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Endometriosis-related Infertility
Simone Ferrero
Editor
Endometriosis-related
Infertility
A Comprehensive Manual
ISBN 978-3-031-50661-1 ISBN 978-3-031-50662-8 (eBook)
https://doi.org/10.1007/978-3-031-50662-8
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Switzerland AG 2024
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of
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The publisher, the authors, and the editors are safe to assume that the advice and information in this book
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Paper in this product is recyclable.
Editor
Simone Ferrero
Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Child
Health (DINOGMI)
IRCCS Ospedale Policlinico San Martino, University of Genoa
Genova, Italy
v
In addition to the distressing pain symptoms, individuals afflicted with endometrio-
sis often face the challenge of infertility, a condition that necessitates precise diag -
nosis and adept management to optimize their chances of conception. The intricate
nature of endometriosis-related infertility, stemming from the distortion of pelvic
anatomy, inflammatory processes within the pelvic cavity, and adverse effects on
ovarian follicles and ovulation, remains only partially understood. This book delves
into the nuanced impact of various manifestations of endometriosis, including ovar-
ian endometriomas and deep infiltrating endometriosis, on reproductive potential.
A significant emphasis is placed on the utilization of ultrasonography for the
diagnosis of endometriosis in individuals struggling with infertility, alongside
advanced imaging techniques to evaluate tubal patency. The therapeutic landscape,
encompassing intrauterine insemination and in vitro fertilization, will be explored
in depth to illuminate their roles in overcoming endometriosis-induced reproductive
hurdles. Furthermore, the consequences of surgical intervention for endometriosis
on natural fertility and the efficacy of assisted reproductive technologies will be
thoroughly examined.
Additionally, this volume sheds light on the influence of endometriosis on endo-
metrial receptivity and introduces the critical concept of fertility preservation for
women diagnosed with this condition. Designed as an essential resource, this book
aims to equip reproductive surgeons, sonographers, and IVF specialists with com -
prehensive insights into the multifaceted relationship between endometriosis and
infertility.
I extend my heartfelt gratitude to the esteemed international experts whose con-
tributions have enriched this work, making it an indispensable tool for healthcare
professionals dedicated to the care of those affected by endometriosis.
Genova, Italy Simone Ferrero
Preface
vii
The Epidemiology of Infertility in Women with Endometriosis . . . . . . . . . 1
Nicola Berlanda, Francesca Chiaffarino, Elena Roncella, Giovanna
Esposito, and Fabio Parazzini
Endometriosis and Infertility: The Comorbidities . . . . . . . . . . . . . . . . . . . 9
Tommaso Capezzuoli, Flavia Sorbi, Silvia Vannuccini, Roberto Clarizia,
Marcello Ceccaroni, and Felice Petraglia
Impact of the Endometriomas on the Ovarian Follicles . . . . . . . . . . . . . . . 19
Paul J. Yong and Mohamed A. Bedaiwy
Fertility Prediction in Patients with Endometriosis (Endometriosis
Fertility Index). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Tingfeng Fang and Wenjun Wang
Spontaneous Ovulation in Patients with Endometriosis . . . . . . . . . . . . . . . 41
Simone Ferrero, Fabio Barra, Marco Crosa, Umberto Leone Roberti
Maggiore, and Herut Attar
Endometrial Receptivity in Women with Endometriosis . . . . . . . . . . . . . . 49
Eva Vargas, Irene Leones-Baños, Nerea M. Molina, and Signe Altmäe
Assessment of Ovarian Reserve in Women with Endometriosis. . . . . . . . . 81
Baris Ata, Engin Turkgeldi, and Uzeyir Kalkan
Assessment of Tubal Patency in Women with Endometriosis . . . . . . . . . . . 93
Fabio Barra, Marco Crosa, Francesco Rosato, Giulio Evangelisti, and
Simone Ferrero
Role of Fallopian Tubes in Endometriosis- Related Infertility . . . . . . . . . . 103
Simone Ferrero, Michele Paudice, Umberto Leone Roberti Maggiore,
Francesco Rosato, and Ertan Saridogan
Contents
viii
Role of Ultrasonography in the Diagnosis of Endometriosis in Infertile
Women: Ovarian Endometrioma, Deep Endometriosis, and Superficial
Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Rodrigo Manieri Rocha, Mathew Leonardi, and George Condous
Surgical Treatment of Endometriomas: Impact on Ovarian Reserve . . . . 131
Sabrina K. Rangi, Natalia C. Llarena, and Tommaso Falcone
Surgical Treatment of Deep Endometriosis: Impact on
Spontaneous Conception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Simone Ferrero, Umberto Perrone, Chiara Sertoli, Francesca Falcone,
and Mario Malzoni
Intrauterine Insemination in Women with Endometriosis . . . . . . . . . . . . . 163
Simone Ferrero, Umberto Leone Roberti Maggiore, and Luca Bernardini
Hormonal Therapies before In-Vitro Fertilization in Women
with Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Antoine Naem and Antonio Simone Laganà
IVF Stimulation Protocols and Outcomes in Women with
Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Jwal Banker, Henrique D’Allagnol, and Juan A. Garcia-Velasco
The Effect of Endometriosis on the Quality of Oocytes and Embryos
Obtained by IVF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Loukia Vassilopoulou, Michail Matalliotakis, Charoula Matalliotaki,
Konstantinos Krithinakis, and Ioannis Matalliotakis
Impact of Surgery for Deep Endometriosis on the Outcomes of In Vitro
Fertilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Simone Ferrero, Giovanni Camerini, and Emad Mikhail
Impact of Surgery for Ovarian Endometriomas on the Outcomes
of In Vitro Fertilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
Mauro Cozzolino, Daniela Galliano, and Antonio Pellicer
Endometriosis Progression and In Vitro Fertilization . . . . . . . . . . . . . . . . . 249
Ginevra Mills and Michael H. Dahan
Endometriosis-Related Complications in Women Undergoing
In Vitro Fertilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Gaetano Riemma, Salvatore Giovanni Vitale, and Stefano Angioni
Fertility Preservation in Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Simone Ferrero, Umberto Leone Roberti Maggiore, Irene Gazzo,
and Annalisa Racca
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291
Contents
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