Conservative management of endometrioma in women undergoing in vitro fertilization

被引：2
|
作者：
Santulli, P. [1 ,2 ,3 ]
Somigliana, E. [4 ]
Bourdon, M. [1 ,2 ]
Maignien, C. [1 ]
Marcellin, L. [1 ,2 ,3 ]
Gayet, V. [1 ]
Chapron, C. [1 ,3 ]
机构：
[1] Univ Paris 05, Sorbonne Paris Cite, Ctr Hosp Univ CHU Cochin,Fac Med, Hop Univ Paris Ctr,AP HP,Fac Med,Serv Gynecol Obs, Batiment Port Royal 53,Ave Observ, F-75679 Paris 14, France
[2] Univ Paris 05, Sorbonne Paris Cite, INSERM, Inst Cochin,Lab Immunol,U1016, Paris 14, France
[3] Univ Paris 05, Sorbonne Paris Cite, INSERM, Inst Cochin,Dept Genet Dev & Canc,U1016, Paris 14, France
[4] Osped Maggiore Policlin, Fdn Ca Granda, Milan, Italy
来源：
JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION | 2017年 / 46卷 / 03期
关键词：
Endometrioma; Endometriosis; IVF; Fertility; Conservative treatment; Management; DEEPLY INFILTRATING ENDOMETRIOSIS; OVARIAN ENDOMETRIOMA; OOCYTE RETRIEVAL; PELVIC ABSCESS; BILATERAL ENDOMETRIOMAS; LAPAROSCOPIC CYSTECTOMY; OXIDATIVE STRESS; SPERM INJECTION; EMBRYO-TRANSFER; CYST FLUID;
D O I：
10.1016/j.jogoh.2016.09.005
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
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. (C) 2017 Published by Elsevier Masson SAS.
引用
收藏
页码：203 / 209
页数：7
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