Evidence map›Paper›PMID 40217598›Full record

ReviewJournal of clinical medicine2025

Mechanisms of Endometrioma-Mediated Ovarian Damage: Myths and Facts.

Pınar Özcan, Bulut Varlı, Ertan Sarıdoğan, Engin Oral, Muhammed Mabrouk, Taner Usta, Alin Stefan Constantin

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pınar ÖzcanDepartment of Obstetrics and Gynecology, Uskudar University School of Medicine, 34768 Istanbul, Türkiye.ORCID 0000-0002-0306-6422
Bulut VarlıDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, 06620 Ankara, Türkiye.ORCID 0000-0002-0941-2314
Ertan SarıdoğanWomen's Health Division, University College London Hospital, London WC1E 6BT, UK.
Engin OralDepartment of Obstetrics and Gynecology, Biruni University School of Medicine, 34015 Istanbul, Türkiye.
Muhammed MabroukWomen's Health Division, University College London Hospital, London WC1E 6BT, UK.
Taner UstaDepartment of Obstetrics and Gynecology, Acibadem University, Altunizade Hospital, 34662 Istanbul, Türkiye.
Alin Stefan ConstantinDepartment of Obstetrics and Gynecology, Saarland University Hospital, 66421 Hamburg, Germany.ORCID 0000-0003-0210-2660

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ovarian endometriomas (OEMs), cystic formations within the ovaries, are a significant manifestation of endometriosis and present in 20-40% of affected women. Despite extensive research, the pathogenesis of endometriosis remains unclear, with retrograde menstruation, coelomic metaplasia, and lymphatic dissemination being proposed mechanisms. OEMs negatively impact ovarian function by reducing the ovarian reserve, disrupting folliculogenesis, and altering the ovarian microenvironment through oxidative stress, inflammation, and fibrosis. Elevated reactive oxygen species (ROS) accelerate follicular atresia, and extracellular matrix remodeling contributes to ovarian damage, while immune dysregulation and cytokine imbalances further exacerbate the condition. The presence of OEMs does not significantly affect live birth rates in in vitro fertilization (IVF) treatments, despite potential reductions in the quality and quantity of oocytes. However, their surgical excision compromises the ovarian reserve. This review highlights the complex mechanisms by which OEMs impair ovarian function and emphasizes the need for further research to develop strategies that mitigate these effects, ultimately improving reproductive outcomes for women with endometriomas.

Indexed as

endometriomaendometriosisinfertilityin vitro fertilizationovarian reserve

Identifiers

PMID40217598
PMCPMC11989399

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.