Endometrioma e FIV: como a punção e alcoolização podem proteger a reserva ovariana

Endometrioma and IVF: How puncture and alcohol ablation can protect ovarian reserve before in vitro fertilization or surgery. In this video, Prof. Dr. Alexander Kopelman explains the procedure of puncture, drainage, and alcohol ablation of ovarian endometriomas — an approach performed by radiologists, indicated in specific situations to preserve ovarian reserve before egg retrieval for IVF or freezing, or before surgery to remove endometriosis. Content aimed at women with endometriosis, bilateral endometriomas, or reduced ovarian reserve in reproductive planning. 🎬 VIDEO CHAPTERS 00:00 What is endometrioma puncture and alcohol sclerotherapy? 00:22 In which situations is the procedure indicated? 00:41 How it's done: transvaginal or transabdominal access? 01:10 What is the real objective of the procedure? 01:36 Who benefits most: low ovarian reserve and bilateral endometriomas? 01:56 Before IVF: why it can improve egg retrieval? 03:20 Before surgery: specific clinical contexts? 04:30 Transabdominal access when vaginal access is not viable? 05:00 Impact of endometrioma surgery on ovarian reserve? 05:43 Why this can change your reproductive future? 06:09 Final considerations 📌 WHAT YOU WILL LEARN IN THIS VIDEO What is ovarian endometrioma puncture and alcohol sclerotherapy and how the procedure is performed? Radiologists When to indicate before IVF or egg freezing in patients with endometrioma and reduced ovarian reserve How large endometriomas affect ovarian stimulation, follicular growth, and egg retrieval In which situations is the procedure considered before surgery for endometriosis, including cases of endometriosis with ureteral involvement Difference between transvaginal and transabdominal access and when each is indicated Why avoid piercing the endometrioma with the needle during egg retrieval Impact of endometrioma surgery on ovarian reserve and how alcohol aspiration can preserve reproductive function 🧬 QUICK GLOSSARY Endometrioma — ovarian cyst of endometriosis, containing old blood, located in ovarian tissue Aspiration and alcohol aspiration — outpatient radiological procedure that aspirates the contents of the endometrioma and applies absolute alcohol to reduce recurrence Ovarian reserve — estimated number of eggs available in Ovaries, evaluated by anti-Müllerian hormone and follicular count Ovarian sclerotherapy — technical term for alcohol ablation of endometriomas IVF — In vitro fertilization Egg retrieval — transvaginal ultrasound-guided puncture to collect eggs during the IVF cycle 📖 READ ALSO ON THE BLOG Can someone with endometriosis undergo IVF? What the patient needs to know Does deep endometriosis always require surgery? When is surgery indicated? Could severe pain with a normal exam be endometriosis? 🔔 SUBSCRIBE TO THE CHANNEL and activate the bell to follow new videos about endometriosis, fertility, human reproduction and minimally invasive gynecological surgery. ▶️ ALSO WATCH    • Cirurgia para endometrioma de ovário: como...      • Cirurgia de Endometrioma Reduz a Reserva O...      • Endometrioma de ovário em mulheres sem sin...   ───────────────────────────────────────────── 👨‍⚕️ ABOUT THE PROFESSOR DR. ALEXANDER KOPELMAN Gynecologist specializing in deep endometriosis, human reproduction, and minimally invasive gynecological surgery in São Paulo. CRM-SP 103.944 RQE 945031 — Gynecological Endoscopy RQE 945032 — Assisted Reproduction MD, MSc, PhD from UNIFESP/EPM. Adjunct Professor in the Department of Gynecology at UNIFESP/EPM (2019–2024). Currently a Scientific Collaborator and Volunteer Professor, working in the Endometriosis Clinic. Certified Console Surgeon in Robotic Surgery Da Vinci Xi (IRCAD Latin America, 2019). Practices in São Paulo, at the Evince Clinic, and performs surgical procedures in leading hospitals such as Albert Einstein, Sírio-Libanês, and Vila Nova Star. 📍 São Paulo — Evince Clinic 🌐 https://alexanderkopelman.com.br/ 📱 Instagram: @dr.alexanderkopelman ───────────────────────────────────────────── ⚖️ Educational and informative content. Does not replace in-person and individualized medical consultation. Each case must be evaluated by a qualified professional. #Endometriosis #IVF #Ovarian Reserve ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Song: Relaxed Corporate by Stock-Waves Music provided by https://protunes.net Video: • Stock-Waves - Relaxed Corporate [Copyright... ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬