Endometriosis is a chronic disease. The pathogenesis is actually still unclear. Endometriosis is responsible for infertility and/or pelvic pain. One of the most important features of the disease is the heterogeneity (clinical and anatomical). Among the different phenotypes of endometriosis, the ovarian endometrioma seems to most important lesion in the management of endometriosis-related infertility. Surgical treatment is associated to a decrease of the ovarian reserve and a potential detrimental effect on in vitro fecondation (IVF) outcomes. Thus, the choice between conservative or surgical management of endometrioma before IVF is actually debated. The advantages and drawback of surgical and conservative management should be discussed before to plan the treatment. In the present review, we aimed at assessing the risks of a conservative management of endometrioma as compared to surgery before IVF.
Traitement conservateur des endométriomes chez les patientes prises en charge en FIV / P. Santulli, E. Somigliana, M. Bourdon, C. Maignien, L. Marcellin, V. Gayet, C. Chapron. - In: JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION. - ISSN 2468-7847. - 46:3(2017 Mar), pp. 203-209.
Traitement conservateur des endométriomes chez les patientes prises en charge en FIV
E. SomiglianaSecondo
;
2017
Abstract
Endometriosis is a chronic disease. The pathogenesis is actually still unclear. Endometriosis is responsible for infertility and/or pelvic pain. One of the most important features of the disease is the heterogeneity (clinical and anatomical). Among the different phenotypes of endometriosis, the ovarian endometrioma seems to most important lesion in the management of endometriosis-related infertility. Surgical treatment is associated to a decrease of the ovarian reserve and a potential detrimental effect on in vitro fecondation (IVF) outcomes. Thus, the choice between conservative or surgical management of endometrioma before IVF is actually debated. The advantages and drawback of surgical and conservative management should be discussed before to plan the treatment. In the present review, we aimed at assessing the risks of a conservative management of endometrioma as compared to surgery before IVF.File | Dimensione | Formato | |
---|---|---|---|
Santulli et al., JOGOH 2017 (versione in press).pdf
accesso riservato
Tipologia:
Publisher's version/PDF
Dimensione
893.22 kB
Formato
Adobe PDF
|
893.22 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.