# Achieving Successful Pregnancy in a Patient With Ovarian Endometriosis Through Assisted Reproductive Technology (ART) Intervention: A Case Report

**Authors:** Prerana Dagwar, Akash More, Namrata Choudhary, Jarul Shrivastava, Princee Tyagi

PMC · DOI: 10.7759/cureus.53014 · 2024-01-26

## TL;DR

A patient with ovarian endometriosis achieved a successful pregnancy using ethinyl estradiol and levonorgestrel alongside assisted reproductive technology.

## Contribution

The study demonstrates a successful pregnancy outcome using medication and ART in a patient with ovarian endometrioma.

## Key findings

- Ethinyl estradiol and levonorgestrel improved ovarian cysts in a reproductive-age patient.
- Assisted reproductive technology successfully led to clinical pregnancy in a patient with endometriosis.
- Surgical and ART interventions remain primary treatments for endometriosis-related infertility.

## Abstract

Endometriosis stands out as the predominant issue among gynecological disorders. Approximately 50% of women experiencing infertility have been observed to be affected by endometriosis. Growing evidence indicates that endometriomas, in isolation, might adversely affect ovarian physiology. Medications such as ethinyl estradiol and levonorgestrel have been found to contribute to the amelioration of ovarian cysts in women of reproductive age. Presently, there are limited alternatives available for addressing the infertility associated with endometriosis. The primary effective approaches for treatment still revolve around surgery and assisted reproductive technology for endometriosis-related infertility. This case study centers on the utilization of ethinyl estradiol and levonorgestrel in patients with ovarian endometrioma, leading to an enhancement in the likelihood of achieving a successful clinical pregnancy.

## Linked entities

- **Chemicals:** ethinyl estradiol (PubChem CID 5991), levonorgestrel (PubChem CID 13109)
- **Diseases:** endometriosis (MONDO:0005133)

## Full-text entities

- **Diseases:** gynecological disorders (MESH:D005831), Ovarian Endometriosis (MESH:D010049), ovarian cysts (MESH:D010048), Endometriosis (MESH:D004715), infertility (MESH:D007246)
- **Chemicals:** levonorgestrel (MESH:D016912), ethinyl estradiol (MESH:D004997)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10895080/full.md

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Source: https://tomesphere.com/paper/PMC10895080