Exploring the Relationship between Endometriomas and Infertility

Nicola Berlanda, Daniela Alberico, Giussy Barbara, Giussy Barbàra, Maria Pina Frattaruolo, Paolo Vercellini
Women's health (London, England) · 2015 · vol. 11(2) , pp. 127–135 · doi:10.2217/whe.14.74 · PMID:25776287 · W2106494354
article OA: gold CC0 ⤵ 10 in-corpus citations
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Endometriomas are associated with infertility by interfering with ovulation or damaging ovarian tissue, necessitating a combined management approach beyond surgery.

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Abstract

Several clinical and epidemiological studies demonstrated an association between endometriosis and infertility. A role in the genesis of infertility may be played by endometriomas, which may interfere with ovulation or damage ovarian tissue. Unlike peritoneal implants, the availability of an accurate noninvasive sonographic diagnosis facilitates the investigation of endometrioma associated infertility. The laparoscopic excision of an endometrioma relieves the ovary from the damage caused by the cyst itself, which may be progressive over time, but at the same time is associated with a detrimental effect on ovarian reserve and with high rates of postoperative endometrioma recurrence. Therefore, the management of endometrioma-related infertility should not be based upon surgery alone, but upon a combination of surgery, with a refinement of the operating technique, long-term oral contraceptive, in vitro fertilization and oocyte cryopreservation.

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Condition tags

mesh:D004715endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Infertility, Female Infertility, Female Endometriosis Female Humans Infertility, Female Obstetric Surgical Procedures Obstetric Surgical Procedures Ovarian Reserve Ovarian Reserve Ovary Ovary Ovulation Ovulation Recurrence Women's Health

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 (69)

Cited by (10)

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