Ovulation induction in infertile women with endometriotic ovarian cysts: current evidence and potential pitfalls

Milan Terzic, Milan Terzić, Gulzhanat Aimagambetova, Simone Garzon, Gauri Bapayeva, Talshyn Ukybassova, Sanja Terzic, Melanie Norton, Antonio S Laganà, Antonio Simone Laganà
Minerva medica · 2020 · vol. 111(1) , pp. 50–61 · doi:10.23736/s0026-4806.19.06346-8 · PMID:31755673 · W2996688875
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This paper reviews current evidence and potential pitfalls of ovulation induction for infertile women with endometriotic ovarian cysts, emphasizing a multidisciplinary approach.

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Abstract

Endometriosis is a chronic benign gynecological disease with symptoms that can severely impact quality of life and well-being. Women affected by endometriotic ovarian cyst could have associated infertility problems. Infertility affects 30% to 50% of women with endometriosis. Women with endometriosis are at risk of decreased ovarian reserve, due to the disease pathophysiologic mechanisms. Generally, infertility management include surgical procedure (usually with minimally invasive approach) and ovulation induction with intrauterine insemination or in vitro fertilization. Fertility preservation technologies also include oocyte or embryo freezing and ovarian tissue cryopreservation. Approach to patients with endometriotic cysts still remains controversial, and a multidisciplinary approach is a key factor to achieve the best outcome with appropriate patient counselling. Such management by a multidisciplinary team is a key factor in achieving the successful outcome.

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Condition tags

mesh:D004715endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Infertility, Female Ovarian Cysts Ovulation Induction Endometriosis Female Fertility Preservation Humans Infertility, Female Insemination, Artificial Insemination, Artificial Ovarian Cysts Ovarian Reserve

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (89)

Cited by (18)

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License: CC0 · commercial use OK