Search for: [Abstract = "It has been shown that ablative techniques brought the envisaged therapeutic effect in the treatment of only some types of pain related to pelvic endometriosis. Neither studied technique had a long\-term therapeutic effect for pain connected with DIE \(deep infiltrating endometriosis\), showing that the low invasiveness of the mentioned ablative techniques is ineffective in the treatment of deeply\-infiltrating endometriosis and should not be used as standard. This statement particularly concerns CO2 laser ablation after which ultrasound indicated a high number of endometric relapses, and for which a correlation between their occurrence and the intensification of dyschesis symptoms was observed. Application of the discussed methods in treatment of menstrual pain, which is primarily associated with the occurrence of superficial, and possibly also ovarian endometriosis, could be considered.CO2 laser ablation and electroablation techniques find application in ovarian endometriosis treatment in respect to ovarian reserve preservation. The combination of ablative methods with the recommended classical technique of cyst removal kept the AFC at an unchanged level, which is the most important indication of ovarian reserve. In addition, no increase of FSH was noted. Any increase could mean a diminished ovarian reserve. It was shown that use of EC\/electroablation causes a lower BOV, while EC\/CO2 laser ablation resulted in a higher number of relapses, as found by follow up ultrasound examination, and a lower percentage of pregnancies. The electrical power used during bipolar electroablation \(60\-70 Wat\) is likely to be too high and causes greater destruction of ovarian tissue than with CO2 laser ablation. Whilst the power of the laser beam \(10\-20 Wat\) allows for better precision and less destruction of the ovarian cortex, it is too weak to remove endometrial cyst tissue completely which results in a high number of relapses. Therefore it seems advisable to modify the parameters of ablative techniques in order to preserve the ovarian reserve and diminish the relapse percentage.These results lead to the conclusion that none of the studied methods may be seen as optimal and application of these methods should be chosen individually."]

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