transcriptomic cross-study consensus analysis illuminates the role of necroptosis in cervical cancer. By promoting anti-tumor immunogenicity and resolving apoptosis resistance, necroptotic pathways offer actionable prognostic signatures and promising avenues for combination immunotherapy.
2 days back
Abdominal aortic aneurysm rupture remains a catastrophic vascular emergency. Groundbreaking research reveals that USP53 accelerates aneurysm progression by reprogramming smooth muscle cell metabolism toward aerobic glycolysis, highlighting a promising target beyond conventional diameter-based surveillance.
Last week
A breakthrough study leverages natural language processing to accurately identify incident medication-related osteonecrosis of the jaw and track antiresorptive drug holidays from clinical narratives in electronic health records, advancing osteoporosis pharmacovigilance and dental safety.
Last week
Recent research defines ferro-aging as a conserved iron-lipid axis driving organ decline across primates. Age-related iron dyshomeostasis stimulates ACSL4-mediated lipid peroxidation, promoting cellular senescence. Notably, vitamin C directly inhibits ACSL4, suppressing phospholipid oxidation and multi-organ decay.
Last week
