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An Update on Surgical versus Expectant Management of Ovarian Endometriomas in Infertile Women.

Author: HughesClaude, KeyhanSanaz, MuasherSuheil, PriceThomas

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

This research examines the treatment of ovarian endometriomas in infertile women, particularly before using assisted reproductive technologies. The study explores the potential benefits and risks of surgical excision versus expectant management, considering factors like patient symptoms, age, ovarian reserve, and prior treatments. The review suggests that certain patient profiles may benefit from proceeding directly to in vitro fertilization (IVF).
Paper Details　
Original Abstract of the Article :
Ovarian endometriomas are a common manifestation of endometriosis that can represent a more severe stage of the disease. There is much debate over the treatment of these cysts in infertile women, particularly before use of assisted reproductive technologies. Evidence exists that supports surgical ex...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512511/

データ提供：米国国立医学図書館（NLM）

Ovarian Endometriomas and Infertility: Navigating the Desert of Reproductive Health

Ovarian endometriomas, a common manifestation of endometriosis, can be a challenging obstacle for women seeking to conceive. This article provides an overview of the current debate regarding surgical versus expectant management of ovarian endometriomas in infertile women. The authors review the evidence supporting both approaches, considering factors such as patient symptoms, age, ovarian reserve, cyst size and location, previous surgical interventions, and the risk of malignancy.

Navigating the Desert of Reproductive Health: Finding the Right Path for Infertile Women with Endometriomas

The article suggests that certain patient profiles may benefit from direct referral to in vitro fertilization (IVF), especially those with symptomatic infertility, diminished ovarian reserve, bilateral endometriomas, or prior surgical treatment. While endometriomas can negatively impact ovarian reserve, surgical excision may further reduce ovarian reserve. However, the presence of endometriomas does not appear to adversely affect IVF outcomes, and surgical excision does not seem to improve IVF success rates.

A Guide Through the Desert: Making Informed Decisions About Endometriomas and Infertility

This article underscores the need for individualized care for infertile women with endometriomas. Open and transparent communication between patients and healthcare providers is crucial to make informed decisions regarding the optimal management strategy, considering the unique circumstances of each individual.

Dr.Camel's Conclusion

This article provides a valuable guide for navigating the complex desert of reproductive health for women with ovarian endometriomas. By understanding the evidence and weighing the potential benefits and risks of different treatment options, both patients and healthcare providers can make informed decisions to optimize the chances of achieving successful pregnancy.

Date :
  1. Date Completed 2016-04-13
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

26240817

DOI: Digital Object Identifier

PMC4512511

Related Literature

Article Analysis
・Effective treatment of endometriosis
SNS
PICO Info
in preparation
Languages

English

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