Laparoscopic treatment of endometriosis focusing on fertility outcomes

Lauriane Giselle de Abreu, Bruno Ramalho de Carvalho, Ionara Diniz Evangelista Santos Barcelos, Ana Carolina Japur de Sá Rosa e Silva, Rui Alberto Ferriani, Júlio César Rosa e Silva
In: Expert Review of Obstetrics & Gynecology · 2008 · vol. 3(2) , pp. 203–209 · doi:10.1586/17474108.3.2.203 · W2001492263
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Laparoscopic treatment of endometriosis is a diagnostic and therapeutic option for fertility complaints, but decisions regarding endometrioma excision must carefully consider patient-specific factors and potential impacts on ovarian reserve.

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Abstract

Most endometriosis patients have fertility complaints and, in spite of the improvement of assisted reproduction procedures, outcomes remain unsatisfactory. This suggests that there are unknown ethiopathogenic influences that adversely affect fertility. Laparoscopic treatment of endometriosis is of questionable efficiency with regard to achieving better fertility results, with controversies mainly surrounding ovarian residual reserve. However, the laparoscopic approach follows good practice principles and is considered a minimally invasive procedure, with the advantage of being diagnostic and therapeutic. Decision to excise endometriomas must be taken cautiously, considering factors such as patient’s age, previous ovarian reserve, previous pelvic surgery, presence of pain or malignancy suspicion, disease extension and the mean diameter of the lesions.

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Condition tags

endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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