Management of endometrioma prior to IVF: compliance with ESHRE guidelines

Gelbaya TA, Tarek A Gelbaya, Stephan Gordts, Gordts S, D'Hooghe TM, Thomas D’Hooghe, Thomas M D'Hooghe, Marco Gergolet, Luciano G Nardo, Nardo LG
Reproductive biomedicine online · 2010 · vol. 21(3) , pp. 325–330 · doi:10.1016/j.rbmo.2010.04.023 · PMID:20688568 · W2081440495
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This paper investigates the adherence of endometrioma management practices to ESHRE guidelines in the context of in vitro fertilization.

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Abstract

Management of endometrioma before IVF remains controversial. As well as some measurable benefits from surgical treatment, there are also potential risks that should be discussed with the patients to help them make an informed decision. When surgery is compared with expectant management, there appear to be no statistically significant differences in pregnancy rate and ovarian response to exogenous stimulation. The objectives of this European Society of Human Reproduction and Embryology (ESHRE)-sponsored survey were to acquire knowledge of current strategies for the management of endometrioma (>3 cm) prior to IVF and to explore adherence to ESHRE guidelines. A validated, peer-reviewed online questionnaire made of 14 questions was sent to 396 members of the ESHRE Special Interest Groups (Reproductive Surgery and Endometriosis/Endometrium), with a response rate of 27%. Surgical management is the most common treatment (82.2%), with drainage and excision of the cyst wall being the preferred surgical approach (78.5%). Monthly depot gonadotrophin-releasing hormone analogues are the preferred choice of medical treatment of endometriomas before IVF, with an average duration of treatment of 3 months. The findings demonstrate that surgery remains the commonest treatment offered for women with endometrioma before IVF. This is in line with the recommendations of the ESHRE guidelines.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Fertilization in Vitro Endometriosis Europe Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Guideline Adherence Gynecologic Surgical Procedures Humans Ovarian Diseases Ovarian Diseases Ovarian Diseases Practice Guidelines as Topic Pregnancy Societies, Medical Surveys and Questionnaires

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (28)

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License: CC0 · commercial use OK