症例 challenge · Surgical approach decision / Gynecology / Reproductive medicine · teaching

Ovarian Endometrioma (Chocolate Cyst) · Cystectomy vs Ablation · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ESHRE 2022

Case #1Surgical approach decision / Gynecology / Reproductive medicine

📋 Case data

Symptoms/size + ovarian reserve/bilateral + fertility + exclude malignancySymptomatic or large, reasonable ovarian reserve, unilateral

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Symptoms/size + ovarian reserve/bilateral + fertility + exclude malignancy

Symptoms/size? Ovarian reserve (AMH)/bilateral? Fertility wish? Malignancy excluded?

💡 Preoperatively exclude malignancy by ultrasound (O-RADS); all surgery harms ovarian reserve to some degree, bilateral/repeat surgery is higher risk, counsel on AMH.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.