Ovarian endometriomas:
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This chapter explores ovarian endometriomas as a manifestation of endometriosis and their impact on IVF outcomes, noting the debate around surgical versus endometrioma-related damage to ovarian responsiveness.
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This chapter examines ovarian endometriomas within the broader context of human assisted reproductive technology, focusing on how IVF responsiveness is affected in advanced endometriosis where adhesions, ovarian endometriomas, and tubal obstruction are common. It discusses the key question of whether endometrioma-related ovarian damage to hyperresponsiveness occurs before surgery or is caused by surgery, noting that both an injury mechanism and a surgery-mediated damage mechanism have supporting evidence. The chapter further states that physiological mechanisms leading to ovulation are abnormal in ovaries with endometriomas. It explicitly highlights insufficient data to resolve the timing of damage, limiting definitive conclusions about the impact of operating versus proceeding directly with IVF. This paper is centrally about endometriosis — specifically focusing on ovarian endometriomas and their effect on ovarian responsiveness and IVF outcomes.
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Human Assisted Reproductive Technology
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[Opens in a new window] Future Trends in Laboratory and Clinical Practice
- Human Assisted Reproductive Technology
- Human Assisted Reproductive Technology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgments
- Chapter 1 Use of robotics in reproductive surgery
- Chapter 2 Removal of hydrosalpinges and uterine leiomyoma to improve IVF outcome
- Chapter 3 Ovarian endometriomas:
- Chapter 4 Impact of uterine cavity abnormalities on IVF and pretreatment cavity evaluation
- Chapter 5 Sperm retrieval techniques
- Chapter 6 New concepts in ovarian stimulation
- Chapter 7 GnRH antagonists in ART
- Chapter 8 Pharmacogenetics of ovarian stimulation in the twenty-first century
- Chapter 9 Non-invasive diagnosis of endometriosis with proteomic technologies
- Chapter 10 Antiangiogenic agents for endometriosis
- Chapter 11 New concepts in the management of polycystic ovary syndrome
- Chapter 12 Adjuvant therapy to increase implantation rates
- Chapter 13 Ovarian hyperstimulation syndrome
- Chapter 14 The evidence-based practice of assisted reproduction
- Chapter 15 Three-dimensional in vitro ovarian follicle culture
- Chapter 16 Artificial gametes
- Chapter 17 Current status and future trends of the clinical practice of human oocyte in vitro maturation
- Chapter 18 Oocyte and zona imaging
- Chapter 19 Granulosa cells and their impact on human ART
- Chapter 20 Sperm diagnosis:
- Chapter 21 Embryo culture in the twenty-first century
- Chapter 22 Morphometric analyses of embryos
- Chapter 23 Embryo biopsy:
- Chapter 24 Analysis of the embryonic transcriptome
- Chapter 25 Analysis of embryo-derived factors as markers of developmental potential and viability
- Chapter 26 Proteomics analysis of the endometrium and embryo. Can we improve IVF outcome?
- Chapter 27 Analysis of embryo metabolism and the metabolome to identify the most viable embryo within a cohort
- Chapter 28 Oocyte and embryo cryopreservation
- Index
effect on IVF outcome
Published online by Cambridge University Press: 16 May 2011
Book contents
- Human Assisted Reproductive Technology
- Human Assisted Reproductive Technology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgments
- Chapter 1 Use of robotics in reproductive surgery
- Chapter 2 Removal of hydrosalpinges and uterine leiomyoma to improve IVF outcome
- Chapter 3 Ovarian endometriomas:
- Chapter 4 Impact of uterine cavity abnormalities on IVF and pretreatment cavity evaluation
- Chapter 5 Sperm retrieval techniques
- Chapter 6 New concepts in ovarian stimulation
- Chapter 7 GnRH antagonists in ART
- Chapter 8 Pharmacogenetics of ovarian stimulation in the twenty-first century
- Chapter 9 Non-invasive diagnosis of endometriosis with proteomic technologies
- Chapter 10 Antiangiogenic agents for endometriosis
- Chapter 11 New concepts in the management of polycystic ovary syndrome
- Chapter 12 Adjuvant therapy to increase implantation rates
- Chapter 13 Ovarian hyperstimulation syndrome
- Chapter 14 The evidence-based practice of assisted reproduction
- Chapter 15 Three-dimensional in vitro ovarian follicle culture
- Chapter 16 Artificial gametes
- Chapter 17 Current status and future trends of the clinical practice of human oocyte in vitro maturation
- Chapter 18 Oocyte and zona imaging
- Chapter 19 Granulosa cells and their impact on human ART
- Chapter 20 Sperm diagnosis:
- Chapter 21 Embryo culture in the twenty-first century
- Chapter 22 Morphometric analyses of embryos
- Chapter 23 Embryo biopsy:
- Chapter 24 Analysis of the embryonic transcriptome
- Chapter 25 Analysis of embryo-derived factors as markers of developmental potential and viability
- Chapter 26 Proteomics analysis of the endometrium and embryo. Can we improve IVF outcome?
- Chapter 27 Analysis of embryo metabolism and the metabolome to identify the most viable embryo within a cohort
- Chapter 28 Oocyte and embryo cryopreservation
- Index
Ovarian endometriomas are a common and specific manifestation of the disease endometriosis. In vitro fertilization (IVF) treatment in the words of the European Society of Human Reproduction and Embryology (ESHRE) Special Interest Group (SIG) on Endometriosis appears to be appropriate in patients with advanced endometriosis, which is frequently associated with adhesions, ovarian endometriomas, and tubal obstruction. Ovarian responsiveness to hyperstimulation plays a crucial role in determining the success rate of IVF. There are currently insufficient data to clarify whether the endometrioma-related damage to ovarian responsiveness precedes or follows surgery. Elucidation of this point is of utmost interest since it would strongly impact on the decision of whether to operate on women with endometriomas and who are selected for IVF. At present, there appears to be evidence supporting both an endometrioma-related injury and a surgery-mediated damage. The physiological mechanisms leading to ovulation are abnormal in ovaries with endometriomas.
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- Human Assisted Reproductive TechnologyFuture Trends in Laboratory and Clinical Practice, pp. 18 - 26Publisher: Cambridge University PressPrint publication year: 2011
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- Ovarian endometriomas:
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- Book: Human Assisted Reproductive Technology
- Online publication: 16 May 2011
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- Ovarian endometriomas:
-
- Book: Human Assisted Reproductive Technology
- Online publication: 16 May 2011
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
- Ovarian endometriomas:
-
- Book: Human Assisted Reproductive Technology
- Online publication: 16 May 2011
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