Infertility and contraception: endometrioma surgery before IVF: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Infertility and contraception: endometrioma surgery before IVF

Sample item

A woman with infertility and a 4 cm asymptomatic ovarian endometrioma is planned for IVF. What is the concern with cystectomy before treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. It may reduce ovarian reserve

Stripping an endometrioma can remove healthy ovarian cortex along with the cyst wall, reducing AMH and the number of oocytes obtained. In asymptomatic women, proceeding directly to IVF is often preferred.

Option by option

  • A. It prevents oocyte retrieval altogether

    Oocyte retrieval remains possible, although the yield may be lower.

  • B. It may reduce ovarian reserve (correct)

    Correct. Cystectomy can remove normal follicle-containing cortex and lower reserve.

  • C. It causes tubal blockage

    Cystectomy does not itself block the tubes.

  • D. It raises the risk of ovarian cancer

    Surgery does not increase ovarian cancer risk.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, It may reduce ovarian reserve. Stripping an endometrioma can remove healthy ovarian cortex along with the cyst wall, reducing AMH and the number of oocytes obtained.

Why is "It prevents oocyte retrieval altogether" not the answer?

Oocyte retrieval remains possible, although the yield may be lower.

Why is "It causes tubal blockage" not the answer?

Cystectomy does not itself block the tubes.

Why is "It raises the risk of ovarian cancer" not the answer?

Surgery does not increase ovarian cancer risk.

What concept does this question test?

It tests Infertility and contraception: endometrioma surgery before IVF in OBG. In asymptomatic women, proceeding directly to IVF is often preferred.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infertility and contraception: endometrioma surgery before IVF?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.