Large ovarian endometriomas.

  title={Large ovarian endometriomas.},
  author={Jacques Donnez and Michelle Nisolle and Nicolas Gillet and Mireille Smets and Sarita Bassil and Françoise Casanas-Roux},
  journal={Human reproduction},
  volume={11 3},
The management of large endometriomas was described in a series of 814 patients. Combined therapy using gonadotrophin-releasing hormone agonist (GnRHa) and carbon dioxide laser laparoscopy was proposed. Drainage and GnRHa for 12 weeks provoked a reduction of the endometrioma size up to 50% of the initial value. After vaporization of the internal wall, a cumulative pregnancy of 51% after 1 year was achieved. A recurrence rate of 8% was observed for a follow-up of 2-11 years. Histological data… CONTINUE READING

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