Can we talk about Endometriomas for a sec?

Manada

We are waiting in the clinic for confirmation that our IVF cycle is getting cancelled and for a preliminary WTF appt with our RE.

It's clear the antagonist protocol we were doing wasn't the one, so that is def going to change next attempt - but we also have noticed that the side with the endometriomas (1 - 27mm and 1 - 17mm) wasn't responding as well as the left at all.

The research seems conflicted. Some REs insist on removing all the cysts and endometriomas before proceeding. Some research shows they don't affect success rates significantly. Others
Advocate aspirating them or doing another lap....

What do you guys know? What is your experience.

Anyone had one aspirated? Did it make a difference?

kz's_girlygirl

I had a lap in 2012 to remove an endometrioma.  At the time we were on an IUI cycle, and they cancelled my cycle and scheduled me for a lap before we could move forward.  My RE likes to remove them and have things as cleaned out as possible.  Did your partner have a lap in June though?  I wouldn't want to go for another lap so soon, but if aspirating is an option I would ask your RE more about that.  Getting that ovary cleared off might help it's function.  GL!!

beachy6

Any research I've read says to remove endometriomas, but as for removing the endo lesions, it doesn't make a difference with IVF. So, I'd think that removing them would be helpful.

shelbeans82

I have an endometrioma, my RE said there is new evidence that suggests they should be left alone.  There is no plan to aspirate or remove it.  It did not impact the # of eggs on that ovary during my IUI's or IVF cycle.  It is fairly large too, I think around 5cm. 

Good luck!

dreamingofdimples

I've always heard they can be left and it shouldn't make a difference with IVF.

Nurisa31

Manada said:

We are waiting in the clinic for confirmation that our IVF cycle is getting cancelled and for a preliminary WTF appt with our RE.

It's clear the antagonist protocol we were doing wasn't the one, so that is def going to change next attempt - but we also have noticed that the side with the endometriomas (1 - 27mm and 1 - 17mm) wasn't responding as well as the left at all.

The research seems conflicted. Some REs insist on removing all the cysts and endometriomas before proceeding. Some research shows they don't affect success rates significantly. Others
Advocate aspirating them or doing another lap....

What do you guys know? What is your experience.

Anyone had one aspirated? Did it make a difference?

I am starting IVF first cycle and I have two endometriomas and my doctor is going to remove them before we start with the procedure she said she doesn't want anything getting in the way of a possible healthy pregnancy.

badrianne

I don't have experience but thought this video was interesting. Especially about the lowered ovarian reserve after removal.  Let us know what you decide. https://www.youtube.com/watch?v=V8b6KCxLvTA

Manada

Wow - looks like experiences are also pretty mixed!

We have our fingers crossed that the additional estrogen from the cycle won't make them grow larger (our RE doesn't seem to mind the 3cm one now) --- but they're not ideal for sure.  

Mmm.  I guess we'll just have to wait and see.