Episode 16: Ethanol sclerotherapy for endometriomas: a fertility-preserving alternative

This scientific review by J. Younis at Frontiers In reproductive health .explores ethanol sclerotherapy as a minimally invasive substitute for traditional surgery when treating ovarian endometriomas. While standard surgical excision can inadvertently damage healthy tissue and diminish fertility, this procedure uses ultrasound guidance to drain cysts and neutralize them with alcohol to better protect ovarian reserve. The research indicates that patients often experience comparable pregnancy rates and successful pain management with fewer surgical complications. However, the author notes that recurrence rates can vary based on the duration of chemical exposure during the treatment. Ultimately, the text advocates for standardized medical protocols and further controlled trials to fully establish the long-term effectiveness of this fertility-preserving approach.