Endometrioma Sclerotherapy and Ovarian Preservation

ConditionEndometrioma
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorChelsea and Westminster NHS Foundation Trust

About this trial

A randomised controlled trial assessing ovarian reserve after laparoscopic ethanol sclerotherapy of ovarian endometrioma compared to standard treatment of surgical excision of endometrioma.

Secondary outcomes will include endometrioma recurrence, symptomatology and inflammatory environment.

Eligibility criteria

Qualifiers

Female (XX genotype, assigned female at birth)

Age 18-40

Finding of suspected uni- or bi-lateral ovarian endometrioma(ta) of ≥ 2cm on TVUSS and/or pelvic MRI scan (TVUSS, a uni- or multi-locular ovarian cystic lesion with low level echoes and diffuse homogeneous ground glass appearance; MRI any of, ovarian lesion hyperintense T1 without loss of signal on T1 fat-suppressed images, hypointense T2 exhibiting shading sign and/or T2 dark spot sign, variable restricted diffusion on DWI)

Appropriate to be listed for laparoscopic excision of endometrioma (Endometrioma ≥2cm, pain symptoms attributable to endometriosis where medical management is unsuccessful or unacceptable to the patient, to facilitate ART)

Disqualifiers

Postmenopausal status

Suspicion of malignancy

Unable to undergo TVUSS

Declines to take part in the study

Trial design

Treatments tested in this trial

  • Sclerotherapy
  • Routine Care

Treatment groups

60 Participants
are divided into 2 treatment groups