Endometriosis andin vitrofertilisation: A review

Autor:	Lionel Reyftmann, C. Brunet, Bernard Hedon, Hervé Dechaud, Samir Hamamah, C. Dechanet
Rok vydání:	2009
Předmět:	Infertility medicine.medical_specialty Menotropins Endocrinology Diabetes and Metabolism medicine.medical_treatment Endometriosis Pain Context (language use) Fertilization in Vitro Gonadotropin-Releasing Hormone Endocrinology Ovulation Induction Severe endometriosis Humans Medicine Effective treatment In patient reproductive and urinary physiology Uterine Diseases Ivf treatment In vitro fertilisation Cysts business.industry Obstetrics Obstetrics and Gynecology medicine.disease female genital diseases and pregnancy complications Treatment Outcome Female Follicle Stimulating Hormone business Infertility Female
Zdroj:	Gynecological Endocrinology. 25:717-721
ISSN:	1473-0766 0951-3590
DOI:	10.3109/09513590903159599
Popis:	This review aims to evaluate whether severe endometriosis has an impact on the outcome of in vitro fertilisation (IVF), whether IVF is associated with specific complications in this context, whether a specific ovarian stimulation protocol is most appropriate, whether the endometrial condition progresses following ovarian stimulation, and whether endometrial cysts pose a specific problem for IVF. In patients with severe endometriosis, IVF represents an effective treatment option for infertility, as a complement to surgery. The prognostic parameters of IVF are identical to those of other patients. However, the risks related to the severity of endometriosis, particularly the risk of ovarian deficiency, need to be considered. Because of this issue, to which endometriosis-related pain often adds, IVF treatment should be initiated as early as possible, using appropriate protocols and after having fully informed the patient about the specific oocytes retrieval-related risks.
Databáze:	OpenAIRE
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