The overall objective: Review of treatmentof endomethrioma and rate of recurrence after procedure
Specific goals: Rate of treatment by results of sonography after 1,3,6 and 12 months- Rate of having pain after 1,3,6 and 12 months- Rate of treatment based on lab data (CA125,FSH,AMH,E2,AFC) after 1,3,6 and 12 months-Rate of treatment based on recurrence after1,3,6 and 12months
Practical purpose: the effectiveness of sclerotherapy with 95% ethanol in the treatment and prevention of recurrent ovarian endometrioma recurrence of this method can be recommended as a therapy
Exclusion criteria:
Complete etic form؛
Previous cystectomy but recurrence؛
FSH<10؛
AMH>1؛
Inclusion criteria:
FSH>10؛
AMH<1؛
age>38؛
lack of etic form؛
Patients pregnant؛
Patients virgin
A 22 patients with recurrence ovarian endomethrioma will be selected and will have been sclreotherapy by transvaginal sonography,and the cyst will be vacated and after washing by normal saline,injecting alchohol 95% to the cyst,then vacating alchohol and will be remined only 5cc.then antibiothic therapywill be done.patients will be followed 1 month, 3 months, 6 months and 12 months after procedure.also lab data will be followed.(CA125,AFC, FSH,AMH,E2)
in selected patients,will done procedure(sclerotherapy) and then will follow by trans vaginal sonography and lab data every 3months. we will have no control group
The primary outcome variable increases the chances of pregnancy and time in the first month, third month, sixth month of the twelfth month of the measurement., And an ultrasound examination before the measure is