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.

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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

  • Hosp Clinico Universitario-INCLIVA

    Valencia, Valencia, 46010, Spain

  • University Hospital Poznan

    Poznan, Poznan, 60-355, Poland

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