The patient with an endometrioma

Spyros Chouliaras, Luciano G. Nardo
In: Assisted Reproduction Techniques · 2021 · pp. 132–136 · doi:10.1002/9781119622215.ch21 · W1534725337
other OA: closed CC0
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This chapter discusses endometrioma, its association with infertility and reduced IVF response, and management strategies including surgery and prophylactic antibiotics during oocyte retrieval.

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Abstract

This chapter includes clinical cases, background, evidence-based practical management options, preventive measures and key-point summaries of endometrioma. Approximately 25–35% of infertile women suffer with endometriosis. Progressive invagination of the ovarian cortex over endometriotic deposits leads to formation of an endometrioma. An endometrioma is associated with reduced follicular count and reduced response to controlled ovarian stimulation with exogenous gonadotropins during in-vitro fertilization (IVF). Management of women with endometriomas during IVF treatment represents a common challenge for the clinician, especially as endometriosis is prevalent amongst infertile women. IVF is frequently recommended as a therapeutic approach to overcome endometriosis associated infertility. Surgery for endometrioma may be advocated in women with larger endometriomas. There are only a few well- conducted trials that have evaluated the management of endometriomas in infertile women undergoing IVF. To reduce the risk of pelvic infection and abscess following oocyte retrieval, intraoperative prophylactic antibiotics are recommended to all women with an endometrioma.

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Condition tags

endometriosisendometriomainfertility

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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License: CC0 · commercial use OK