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[Management of endometriomas in France: A survey of practices].

Authors :: Honde C
Agostini A
Pivano A
Piechon L
Courbiere B
Netter A
Source :: Gynecologie, obstetrique, fertilite & senologie [Gynecol Obstet Fertil Senol] 2023 Sep; Vol. 51 (9), pp. 408-414. Date of Electronic Publication: 2023 Jun 21.
Publication Year :: 2023
Abstract: Objectives: To present an overview of French practices for the management of endometriomas.<br />Methods: We carried out a nationwide survey of practices concerning the management of endometriomas between October 2021 and January 2022. This study was carried out by means of two questionnaires sent to surgical centers used to treat endometriosis (n=62) and to Assisted Reproductive Technology (ART) centers (n=102).<br />Results: At the end of the survey, 39/62 (62.9%) surgical teams from the centers contacted had given a response and 51/102 (50.0%) from ART centers. Laparoscopic cystectomy was the technique most frequently used by almost two thirds of the surgical teams (61%) when there was no known infertility, whereas it was the most common technique for only 14% of the ART teams. On the contrary, ultrasound-guided sclerotherapy was the most frequent technique for more than half of the ART teams (56%) and for only 8% of the surgical teams. In case of recurrence, 49% of surgical teams would choose ultrasound-guided sclerotherapy. Prior to IVF, 73% of ARP teams stated that they 'rarely' treated endometriomas.<br />Conclusion: The results of our study show a certain variability in practices between different centers and depending on the presence or absence of infertility for the management of endometriomas in France.<br /> (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)