Which endometrioma treatment best protects fertility?
NCT ID NCT05637073
First seen Jul 08, 2026 · Last updated Jul 09, 2026 · Updated 1 time
Summary
This study compares three common approaches for managing endometriomas (ovarian cysts caused by endometriosis): surgical removal, daily hormone therapy with dienogest, or regular ultrasound monitoring. Researchers will measure how each option affects ovarian reserve—a key marker of fertility—by tracking levels of anti-Mullerian hormone over one year. The study includes premenopausal women aged 18–39 with small to moderate-sized cysts.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dienogest
- What this could lead to
- If successful, this study could help women with endometrioma choose a treatment that better preserves their fertility potential.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be influenced by patient choice. The sample size is small and follow-up is only one year.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Started
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Mar 2023
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Caucasian premenopausal women between 18-39 years with the diagnosis of endometrioma, one or more, with a diameter of up to 7 cm by endovaginal ultrasound. Body mass index comprised between 17-30 Kg/m2.
- Ages
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18 to 39 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Caucasian premenopausal women between 18-39 years with the diagnosis of endometrioma, one or more, with a diameter of up to 7 cm by endovaginal ultrasound. Body mass index comprised between 17-30 Kg/m2 Exclusion Criteria: * Previous ovarian surgery; * Previous pathologies involving the ovary, including other ovarian tumors, polycystic ovaries, or pelvic inflammatory disease; * Previous diagnosis of cancer treated with chemotherapy or local radiotherapy; * Diseases affecting the endocrine system, diabetes, thyroid, hyperprolactinemia, or the immune system (lupus, Crohn,…); * Genesic wish; * Endometrioma \>7 cm; * Unhealthy habits, including smoking, alcohol consumption above social level, or illicit drugs; * Insufficient level of autonomy for unrestrictedly signing informed consent; * Current or previous use of hormonal contraceptives, Gonadotropin-Releasing Hormone (GnRH) analogues, any drug with a known effect on endometriosis, or any drug under investigation, for what a washing up period of 6 months will be required in all cases.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hosp Clinico Universitario-INCLIVA
Valencia, Valencia, 46010, Spain
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University Hospital Poznan
Poznan, Poznan, 60-355, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Which surgery helps women with endometriomas get pregnant faster?
- New U.S. study explores cyst-draining technique to protect fertility
- Scientists probe uterine fluid absorption to unlock fertility secrets
- Robots vs. surgeons: which is better for hysterectomy?