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Endometrioma surgery preserving ovarian reserve and considering egg freezing before treatment?

1 month ago

I have a 6 cm endometrioma on one ovary and the surgeon wants to remove it. I’m terrified of losing ovarian reserve and my chance at a child. How do surgeons balance removing the cyst with preserving fertility, and should I consider egg-freezing first?

Asked By Anaya Dalal | Female

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1 month ago

Answers (1)

Dr. Samhitha Alukur

MBBS, DGO, DNB, FRM, DMAS, FMAS | 11 Years Experience Overall

Answered 12/10/2025

Endometrioma surgery is delicate because while removing the cyst helps with pain and fertility, there is also a risk of reducing ovarian reserve. Experienced surgeons aim to remove the cyst wall carefully while preserving as much healthy ovary as possible. If fertility is a strong concern and your ovarian reserve is already low, discussing egg freezing before surgery is a wise option. This way you have a backup for the future.

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