A 29-year-old woman presents to the GP with a 3 cm 'chocolate cyst' (endometrioma) identified on ultrasound. She has been trying to conceive for 6 mon...

Question

A 29-year-old woman presents to the GP with a 3 cm 'chocolate cyst' (endometrioma) identified on ultrasound. She has been trying to conceive for 6 months. She has no other symptoms. Which is the single most appropriate management?

Accepted Answer

Refer to a fertility specialist for assessment as a couple

Answer

Refer for laparoscopic excision of the endometrioma immediately

Answer

Prescribe the combined oral contraceptive pill and review in 6 months

Answer

Prescribe a GnRH agonist to shrink the cyst

Answer

Reassure and continue trying for 12 months before investigation

uk-drcog MCQ (SBA): Endometrioma and Fertility

A 29-year-old woman presents to the GP with a 3 cm 'chocolate cyst' (endometrioma) identified on ultrasound. She has been trying to conceive for 6 months. She has no other symptoms. Which is the single most appropriate management?