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Re: endometrioma sclerotherapy From: art fougner, md (evsono@pipeline.com) Mon Mar 21 14:41:07 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: endometrioma sclerotherapy" Previous message: Richard Chudacoff, MD: "endometrioma sclerotherapy" In reply to: Richard Chudacoff, MD: "endometrioma sclerotherapy" Next in thread: R. Daniel Braun: "Re: endometrioma sclerotherapy" Reply: R. Daniel Braun: "Re: endometrioma sclerotherapy" No personal experience - here's an abstract that may be useful - Int J Gynaecol Obstet. 1997 Oct;59(1):31-4. Sclerotherapy--an adjuvant therapy to endometriosis. Chang CC, Lee HF, Tsai HD, Lo HY. Department of Obstetrics and Gynecology, China Medical College Hospital, Taiwan. OBJECTIVE: Recurrent endometriomas after medical or surgical treatment is a difficult clinical problem for those patients who wish to perform ovulation induction. Therefore we tried to investigate the efficacy of sclerotherapy as an adjuvant management before ovulation induction to preserve more ovarian tissue for folliculogenesis in ART program. METHODS: Thirty-two patients with persistent or recurrent endometrioma after surgical or medical treatment were included in this study. Transvaginal ultrasound needle guided aspiration of the cyst followed by tetracycline instillation was performed before ovulation induction. RESULTS: There is an encouraging clinical pregnancy rate of 34.37%. Also, there is a disappointing recurrent rate of 46.87% in 12 months follow-up course. CONCLUSION: The increased interest in cost-effective outpatient therapy and the expected difficulty in surgical treatment of recurrent endometriomas made aspiration and sclerotherapy of endometrioma an attractive option before ovulation induction. art At Mon, 21 Mar 2005, Richard Chudacoff, MD wrote: > >A patient asked me about this technique of injecting tetracycline in to >'washed out' endometriomas. Does anyone have experience with this >technique? > >-- >Richard Chudacoff, MD, FACOG > >Women's Specialist of Houston > >6244 Fannin Suite 1800 > >Houston, TX, 77030 > >713-797-1144 > >713-425-3071 > >Women's Wellness Center at > >Chudacoff OB & GYN, PA > >15200 Soutwest Freeway #270 > >Sugar Land, TX 77478 > >tel: 281-277-3900 > >fax: 281-277-3901 > >Email: Richard.Chudacoff@obgyn.net > > rchudacoff@mylinuxisp.com > -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: R. Daniel Braun: "Re: endometrioma sclerotherapy" Previous message: Richard Chudacoff, MD: "endometrioma sclerotherapy" In reply to: Richard Chudacoff, MD: "endometrioma sclerotherapy" Next in thread: R. Daniel Braun: "Re: endometrioma sclerotherapy" Reply: R. Daniel Braun: "Re: endometrioma sclerotherapy"

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