Evaluation of physicians’ practice patterns in France concerning fertility preservation in women with endometriosis

H. Jourdain, Jourdain H, Flye Sainte Marie H, H. Flye Sainte Marie, B Courbière, Blandine Courbière, Courbière B, Lazaro G, Glorianne Lazaro, G Lazaro, Malik Boukerrou, Boukerrou M, M Boukerrou, Phuong Lien Tran, P L Tran
Journal of gynecology obstetrics and human reproduction · 2020 · vol. 50(2) , pp. 101985 · doi:10.1016/j.jogoh.2020.101985 · PMID:33189944 · W3106102679
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This paper examined French physicians' current practices regarding fertility preservation options for women diagnosed with endometriosis.

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Abstract

ObjectiveWe aim to evaluate the knowledge and physicians' practices concerning fertility preservation in women with endometriosis.DesignDescriptive, observational, national study using an online self-questionnaire, sent by email to French gynaecologists in October 2019 within 2 months.ResultsWe obtained 110 analyzable responses from mainly surgeons (54 %) and reproductive clinicians (19 %) with a good experience (average 15 years of practice). Amongst these practitioners, 91 % seemed aware of latest French recommendations on endometriosis issued in December 2017. The most commonly used surgical techniques for management of endometriomas were intra-peritoneal cystectomy (51 %), vaporization by plasma energy (29 %) and destruction by bipolar coagulation (8.5 %). Preoperative AMH was systematically or often prescribed by 78 % of the practitioners against 37.3 % who did it postoperatively. Furthermore, 74 % also considered and performed fertility preservation strategy to manage endometriosis. It was offered in situations of bilateral or recurrent endometrioma, but only 33 % offered it in unilateral endometrioma cases. In the cases recorded, vitrification of mature oocytes appears to be the most common fertility preservation technique (used by 87 % of the practitioners).ConclusionWe observed in our population of sensitized practitioners a good and adequate knowledge concerning endometriosis physiopathology and recommendations for its management, with good information delivery to women. Operating techniques are adapted although information and education concerning fertility preservation indications seem necessary. The place of multidisciplinary concertation meeting in endometriosis appears essential both for discussion of surgical indications and for fertility preservation possibilities. Creation of dedicated structures should be encouraged.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertility Preservation Practice Patterns, Physicians' Adult Aged Clinical Competence Endometriosis Female France Humans Male Middle Aged Practice Patterns, Physicians' Surveys and Questionnaires

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.

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