About this trial
To study which surgical technique offers better results in treating endometriomas in terms of ovarian reserve preservation.
The 2 conservatives techniques used are:
1. The combined technique 2. CO2 laser vaporization only
Ovarian reserve will be assessed by consecutive measurements of AMH serum levels before and after surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18 - 40 years (both inclusive)
Unilateral endometriotic cysts with a mean diameter of >=2.5cm and ≤8 cm, measured in 3 dimensions.
Presence of a contralateral endometrioma of ≤ 2cm is allowed
Complaining of infertility and/or pain
Disqualifiers
Incomplete surgery for the pelvis
Contra-indication for the use of contraception (combined or Progesteron only)
Use of GnRH analogues preoperatively and in the first 3 months postoperatively
(History of) hysterectomy
Trial design
Crossover
Treatments tested in this trial
Comparison between 2 different laparoscopic techniques in conservative surgical treatment of endometriomas (both arms are existing and accepted surgical strategies).
Procedure/Surgerycf. different arms
Treatment groups
Trial outcomes
Primary outcomes
AMH levels 3 months postoperatively
To assess the effect of conservative laparoscopic treatment of endometrioma(s) on ovarian reserve as reflected by AMH in patients planned for laparoscopic CO2 laser surgery. For the primary outcome evaluation of serum AMH will be done before (baseline) and after (at 3 months follow up) laparoscopic treatment of endometrioma(s).
Sponsors and contacts
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Universitaire Ziekenhuizen KU Leuven
Lead sponsor
GZA Ziekenhuizen Campus Sint-Augustinus
Collaborator
Centre Hospitalier Régional de la Citadelle
Collaborator
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
Collaborator