Advantages of Using Minimal Ethanol Volume with Retention in Transvaginal Ethanol Sclerotherapy for Endometriomas - Takeaways - MDSpire

Advantages of Using Minimal Ethanol Volume with Retention in Transvaginal Ethanol Sclerotherapy for Endometriomas

  • By

  • Hwa Sook Moon

  • Bo Sun Joo

  • Jaseong Koo

  • Kyung Il Nam

  • Joshua Bonwoo Koo

  • Sang Gap Kim

  • April 29, 2026

  • 0 min

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  • 1

    Transvaginal ethanol sclerotherapy effectively reduces recurrence rates of endometriomas while preserving ovarian reserve compared to traditional cystectomy.

  • 2

    Using minimal ethanol volume and retaining it without removal enhances the effectiveness of sclerotherapy for treating ovarian endometriomas.

  • 3

    The study involved 421 cases of transvaginal sclerotherapy, focusing on patients with endometriomas larger than 2.5 cm and assessing AMH levels post-treatment.

  • 4

    Transvaginal sclerotherapy is advantageous for oocyte preservation and has lower recurrence rates compared to laparoscopic approaches.

  • 5

    Regular follow-up is essential after sclerotherapy due to a small risk of malignancy, occurring in 0.8–1% of cases.

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