Episdoe 12: Impact of Laparoscopic Sclerotherapy for Ovarian Endometriomas on Ovarian Reserve

This study by Crestani.et al at the jmig ,examines how laparoscopic sclerotherapy using a 95% ethanol solution affects the ovarian reserve in women being treated for deep endometriosis. By analyzing anti-müllerian hormone (AMH) levels before and after the procedure, researchers determined that this technique results in a lower reduction of egg supply compared to traditional surgical cyst removal. The findings indicate that while AMH levels do decrease, the method remains effective at preventing cyst recurrence and supporting future pregnancy success. Patients starting with higher baseline AMH levels experienced the most significant postoperative declines, suggesting a need for specialized medical counseling. Ultimately, the research supports sclerotherapy as a fertility-preserving alternative for managing large endometriomas during complex gynecological surgeries.