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Ovarian endometriosis surgery – what’s really best for fertility and pain? 🎗️ This in-depth review explains why a tailor-made approach matters. Surgery to remove cysts (so-called “chocolate cysts”) helps relieve pain and may even boost chances of natural pregnancy, but it doesn’t increase IVF success—and could impact the ovaries’ egg supply 🥚. That’s why doctors need to carefully evaluate ovarian reserve before surgery and discuss fertility preservation with every patient. Newer treatments, like laser vaporization or sclerotherapy, offer hope for protecting the ovary—but the jury’s still out. What’s most striking is the need for shared decision making; not every woman needs (or benefits from) surgery, and personal preferences must guide each step. Is it time to rethink our approach and prioritize long-term fertility? 💬🤔

#Endometriosis #OvarianHealth #Fertility #WomensHealth #PainManagement #Surgery #FertilityPreservation
Grammatis AL, Lazaridis A, Becker CM, Saridogan E. Surgical techniques for ovarian endometriosis. The Obstetrician & Gynaecologist. 2024;26:197–208. https://doi.org/10.1111/tog.12947
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