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The IFEM Endo team was pleased to contribute to the development of these fertility preservation recommendations.

Isabella Chanavaz-Lacheray signed the article, and Horace Roman was on the panel of experts who ranked the proposals.

Section 3 - Indications for fertility preservation for endometriosis in women of childbearing age

  • 12 Fertility preservation is proposed for bilateral endometriomas > 3 cm.
  • 13 It is not advisable to propose fertility preservation in the case of a first episode of unilateral endometrioma smaller than 3 cm in a woman with normal ovarian reserve for her age.
  • 14 In the case of a first episode of unilateral endometrioma > 3 cm, it is proposed to assess the indication for fertility preservation on a case-by-case basis, depending on age and ovarian reserve.
  • 15 Fertility preservation is suggested in cases of recurrent unilateral endometrioma.
  • 16 Fertility preservation is proposed for endometriomas on a single ovary.
  • 17 When ovarian stimulation for fertility preservation is indicated for endometrioma(s), it is suggested to perform it if possible before cystectomy in order to increase the number of oocytes preserved if the ovaries are easily accessible for puncture.
  • 18 Fertility preservation is not recommended for minimal to mild endometriosis without ovarian involvement.
  • 19 When ovarian stimulation for fertility preservation is indicated for endometrioma(s), it is proposed to perform it after drainage if the endometriomas are too large and/or do not make the ovaries easily accessible for puncture.

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