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To assess the postoperative likelihood of conception in patients with endometriomas managed by either CO laser vaporization or cystectomy. A retrospective study with prospective recording of data. University hospital. One hundred and forty-two patients with symptomatic endometriomas. Patients underwent a standardized laparoscopic stripping technique (Group 1) or cyst vaporization with CO fiber laser (Group 2). Patients wishing to become pregnant were allowed to attempt a spontaneous conception after surgery. If spontaneous conception fai