1. To be in the range of 18-40 years

2. Patients with an operation indication with >=5 cm endometrioma

   1. Symptomatic patients due to endometrioma (dysmenorrhea, dyspareunia, chronic pelvic pain, etc.)
   2. Patients who will be followed for IVF cycle due to infertility

1. To be in the range of 18-40 years

2. Patients with operation plan due to non-endometrioma ovarian pathologies

   1. Symptomatic patients with benign ovarian pathology (such as chronic pelvic pain, compression, syphilomas, dysmenorrhea, dyspareunia, etc.)
   2. Asymptomatic, despite a 6-month follow-up period, increase in cyst size or become symptomatic

In the patient and patient control groups, 0.5 mm tissue strip will be removed for pathology from the cyst wall removed during surgery. and tissue samples will be stored in phosphate buffered saline at -80 C and PTEN-AKT-FOXO3 gene expression level will be evaluated by RT-PCR analysis.

In the patient and patient control groups, 0.5 mm tissue strip will be removed for pathology from the cyst wall removed during surgery. and tissue samples will be stored in phosphate buffered saline at -80 C and PTEN-AKT-FOXO3 gene expression level will be evaluated by RT-PCR analysis.