A 32-year-old woman presents to the GP with secondary dysmenorrhoea and a pelvic ultrasound showing a 5 cm left ovarian endometrioma. She has been cou...

Question

A 32-year-old woman presents to the GP with secondary dysmenorrhoea and a pelvic ultrasound showing a 5 cm left ovarian endometrioma. She has been counselled about surgical options and asks about the risk to her fertility from cystectomy. Which is the single most important risk to discuss?

Accepted Answer

Risk of reduced ovarian reserve due to loss of normal ovarian tissue during excision of the endometrioma

Answer

Risk of ovarian torsion during surgery

Answer

Risk of inadvertent damage to the bowel

Answer

Risk of recurrence is zero after cystectomy

Answer

Risk of converting to open surgery

uk-drcog MCQ (SBA): Endometrioma Cystectomy - Ovarian Reserve Risk

A 32-year-old woman presents to the GP with secondary dysmenorrhoea and a pelvic ultrasound showing a 5 cm left ovarian endometrioma. She has been counselled about surgical options and asks about the risk to her fertility from cystectomy. Which is the single most important risk to discuss?