{"paper_id":"ee5624e1-00d3-4301-b61d-5f1b6667bc47","body_text":"Article (Scientific journals)\nEndométriose minime et légère: quel impact sur la fertilité?\n; ;\n2016 • In Revue Médicale de Liège, 71 (5), p. 236-241\nPeer reviewedPermalink\nhttps://hdl.handle.net/2268/198782\nhttps://hdl.handle.net/2268/198782\nPubMed\n27337842\n27337842\nBRICHANT endome_triose.pdf\nPublisher postprint (384.32 kB)\nAll documents in ORBi are protected by a user license.\ncopy to clipboard copied\nKeywords :\nEndométriose minime et légère; Hypofertilité; Minimal and mild endometriosis; Subfertility\nAbstract :\n[fr] L’endométriose minime ou légère (stades I/II) est\nfréquemment identifiée chez les femmes hypofertiles, surtout\nen cas de stérilité inexpliquée. L’impact de ces lésions sur la\nfertilité est controversé, certains les considérant comme paraphysiologiques.\nElles sont hétérogènes dans leur étendue, leur\nactivité biologique, l’inflammation qui les caractérise ou les\nadhérences qu’elles peuvent induire. La diminution de la\nqualité ovocytaire, et de la mobilité des spermatozoïdes ainsi\nque les altérations endométriales apparaissent comme les\nmécanismes les plus pertinents pour expliquer l’hypofertilité.\nLa fécondité spontanée des femmes présentant une endométriose\nminime ou légère est diminuée en comparaison avec\ncelle des femmes pour lesquelles le diagnostic de stérilité\ninexpliquée a été posé. L’insémination intra-utérine avec stimulation\nde l’ovulation améliore la fertilité des femmes traitées.\nL’ablation coelioscopique des lésions endométriosiques\naméliore de façon modeste la fécondité, conduisant à recommander\ncette pratique compte tenu de ses faibles risques. La\nfécondation in vitro (FIV) est le moyen le plus efficace permettant\nd’obtenir des résultats similaires ou légèrement inférieurs\nà ceux observés chez les femmes témoins présentant\nune infertilité tubaire.\nL’impact des endométrioses minimes et légères sur la fertilité\napparaît très probable, au moins pour certaines lésions qui\ndemandent à être identifiées.\nDisciplines :\nReproductive medicine (gynecology, andrology, obstetrics)\nBRICHANT, Géraldine ; Centre Hospitalier Universitaire de Liège - CHU > Service de gynécologie-obstétrique (CHR)\nAUDEBERT, Alain; CHIR - Bordeaux, France\nNISOLLE, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Service de gynécologie-obstétrique (CHR)\nLanguage :\nFrench\nTitle :\nEndométriose minime et légère: quel impact sur la fertilité?\nAlternative titles :\n[en] Minimal and mild endometriosis: which impact on fertility?\nPublication date :\nMay 2016\nJournal title :\nRevue Médicale de Liège\nISSN :\n0370-629X\neISSN :\n2566-1566\nPublisher :\nUniversité de Liège. Revue Médicale de Liège, Liège, Belgium\nVolume :\n71\nIssue :\n5\nPages :\n236-241\nPeer reviewed :\nPeer reviewed\nAvailable on ORBi :\nsince 21 June 2016\nScopus citations®\n11\nScopus citations®\nwithout self-citations\nwithout self-citations\n10\nOpenAlex citations\n6\n- Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril, 1997, 67, 817-821.\n- Nisolle M, Nervo P. - [Physiopathology and therapeutic management of stage I and II endometriosis]. J Gynecol Obstet Biol Reprod (Paris), 2003, 32, S11-514.\n- Senapati S, Barnhart K. - Managing endometriosis-associated infertility. Clin Obstet Gynecol, 2011, 54, 720-726.\n- Haas D, Chvatal R, Reichert B, et al. - Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis. Arch Gynecol Obstet, 2012, 286, 667-670.\n- D'Hooghe TM, Debrock S, Hill JA, et al. - Endometriosis and subfertility: is the relationship resolved? 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