Isabella Chanavaz-Lacheray signed the article, Horace Roman was part of the panel of experts who ranked the proposals.
Section 3 – Fertility preservation indications for endometriosis in a woman of childbearing age
- 12 Fertility preservation is proposed for bilateral endometriomas> 3cm.
- 13 It is not advisable to offer fertility preservation in the event of a first episode of unilateral endometrioma less than 3 cm in a woman with a normal ovarian reserve for her age.
- 14 In case of 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 It is proposed to discuss fertility preservation in case of recurrent unilateral endometrioma.
- 16 It is proposed to perform fertility preservation in case of endometrioma 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 saved if the ovaries are easily accessible for puncture.
- 18 It is not advisable to offer fertility preservation 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 to puncture.