Infertility associated with adenomyosis. Literature review

М.Р. Оразов, Л.М. Михалева, М.Б. Хамошина, Ebecha K. Barinova, Marina V. Tsaregorodtseva, Irina V. Besman, Vafa Yu. Ibragimova
In: Clinical review for general practice · 2023 · vol. 4(3) · doi:10.47407/kr2023.4.3.00219 · W4400243222
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This literature review explores the etiology and pathogenesis of infertility associated with adenomyosis, addressing mechanisms underlying reproductive potential alterations and evaluating current treatment options.

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This literature review examines the complex relationship between adenomyosis and infertility, synthesizing current evidence on how the condition impacts reproductive outcomes. The authors analyze various pathophysiological mechanisms, including altered endometrial receptivity, inflammation, and structural abnormalities of the uterus that may hinder implantation. They highlight that while surgical treatment can improve pregnancy rates in some cases, the optimal management strategy remains debated due to conflicting data on efficacy and potential risks to ovarian reserve. This paper is centrally about adenomyosis — specifically its association with infertility and the clinical challenges in managing conception in affected patients.

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Abstract

Background. Infertility tends to become one more modern pandemic. According to some estimates, the percentage of infertile couples varies between 10–25% (48–180 million). Such couples face adverse effects on their physical and mental health, financial hardship, serious social stigma, increased risk of domestic violence, and marital instability. Adenomyosis is a common gynecological disorder of unclear etiology that affects female reproductive health. Alterations in endometrial function and susceptibility that are associated with adenomyosis negatively affect the reproductive potential. Current treatments have not achieved good results in combating infertility, that is why it is extremely important to study the causes of infertility, and the review of current research in this area seems relevant. Aim. To explore etiology and pathogenesis of infertility associated with adenomyosis by reviewing scientific papers. Results. The review addresses mechanisms underlying the development of infertility associated with adenomyosis and treatment options.
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Abstract For citation:Orazov M.R., Mikhaleva L.M., Khamoshina M.B., Barinova E.K., Tsaregorodtseva M.V., Besman I.V., Ibragimova V.Yu. Infertility associated with adenomyosis. Literature review. Clinical review for general practice. 2023; 4 (3): 34–40. DOI: 10.47407/kr2023.4.3.00219 All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

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