Endometrioma: Should this be Managed Before In Vitro Fertilization (FIV)?

Juliano Brum Scheffer, Caterina Ferreti, René Frydman, Rénato Fanchin
In: JBRA Assisted Reproduction · 2007 · vol. 11(3) · doi:10.5935/1518-0557.2007.11.3.07 · W218803214
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This review examines the impact of ovarian endometriomas and their surgical management on in vitro fertilization outcomes and discusses diagnostic and treatment controversies.

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Abstract

Endometriosis is a common gynaecological disorder in which endometrial tissue (glandular epithelium and stroma) is found outside the uterine cavity. It affects 20–40% of women who complain of subfertility, although it can be found also in 5–10% of fertile women. Endometriosis mostly presents as superficial and deep pelvic peritoneal implants, adhesions and ovarian cysts. Characteristic symptoms include dyspareunia, severe dysmenorrhoea and chronic pelvic pain. It has been believed for almost a century by the majority of academic opinion that endometriosis is a disease caused by shedding of menstrual endometrium and its dissemination throughout the pelvis. Transvaginal ultrasound is an increasingly accepted technique for the diagnosis of an ovarian endometrioma. The primary indications for treatment of ovarian endometriomas are the symptoms of pelvic pain and dyspareunia (pain during or after sexual intercourse). There is a lack of randomized controlled studies to report definitively the impact of endometriomas and conservative surgery of ovarian prior to IVF/ICSI cycles. The most effective method of laparoscopic surgery remains controversial

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Condition tags

endometriosisendometriomachronic_pelvic_paindysmenorrheadyspareunia

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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