A 32-year-old woman presents with chronic pelvic pain, especially during menstruation, and dyspareunia.
A 32-year-old woman presents with chronic pelvic pain, especially during menstruation, and dyspareunia. She has been trying to conceive for the past year without success. Her medical history is unremarkable and she is not currently taking any medications. A pelvic ultrasound reveals a 4 cm endometrioma on her left ovary. She does not desire immediate fertility but wishes to preserve her fertility for the future.
What is the most appropriate management plan for this patient?
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