Embryo Euploidy Rates and Reproductive Outcomes Following Ethanol Sclerotherapy, Laparoscopic Cystectomy, or No Intervention for Ovarian Endometriomas Prior to IVF with PGT-A: A Retrospective Cohort Study

The authors aimed to determine whether the management of ovarian endometriomas—through ethanol sclerotherapy, laparoscopic cystectomy, or no intervention—affects embryo euploidy rates and reproductive outcomes in women undergoing IVF with preimplantation genetic testing for aneuploidy (PGT-A). Their findings revealed no significant differences in euploidy rates or cumulative live birth rates among the treatment groups, suggesting that the choice of endometrioma management should be based on clinical factors rather than concerns about embryo chromosomal competence.