Is laparoscopic sclerotherapy justified in the management of endometriomas?
Authors:   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Bacalbasa Nicolae ,   Department of Visceral Surgery, Center of Excellence in Translational Medicine, Fundeni Clinical Institute, Bucharest, Romania, Balescu Irina ,   Department of Visceral Surgery, Ponderas Academic Hospital, Bucharest, Romania, Bohiltea Roxana Elena ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, Bucharest, Romania, Petrea Sorin ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Aldoescu Sorin ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Vilcu Mihaela ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Brezean Iulian ,   Department of Surgery, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Pop Lucian ,   Department of Obstetrics and Gynecology, “Alessandrescu-Rusescu“ National Institute of Mother and Child Care, Bucharest, Romania, Ciulcu Alexandru ,   Department of Obstetrics and Gynecology, “Dr.I. Cantacuzino” Clinical Hospital, Bucharest, Romania, Romanescu Dragos ,   Department of Surgery, Sanador Clinical Hospital, Bucharest, Romania, Stoica Claudia ,   Department of Anatomy, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, Ilfov County Emergency Hospital, Bucharest, Romania, Martac Cristina ,   Department of Anesthesiology, Fundeni Clinical Institute, Bucharest, Romania, Ursut Bogdan ,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, ”Agrippa Ionescu” Clinical Emergency Hospital, Bucharest, Romania, Filipescu Alexandru ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, Elias Emergency Hospital, Bucharest, Romania, Tomescu Cezar Laurentiu ,   Department of Obstetrics and Gynecology, “Ovidius” University of Medicine and Pharmacy, Constanta, Romania,   Department of Obstetrics and Gynecology, “Sf. Andrei” Clinical Emergency Hospital, Constanta, Romania, Ad Aloul Adnan ,   Department of Surgery, Ramnicu Sarat County Hospital, Buzau, Romania,   Department of Surgery, “Titu Maiorescu“ University, Bucharest, Romania
Published: June 2022

Endometriomas represent a common finding among women at fertile age and usually associated with pelvic pain, infertility, heavy menstrual periods and dyspareunia. For a long period of time surgical resection has been considered the golden standard in such cases. However, although resection aims to take off only the cyst, in certain cases a decrease of the ovarian reserve and secondarily, to a decrease of the fertility is observed. Due to this reason, attention was focused on creating other methods for cyst destroying without impeding the ovarian reserve. The aim of the current paper is to discuss about the effectiveness and safety of sclerotherapy as part of the therapeutic strategy for endometriomas.