Aviad Cohen, M.D., Benny Almog, M.D., Togas Tulandi, M.D., M.H.C.M.

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Presentation transcript:

Sclerotherapy in the management of ovarian endometrioma: systematic review and meta-analysis Aviad Cohen, M.D., Benny Almog, M.D., Togas Tulandi, M.D., M.H.C.M. Fertility and Sterility Volume 108, Issue 1, Pages 117-124.e5 (July 2017) DOI: 10.1016/j.fertnstert.2017.05.015 Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Recurrence rate of endometrioma in 12 months. The risk of endometrioma recurrence in the irrigation group was 3.47 (1.85–6.51) times higher compared with the retention group. CI = confidence interval; M-H = Mantel-Haenszel. Fertility and Sterility 2017 108, 117-124.e5DOI: (10.1016/j.fertnstert.2017.05.015) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Comparison of clinical IVF pregnancy rate in cystectomy and ethanol sclerotherapy groups. Clinical pregnancy rates of the cystectomy group and the ethanol sclerotherapy group are similar: odds ratio 1.63, 95% confidence interval [CI] 0.91–2.90. M-H = Mantel-Haenszel. Fertility and Sterility 2017 108, 117-124.e5DOI: (10.1016/j.fertnstert.2017.05.015) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) 2009 flow diagram. Fertility and Sterility 2017 108, 117-124.e5DOI: (10.1016/j.fertnstert.2017.05.015) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 2 Number of oocytes retrieved in cystectomy group versus ethanol sclerotherapy group. Patients in the sclerotherapy group had an average 2.7 (95% confidence interval [CI] 0.98–4.4) more retrieved oocytes than those in the cystectomy group. IV = independent variables. Fertility and Sterility 2017 108, 117-124.e5DOI: (10.1016/j.fertnstert.2017.05.015) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 3 Comparison between the numbers of oocytes retrieved in the ethanol sclerotherapy group versus no treatment. There was no difference. CI = confidence interval; IV = independent variables. Fertility and Sterility 2017 108, 117-124.e5DOI: (10.1016/j.fertnstert.2017.05.015) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions