Endometriosis
Advanced endometriosis risks reduced ovarian reserve, necessitating fertility preservation through medical treatment and conservative surgery, with oocyte freezing an option for significant fertility decline.
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This chapter reviews fertility preservation considerations in advanced endometriosis, focusing on how endometriosis and related surgery can reduce ovarian reserve and affect fertility, and outlining approaches such as ovarian stimulation with oocyte cryopreservation or ovarian-conserving surgery by specialized surgeons. It highlights that for anticipated substantial fertility loss—such as in young women with deep infiltrating disease or bilateral endometriomas, or in women with one remaining ovary—oocyte stimulation and freezing may be used, with stimulation regimens needing adaptation to avoid complications. A key practical caveat stated is that ovarian surgery should not be performed directly after follicle aspiration. This paper is centrally about endometriosis — it discusses fertility preservation strategies in advanced endometriosis and their relationship to ovarian reserve and timing of ovarian surgery.
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References (46)
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