The Therapy of Large Endometrioma

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-40
SponsorUniversity Hospital, Lille

About this trial

Endometrioma's prevalence is between 23 and 55%. It causes pelvic pain, decrease fertility and ovarian reserve.

Currently, there's no recommendation about large endometrioma's treatment and there's no information on the best treatment to limit recurrences, preserve fertility and ovarian reserve.

In Lille university hospital, simple laparoscopic drainage associated with hormonal therapy is practiced to reduce the risk of cystectomy.

This protocol will be evaluated with an observational and prospective study, including women of childbearing age having endometrioma measuring 6 cm or above.

The aim of this study is to assess if cyst drainage associated with GnRH agonist, could decrease endometrioma recurrences, deleterious effect on ovarian reserve and evaluate impact on anti-mullerian hormone

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Endometrioma size ≥ 6cm determined by MRI or ultrasonography

Women with isolated endometrioma or other extraovarian endometriosis: peritoneal, infiltrating endometriotic lesions and adenomyosis.

Cyst single or bilateral

Disqualifiers

Cyst with radiographic or macroscopic in laparoscopy atypia

Pregnancy

Patient with contraindication to GnRH agonist (Enantone® 3,75 mg et Decapeptyl® 3 mg)

Patient with contraindication to laparoscopy

Trial population

Women presenting at a surgical consultation for the management of an endometrioma of 6cm or more

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Rate of Recurrence of cyst ≥ 3 cm determined by MRI or pelvic ultrasonography (US)

Time frame
at 3 months

Secondary outcomes

1

The impact of the ovarian reserve postoperative

Compare the dosages of anti-mullerian hormone (AMH) preoperative and postoperative at 3 months

Time frame
at 3 months
2

The number of re-operation

Time frame
at 4 months

Other outcomes

Sponsors and contacts

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