Hi Ping

Normally they don't worry about endometriomas below a certain size. I would suggest insisting on monitoring via regular scans, though, because mine grew quite agressively.

My FS prefers to remove endometriomas prior to IVF as she said an endometrioma increases the risk of infection during egg pick up. ie if they puncture it.

I had three excised and one small one cauterised via lap, and it was all just fine and quick recovery. Successful IVF the following month! I'd suggest finding a specialist surgeon like Dr Reid in Sydney.

GL