[Conservative management of endometrioma in women undergoing in vitro fertilization]

P Santulli, Piétro Santulli, Santulli P, Edgardo Somigliana, E Somigliana, Somigliana E, M. Bourdon, Bourdon M, Mathilde Bourdon, Maignien C, Chloé Maignien, C Maignien, Louis Marcellin, L Marcellin, Marcellin L, Gayet V, Vanessa Gayet, V Gayet, Charles Chapron, Chapron C, C. Chapron
Journal of gynecology obstetrics and human reproduction · 2017 · vol. 46(3) , pp. 203–209 · doi:10.1016/j.jogoh.2016.09.005 · PMID:28403916 · W2587344616
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This paper reviews the conservative management of endometriomas in patients undergoing IVF, discussing current approaches and outcomes.

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Abstract

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.

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Condition tags

endometriosis

MeSH descriptors

Conservative Treatment Conservative Treatment Endometriosis Fertilization in Vitro Fertilization in Vitro Abscess Abscess Abscess Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Oocyte Retrieval Oocyte Retrieval Ovarian Cysts

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License: CC0 · commercial use OK