Endometriosis Associated with Infertility: Therapeutic Approaches

In: Lasers in Gynecology · 1992 · pp. 135–141 · doi:10.1007/978-3-642-45683-1_18 · W93388164
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This paper reviews therapeutic approaches for endometriosis-associated infertility, discussing the debate between expectant management and active treatment, as well as surgical and hormonal options.

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This chapter reviews therapeutic approaches for endometriosis-associated infertility, framing a key controversy between expectant management and active treatments, and discussing how lesions are diagnosed and classified using multiple systems. It surveys management options over time, including expectant strategies and procedural or hormonal interventions such as danazol, CO2 laser laparoscopy, and combined hormonal plus microsurgical therapy, as well as related concerns like treatment effects and specific outcomes reported in cited studies. A major limitation is that the chapter is a synthesis of prior work rather than a single new study with standardized methods or outcome definitions across studies. This paper is centrally about endometriosis — it focuses specifically on therapeutic approaches for infertility in women with endometriosis.

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Abstract

The controversy surrounding the optimal treatment of women with endometriosis is not simply a battle between the endocrinologist [11] and the surgeon; it is also the dilemma of choosing between expectant management and any active treatment [13–15]. Since Sampson first described endometriosis as a unique entity in 1921 [16], the most common locations of this disease have remained the surfaces of the most dependent intra-abdominal structures in the upright woman. The lesions are diagnosed according to various classification systems [1–3, 12]. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Acosta AA, Buttram CJ jr, Besch PK (1973) A proposed classification of pelvic endometriosis. Obstet Gynecol 42:19. American Fertility Society (1979) Classification of endometriosis. Fertil Steril 32:633. American Fertility Society (1985) Revised American Fertility Society classification of endometriosis. Fertil Steril 43:351. Barbieri RL, Canick JA, Makris A (1977) Danazol inhibits steroidogenesis. Fertil Steril 28:809. De Vogelaer JP, Nagant de Deuxchaisnes C, Donnez J, Thomas K (1987) LH-RH analogues and bone loss. Lancet 4:1498. Dmowski WP, Cohen MR (1975) Treatment of endometriosis with an antigo-nadotropin, danazol: a laparoscopic and histologic evaluation. Obstet Gynecol 46:147. Donnez J (1987) CO2 laser laparoscopy in infertile women with adhesions or endometriosis. Fertil Steril 48:390. Donnez J, Lemaire M, Karaman Y, Nisolle-Pochet M, Casanas-Roux F (1987) Combined (hormonal and microsurgical) therapy in infertile women with endometriosis. Fertil Steril 48:239. Gordts S, Boeckx W, Brosens I (1984) Microsurgery of endometriosis in infertile patients. Fertil Steril 42:520. Kelly RW, Roberts DK (1983) CO2 laser laparoscopy: a potential alternative to danazol in the treatment of stage-I and stage-II endometriosis. J Reprod Med 28:638. Kistner RW (1966) Current status of the hormonal treatment of endometriosis. Clin Obstet Gynecol 9:271. Kistner RW, Siegler AM, Behrman SJ (1977) Suggested classification for endometriosis: relationship to infertility. Fertil Steril 28:1008. Olive DL, Haney AF (1987) Endometrio-sis-associated infertility. A critical review of therapeutic approaches. Obstet Gynecol Surv 41:538 Olive DL, Stohs GF, Metzger DA (1985) Expectant management and hydrotuba-tions in the treatment of endometriosis associated with infertility. Fertil Steril 44:35 Portuondo JA, Echanojauregui AD, Herran C (1983) Early conception in patients with untreated mild endometriosis. Fertil Steril 39:22. Sampson JA (1921) Perforating hemorrhagic (chocolate) cysts of the ovary: their importance and especially their relation to pelvic adenomas of endometrial type. Arch Surg 3:245. Seibel MM, Berber MJ, Weinstein FG (1982) The effectiveness of danazol on subsequent fertility in minimal endometriosis. Fertil Steril 38:534. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 1992 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Donnez, J., Nisolle, M. (1992). Endometriosis Associated with Infertility: Therapeutic Approaches. In: Bastert, G., Wallwiener, D. (eds) Lasers in Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45683-1_18 Download citation DOI: https://doi.org/10.1007/978-3-642-45683-1_18 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-45685-5 Online ISBN: 978-3-642-45683-1 eBook Packages: Springer Book Archive

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endometriosisinfertility

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References (19)

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