Endometriosis related to infertility

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This review highlights the obscure etiology and controversial management of endometriosis-associated infertility, arguing for a new comprehensive multi-centre study with international collaboration to resolve current methodological disagreements.

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This publication is a comprehensive manual edited by Simone Ferrero that examines the complex relationship between endometriosis and infertility. It details the pathological mechanisms, such as pelvic anatomical distortion and inflammation, that impair reproductive potential in women with ovarian endometriomas or deep infiltrating disease. The text provides an extensive review of diagnostic strategies, including ultrasonography for lesion detection, alongside therapeutic interventions ranging from surgical excision to assisted reproductive technologies like intrauterine insemination and in vitro fertilization. This paper is centrally about endometriosis — specifically focusing on the diagnosis, management, and treatment of infertility associated with the condition.

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Abstract

Endometriosis is a disease affecting the physical health and emotional well being of many women worldwide. General estimates indicate that at least 25% of all women in their 30s and 40s may be suffering from endometriosis and 30-50% of the affected women are also infertile. Medical therapy, surgery and assisted reproduction are the 3 main options available to women affected by this condition. The etiology and pathophysiology of endometriosis-associated infertility are still obscure, despite an enormous effort over many decades. The management of this disease is a source of controversy and so far no consensus has been reached. Most studies show considerable variation in methodology, may not have enough statistical power or report results that are exactly the opposite of what has been previously published. In light of the disagreement that surrounds the study of endometriosis-associated infertility, a new comprehensive multi-centre study should be designed with the international collaboration of all major experts in this field.
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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 illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland 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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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Ovulation Induction Reproductive Techniques, Assisted

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