{"paper_id":"7183e1bd-c20e-4641-909d-b9a3b43aa572","body_text":"Posted on 21 Mar 2025 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.174255510.05676035/v1 — This is a preprint and has not been peer-reviewed. Data may be preliminary.\nATTITUDES AND PRACTICES OF OBSTETRICIAN\nGYNAECOLOGISTS IN IRELAND TOW ARDS OPTIMISING\nFERTILITY IN YOUNG WOMEN WITH MODERATE/SEVERE\nENDOMETRIOSIS: A SCOPING SUR VEY\nMaebh Horan1, Louise Glover1, and Mary Wingfield 2\n1Merrion Fertility Clinic\n2University College Dublin School of Medicine\nMarch 21, 2025\nAbstract\nObjective To investigate the approach of obstetricians and gynaecologists in Ireland to optimising the fertility of young women\nwith moderate to severe endometriosis, who have not yet completed their family. Design Scoping questionnaire Setting The\nstudy survey was delivered via an anonymous online survey platform forum. Population Doctors working in Obstetrics and\nGynaecology in Ireland Methods A scoping survey was delivered via an online forum. Obstetrics and gynaecology consultants\nand trainees were identified through the national professional and training body for Obstetrics and Gynaecology in Ireland.\nResults Almost 60% of respondents were consultants or senior registrars. Most (98%) take age and fertility desire into\nconsideration when planning treatment, 71% always perform ultrasound prior to operating, with 36% usually performing an\nAMH test, and 37% discussing the risk of ovarian cystectomy to patient ovarian reserve. Although most (86%) reported\ncounselling women with moderate to severe endometriosis to consider starting a family, only 25% routinely discuss fertility\npreservation before complex surgery. Conclusion This study demonstrates the significant heterogeneity in the management\nof women with severe endometriosis in Ireland. There is a low level of assessment of ovarian reserve and consideration of ART\nprocedures such as IVF and egg freezing. This may have been related to the lack of public funding for these services in Ireland\nat the time of this survey. Further studies are needed to try define the characteristics of women with endometriosis who will\nbenefit most from fertility preservation.\nHosted file\nMH BJOG 200325.docx available at https://authorea.com/users/733588/articles/1279347-\nattitudes-and-practices-of-obstetrician-gynaecologists-in-ireland-towards-optimising-\nfertility-in-young-women-with-moderate-severe-endometriosis-a-scoping-survey\nHosted file\nMH BJOG Figures.docx available at https://authorea.com/users/733588/articles/1279347-\nattitudes-and-practices-of-obstetrician-gynaecologists-in-ireland-towards-optimising-\nfertility-in-young-women-with-moderate-severe-endometriosis-a-scoping-survey\nHosted file\nMH BJOG Tables .docx available at https://authorea.com/users/733588/articles/1279347-\nattitudes-and-practices-of-obstetrician-gynaecologists-in-ireland-towards-optimising-\nfertility-in-young-women-with-moderate-severe-endometriosis-a-scoping-survey\n1","source_license":"CC0","license_restricted":false}