Aetiology of infertility in patients with endometriosis

S. Z. A. Badaway, Murray L. Nusbaum, Lawrence M. Marshall, Violeta Cuenca, R Cittadino
In: Diagnosis and Management of Tubo-Uterine Factors in Infertility · 1984 · pp. 85–86 · doi:10.1007/978-94-011-7621-7_17 · W132689292
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This study evaluated ovulatory dysfunction and peritoneal fluid prostaglandins as contributing factors to infertility in patients with mild and moderate endometriosis.

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This chapter discusses the variable causes of infertility in women with endometriosis, estimating that 6–15% of infertile women have the condition. It evaluates two proposed contributors—pelvic adhesions causing mechanical dysfunction in ovum pick-up in severe endometriosis, and multifactorial infertility in mild to moderate disease potentially involving ovulatory dysfunction and prostaglandin-related effects in peritoneal fluid. The key focus is an attempt to assess ovulatory dysfunction and peritoneal fluid prostaglandin factors as contributory mechanisms, with the caveat that infertility in mild and moderate endometriosis remains insufficiently understood. This paper is centrally about endometriosis — it reviews and evaluates mechanisms (ovulatory dysfunction, peritoneal prostaglandins, and adhesions) underlying infertility in endometriosis patients.

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Abstract

It is estimated that about 6–15% of infertile women have endometriosis. The aetiololgy of infertility in these patients is variable. Pelvic adhesions may lead to mechanical dysfunction in ovum pick-up phenomenon in severe endometriosis. However, infertility in mild and moderate endometriosis may be multifactorial and is still subject for research. It has been suggested that ovulatory dysfunction1 and peritoneal fluid prostaglandins2 are contributory factors to infertility in endometriosis patients. The present study attempts to evaluate these two aspects. Similar content being viewed by others

References

Soules, M. R., Malinak, L. R., Bury, R. and Poindexter, A. (1976). Endometriosis and anovulation: A coexisting problem in the infertile female. Am. J. Obstet. Gynecol., 125, 412 Badawy, S.Z.A., Marshall, L., Gabal, A. A. and Nusbaum, M. L. (1982). The concentration of 13, 14-dihydro-15-keto prostaglandin F2, and prostaglandin E2 in peritoneal fluid of infertile patients with and without endometriosis. Fertil. Steril., 38, 166 Peluso, J. J., Leiper, S. and Steger, R. W. (1980). Effects of PGF2, induced luteolysis and progesterone on follicular growth in pregnant mice. Prostaglandins, 19, 437 Schenken, R. S. and Asch, R. H. (1980). Surgical induction of endometriosis in the rabbit: effect on fertility and concentrations of peritoneal fluid prostaglandins. Fertil. Steril., 34, 581 Barbosa, I. C., Maia, H., Jr., Durado, V. and Coutinho, E. M. (1980). Effect of prostaglandin F2,„ on oviduct contractility in Marmoset monkeys. Fertil. Steril., 33, 197 Verdugo, P., Rumery, R. and Tarn, P. Y. (1980). Hormonal control of oviductal ciliary activity: effects of prostaglandins. Fertil. Steril., 33, 193 Editor information Editors and Affiliations Rights and permissions Copyright information © 1984 MTP Press Limited About this chapter Cite this chapter Badaway, S.Z.A., Nusbaum, M., Marshall, L., Cuenca, V., Cittadino, R. (1984). Aetiology of infertility in patients with endometriosis. In: Harrison, R.F., Bonnar, J., Thompson, W. (eds) Diagnosis and Management of Tubo-Uterine Factors in Infertility. Studies in Fertility and Sterility, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7621-7_17 Download citation DOI: https://doi.org/10.1007/978-94-011-7621-7_17 Publisher Name: Springer, Dordrecht Print ISBN: 978-94-011-7623-1 Online ISBN: 978-94-011-7621-7 eBook Packages: Springer Book Archive

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endometriosisinfertility

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