Ovarian Endometrioma Ablation Using Plasma Energy vs. Cystectomy: A Step toward a Better Preservation of the Ovarian Parenchyma in Women Wishing To Become Pregnant

Compared to cystectomy, endometrioma ablation using plasma energy limits the loss of ovarian parenchyma and follicles. Our retrospective data is encouraging and incites us to move on to prospective trials comparing cystectomy to plasma energy ablation with a focus on the best preservation of the ovarian parenchyma and pregnancy rate. In our opinion, these trials should not exclude women with previous ovarian surgery or bilateral endometriomas, because these are the patients who most specifically require surgical procedures that can better spare the ovarian parenchyma than cystectomy currently does. DISCUSSION: