When all you have is a hammer, everything looks like a nail.
當你擁有的工具只有錘子，則所有事看起來都像釘子。
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卵巢的巧克力囊腫，到底應該先接受手術還是直接進行試管嬰兒，始終是一個高度爭議的話題，看完這段精彩的線上Webinar，或許可以得到一些啟示！
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IVF Worldwide Webinar Series: Ovarian Endometrioma related to infertility: Surgery of IVF first?
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2020年3月26日 Prof. Jacques Donnez
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何時應考慮在試管嬰兒前先行摘除巧克力囊腫？... by Garcia-Velasco and Somigliana
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1. 快速增大 (Rapid growth)
2. 超音波疑似惡性病變 (Suspicious features noted on ultrasound)
3. 腫塊導致疼痛 (Pain attributed to the mass)
4. 懷孕期間有囊腫破裂的潛在風險 (Potential for rupture during pregnancy)
5. 在正常卵巢組織中無法評估濾泡 (Inability to access follicles in normal ovarian tissue)
6. 兩側發生且大小超過3公分 (>3 cm and bilateral ...added by Donnez)
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The scenario is clearly multifaceted and patients may be overwhelmed by the burden of contrasting information.
情景顯然是多方面的，對立的訊息負擔，可能會使患者不知所措。
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Physicians may be tempted to guide the decision based on their own values and competences but this should be viewed as a mistake.
醫生可能會根據自己的價值觀和能力來指導決策，但這應被視為錯誤。(Casaret, 2016).
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In general, there is growing agreement that major attention should be given to freedom to choose.
總的來說，越來越多的人同意應高度重視患者的自由選擇。
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Try IVF/Surgery first should not be a physician decision but in most cases it will be the decision of a properly informed patient.
要先嘗試試管嬰兒或先施行手術，不應該是醫生的決定，在大多數情況下，應經適切告知後由患者決定。
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