Stratégies de prise en charge de l’infertilité en assistance médicale à la procréation dans un contexte d’endométriose, RPC Endométriose, CNGOF-HAS

Santulli P, Piétro Santulli, P Santulli, Collinet P, Pierre Collinet, P Collinet, Xavier Fritel, X Fritel, Michel Canis, M Canis, Emmanuelle Mathieu d’Argent, d'Argent EM, E M d'Argent, C Chauffour, Chauffour C, Jonathan Cohen, Cohen J, J Cohen, J L Pouly, Jean Luc Pouly, Boujenah J, J Boujenah, C Poncelet, Poncelet C, Christine Decanter, Decanter C, C Decanter, Bruno Borghese, B Borghese, Chapron C, Charles Chapron, C Chapron
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 46(3) , pp. 373–375 · doi:10.1016/j.gofs.2018.02.025 · PMID:29503237 · W2792626620
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This paper presents clinical practice guidelines for managing infertility in assisted reproductive technology within the context of endometriosis.

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Abstract

The management of endometriosis related infertility requires a global approach. In this context, the prescription of an anti-gonadotropic hormonal treatment does not increase the rate of non-ART (assisted reproductive technologies) pregnancies and it is not recommended. In case of endometriosis related infertility, the results of IVF management in terms of pregnancy and birth rates are not negatively affected by the existence of endometriosis. Controlled ovarian stimulation during IVF does not increase the risk of endometriosis associated symptoms worsening, nor accelerate the intrinsic progression of endometriosis and does not increase the rate of recurrence. However, in the context of IVF management for women with endometriosis, pre-treatment with GnRH agonist or with oestrogen/progestin contraception improve IVF outcomes. There is currently no evidence of a positive or negative effect of endometriosis surgery on IVF outcomes. Information on the possibilities of preserving fertility should be considered, especially before surgery.

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Condition tags

endometriosis

MeSH descriptors

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

Citation neighborhood

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License: CC0 · commercial use OK