This protocol applies to ovarian endometriotic cyst presenting with endometriosis-associated pelvic pain or dysmenorrhea. When dysmenorrhea is mistreated, it may progress to endometriosis-associated infertility — making adequate management at each stage critical.
Conservative surgery — preferably laparoscopic ovarian cystectomy — was carried out as the initial approach. The intended goals of reduced recurrence of dysmenorrhea, dyspareunia, and chronic pelvic pain were not adequately achieved. This protocol addresses the next management step.
For women who do not require fertility, a radical surgical approach is considered in this setting. The complete protocol details the specific options and selection criteria.
The most common symptom in younger patients is endometriosis-associated pain including dysmenorrhea, which, if mistreated, may lead to endometriosis-associated infertility.
Radical treatment options for women who do not require fertility include oophorectomy and hysterectomy with oophorectomy.
DOI: 10.1007/s13669-011-0002-3
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