Infertile Patients with Endometriosis Benefit from Surgery

- 50 Big Debates in Reproductive Medicine - Series page - 50 Big Debates in Reproductive Medicine - Copyright page - Contents - Contributors - Foreword - Introduction - Section I Limits for IVF - Section II IVF Add-ons - Section III The Best Policy - 14A IVF Should Be First-Line Treatment for Unexplained Infertility of Two Years Duration - 14B IVF Should Be First-Line Treatment for Unexplained Infertility of Two Years Duration - 15A Single Embryo Transfer Should Be Performed in All IVF Cycles - 15B Single-Embryo Transfer Should Be Performed in All IVF Cycles - 16A The Freezing of All Embryos Should Be Used for All IVF Cycles - 16B The Freezing of All Embryos Should Be Used for All IVF Cycles - 17A Luteal-Phase Support Should Be Stopped at the Time of a Positive Pregnancy Test - 17B Luteal Phase Support Should Be Stopped at the Time of a Positive Pregnancy Test - 18A A Natural Cycle Is the Best Protocol for Frozen Embryo Replacement - 18B A Natural Cycle Is the Best Protocol for Frozen Embryo Replacement - 19A All Pregnancies Conceived by IVF Should Be Delivered by Caesarean Section - 19B All Pregnancies Conceived by IVF Should Be Delivered by Caesarean Section - 20A Endometriosis Should Be Suppressed for 6–12 Weeks before Frozen Embryo Transfer - 20B Endometriosis Should Be Suppressed for 6–12 Weeks before Frozen Embryo Transfer - 21A Infertile Patients with Endometriosis Benefit from Surgery - 21B Infertile Patients with Endometriosis Benefit from Surgery - 22A Intramural Fibroids Greater than 4 cm in Diameter Should Be Removed to Aid Fertility - 22B Intramural Fibroids Greater than 4 cm in Diameter Should Be Removed to Aid Fertility - 23A All Infertile Women with a Uterine Septum Should Have a Surgical Removal - 23B All Infertile Women with a Uterine Septum Should Have a Surgical Removal - Section IV Embryology - Section V Ethics and Statistics - Section VI Male-factor Infertility - Section VII Genetics - Section VIII Ovarian Stimulation - Section IX Hormones and the Environment - Index - References For from Section III - The Best Policy Published online by Cambridge University Press: 25 November 2021 Book contents - 50 Big Debates in Reproductive Medicine - Series page - 50 Big Debates in Reproductive Medicine - Copyright page - Contents - Contributors - Foreword - Introduction - Section I Limits for IVF - Section II IVF Add-ons - Section III The Best Policy - 14A IVF Should Be First-Line Treatment for Unexplained Infertility of Two Years Duration - 14B IVF Should Be First-Line Treatment for Unexplained Infertility of Two Years Duration - 15A Single Embryo Transfer Should Be Performed in All IVF Cycles - 15B Single-Embryo Transfer Should Be Performed in All IVF Cycles - 16A The Freezing of All Embryos Should Be Used for All IVF Cycles - 16B The Freezing of All Embryos Should Be Used for All IVF Cycles - 17A Luteal-Phase Support Should Be Stopped at the Time of a Positive Pregnancy Test - 17B Luteal Phase Support Should Be Stopped at the Time of a Positive Pregnancy Test - 18A A Natural Cycle Is the Best Protocol for Frozen Embryo Replacement - 18B A Natural Cycle Is the Best Protocol for Frozen Embryo Replacement - 19A All Pregnancies Conceived by IVF Should Be Delivered by Caesarean Section - 19B All Pregnancies Conceived by IVF Should Be Delivered by Caesarean Section - 20A Endometriosis Should Be Suppressed for 6–12 Weeks before Frozen Embryo Transfer - 20B Endometriosis Should Be Suppressed for 6–12 Weeks before Frozen Embryo Transfer - 21A Infertile Patients with Endometriosis Benefit from Surgery - 21B Infertile Patients with Endometriosis Benefit from Surgery - 22A Intramural Fibroids Greater than 4 cm in Diameter Should Be Removed to Aid Fertility - 22B Intramural Fibroids Greater than 4 cm in Diameter Should Be Removed to Aid Fertility - 23A All Infertile Women with a Uterine Septum Should Have a Surgical Removal - 23B All Infertile Women with a Uterine Septum Should Have a Surgical Removal - Section IV Embryology - Section V Ethics and Statistics - Section VI Male-factor Infertility - Section VII Genetics - Section VIII Ovarian Stimulation - Section IX Hormones and the Environment - Index - References The increased number of so called ‘unexplained infertility’ hides a high number of not diagnosed endometriosis due to the systematic omission of a diagnostic laparoscopy in the exploration of the infertile patients and a policy of a liberal referral to IVF programs. The question of patients after failed IVF, ‘Could I conceive without IVF if my endometriosis was properly diagnosed and treated?’ should stimulate a critical evaluation of the treatment policy. Endometriosis negatively affects reproductive outcomes after IVF treatments. Recent and old data clearly demonstrates the positive effect of endometriosis surgery not only in the relief of pain but also for obtaining spontaneous pregnancies. As the disease by itself negatively affects the ovarian reserve, utmost care should be while performing the surgery using latest technologies and it should be performed by well-trained surgeons with the required expertise. - Type - Chapter - Information - 50 Big Debates in Reproductive Medicine , pp. 111 - 113Publisher: Cambridge University PressPrint publication year: 2021 Kitajima, M, Defrere, S, Dolmans, MM, et al. Endometriomas as a possible cause of reduced ovarian reserve in women with endometriosis. Fertil Steril. 2011;96:685–91.CrossRefGoogle ScholarPubMed Duffy, JM, Arambage, K, Correa, FJ, et al. Laparoscopic surgery for endometriosis. Cochrane Database Syst Rev. 2014;4:CD011031.Google Scholar Muteshi, CM, Ohuma, EO, Child, T, Becker, CM. The effect of endometriosis on live birth rate and other reproductive outcomes in ART cycles: a cohort study. Hum Reprod Open. 2018 Sept 29;2018(4).CrossRefGoogle ScholarPubMed Opøien, HK, Fedorcsak, P, Byholm, T, Tanbo, T. Complete surgical removal of minimal and mild endometriosis improves outcome of subsequent IVF/ICSI treatment. Reprod Biomed. 2011;23:389.e95.CrossRefGoogle ScholarPubMed Barri, PN, Coroleu, B, Tur, R, Barri-Soldevila, PN, Rodríguez, I.Endometriosis-associated infertility: surgery and IVF, a comprehensive therapeutic approach. Reprod Biomed. 2010 Aug;21(2):179–85.CrossRefGoogle ScholarPubMed Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Infertile Patients with Endometriosis Benefit from Surgery - - Book: 50 Big Debates in Reproductive Medicine - Online publication: 25 November 2021 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 Dropbox. - Infertile Patients with Endometriosis Benefit from Surgery - - Book: 50 Big Debates in Reproductive Medicine - Online publication: 25 November 2021 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. - Infertile Patients with Endometriosis Benefit from Surgery - - Book: 50 Big Debates in Reproductive Medicine - Online publication: 25 November 2021