Juniper Publishers Journal of Reproductive Medicine

JUNIPER PUBLISHERS-Global Journal of Reproductive Medicine The Effect of Hemostatic Method on Ovarian Reserve following Endometrioma Excision Authored by  Vasilios Tanos * Endometrioma surgery and hemostasis negative affect ovarian reserve. The size of the endometrioma and the surgical technique are the most determining factors preserving ovarian function. Stripping the endometrioma pseudocapsule is detrimental for healthy ovarian tissue, reduces the risk of recurrence, however, not appropriate for infertility patients undergoing ART. Fenestration and laser vaporization of an endometrioma seems to minimally destruct the healthy ovarian tissue, offering the best surgical treatment option to infertility patients. Endometrioma develops from the ovarian epithelium, hence affects in general ovarian function but especially folliculogenesis. Decreased antral follicle count (AFC) and reduction in the number of oocytes retrieved during IVF have been repeatedly reported. Ova...