Ethanol Sclerotherapy OR Laparoscopic Excision for Treating Ovarian Endometrioma?

A recent study that contrasted sclerotherapy and laparoscopic ovarian cystectomy regarding the recurrence rates of ovarian endometrioma, dysmenorrhea, dyspareunia, and related complications in individuals aged 25 to 38 found-

• Both sclerotherapy and laparoscopic techniques are effective in reducing endometrioma-related dysmenorrhea and dyspareunia over a 12-month period. 
• No marked difference in the occurrence of complications and recurrence rate between these two therapies, with both being equally beneficial. 
• A higher rate of AMH declines after laparoscopy than after sclerotherapy; however, no significant change in serum level of AMH exists after six months of laparoscopy.

Hence, it is reasonable to conclude that sclerotherapy can be a better alternative to laparoscopic endometrioma cyst removal with added benefits like reduced cost, shorter hospital stay, and faster return to activities.

Mohtashami S, Jabarpour M, Aleyasin A, et al. Efficacy of Ethanol Sclerotherapy Versus Laparoscopic Excision in the Treatment of Ovarian Endometrioma. JOGI. 2024;74(1)