From Endometriosis to Pregnancy: Which is the “Road-Map”?

Errico Zupi, G. De Felice, Francesca Conway, Francesco Giuseppe Martire, C. Exacoustós, Gabriele Centini, Lodovico Patrizi, Emilio Piccione, Lucia Lazzeri
In: Journal of Endometriosis and Pelvic Pain Disorders · 2017 · vol. 9(4) , pp. 252–262 · doi:10.5301/jeppd.5000307 · W2765740792
article OA: green CC0 ⤵ 2 in-corpus citations
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This review analyzes how endometriosis, including endometriomas, peritoneal, and deep forms, impacts fertility and pregnancy outcomes, detailing adverse effects on miscarriage, hypertensive disorders, and neonatal development.

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Abstract

In the last decade, pregnancy was considered as a therapeutic period for patients affected by endometriosis and painful symptoms. However, several studies have taken into consideration how endometriosis affects pregnancy achievement and pregnancy development, including obstetric complications. The adverse effects of endometriosis on the development of pregnancy include miscarriage, hypertensive disorders and pre-eclampsia, placenta previa, obstetric hemorrhages, preterm birth, small for gestational age, and adverse neonatal outcomes. The aim of this review is to analyze the current literature regarding the relationship between different forms of endometriosis (endometrioma, peritoneal endometriosis, deep endometriosis) and infertility, and the impact of endometriosis on pregnancy outcomes.

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endometriosisendometriomainfertility

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