CLINICAL SIGNIFICANCE OF OUTPATIENT MONITORING AND CONSERVATIVE MANAGEMENT IN ENDOMETRIOID OVARIAN CYSTS
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Keywords

To evaluate the effectiveness of conservative outpatient management and repeated clinical monitoring in women with endometrioid ovarian cysts, assessing symptom improvement, prevention of cyst growth, and impact on reproductive health.

Abstract

Endometriosis is a chronic, benign, estrogen-dependent gynecological disorder characterized by the implantation, growth, and development of endometrial tissue outside the uterus. This condition is associated with pelvic pain syndrome, menstrual cycle disturbances, infertility, and, ultimately, a decrease in patients’ quality of life.

The high prevalence and severe consequences of the disease, the challenges in diagnosing its early stages, and the absence of standardized treatment protocols make this pathology a significant problem requiring thorough investigation in both medical science and clinical practice.

According to studies conducted by the World Endometriosis Research Foundation (WERF), more than 176 million women worldwide aged 15–49 years (approximately 10% of women of reproductive age) are diagnosed with endometriosis. The number of such patients is increasing annually; therefore, endometriosis is considered one of the modern epidemics.

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References

Makarenko T.A., Galkina D.E., Borisova E.A. Conservative treatment strategies for endometrioid ovarian cysts: A review. Gynecology. 2023;25(1):4–10. DOI:10.26442/20795696.2023.1.201803.

Medical Management of Ovarian Endometriomas: A Systematic Review and Meta‑analysis. PubMed. 2022.

Risks of conservative management in women with ovarian endometriomas undergoing IVF. Hum Reprod Update. 2015;21(4):486–504.

Collinet P., Fritel X., Revel-Delhom R., et al. Management of endometriosis: CNGOF/HAS clinical practice guidelines — Short version. J Gynecol Obstet Hum Reprod. 2018;47:265–274.

Ünlü C., Yıldırım G. Ovarian cystectomy in endometriomas: Combined approach. J Turk Ger Gynecol Assoc. 2014;15(3):177–189.

Chernukha G.E., Pronina V.A., Solopova A.E. Modern possibilities for optimizing the diagnosis and therapy of ovarian endometriomas. Obstetrics and Gynecology. 2023;(11):28–35.

Gusev D.V., Prilutskaya V.Yu., Chernukha G.E. Recurrent endometrioid ovarian cysts and possible ways to reduce recurrence. Gynecology. 2020;22(3):34–38.

Orazov M.R., Abitova M.Z., et al. Ovarian endometriosis: Modern possibilities of predicting recurrences. Reproductive Medicine (Central Asia).