The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation.

Management of Endometriosis in the Infertile Patient / E. Somigliana, P. Vigano, L. Benaglia, A. Busnelli, N. Berlanda, P. Vercellini. - In: SEMINARS IN REPRODUCTIVE MEDICINE. - ISSN 1526-8004. - 35:1(2017), pp. 31-37. [10.1055/s-0036-1597125]

Management of Endometriosis in the Infertile Patient

E. Somigliana
;
P. Vigano
Secondo
;
L. Benaglia;A. Busnelli;N. Berlanda
Penultimo
;
P. Vercellini
Ultimo
2017

Abstract

The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation.
endometriosis; pregnancy; infertility; surgery; in vitro fertilization; intrauterine insemination
Settore MED/40 - Ginecologia e Ostetricia
2017
2016
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/463134
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