Comparison of Outcomes of Ivf in Infertile Patients with Ovarian Endometriomas after Single-Port Laparoscopic Ethanol Sclerotherapy and Laparoscopic Cyst Removal

Objective: To compare the efficacy of ovarian endometriosis cyst (OEA) single-port laparoscopic ethanol sclerotherapy (SLES) and laparoscopic ovarian cyst dissection (LOCR) and pregnancy outcomes after in vitro fertilization-embryo transplantation. Methods: 50 patients who underwent IVEF-ET after OEA in the reproductive center of our hospital were divided into 2 groups: LOCR (n=25 cases) and SLES (n=25 cases) according to the 2 surgical methods to compare the postoperative clinical changes and adjuvant pregnancy outcomes of the two groups. Results: The age, AMH, and sinus follicle count (AC) between the two groups (P ＞ 0.05). The AMH levels were significantly lower in the postoperative LOCR group than in the SLES group (P ＜ 0.05). The number of MII, 2PN, available embryos, excellent embryos, and clinical pregnancy rate in the SLES group were significantly higher than those in the LOCR group (P ＜ 0.05). Biochemical pregnancy rates and abortion rates were similar in both groups. Conclusion: SLES has the advantage of having less effect on ovarian reserve and improving the pregnancy rate of IVF-ET cycle in patients after OEA.