Publication: Chapter 11. Endometriosis-related complications in women undergoing in-vitro fertilization
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KU Authors
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Melado, Laura
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Embargo Status
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Abstract
As a chronic inflammatory disease, endometriosis generates fibrosis and anatomic distortion, which add extra-challenges to assisted reproductive technology cycles and requires a personalized approach. Patients with endometriomas have significantly decreased ovarian reserve and the ultrasound examination tends to be challenging, possibly underestimating follicle counts. It is crucial to assess the feasibility of oocyte retrieval procedure during the initial examination of the patient, as the distortion of the pelvic anatomy, the presence of hydrosalpinges and endometriomas might render the procedure difficult and increase the risk of complications. Possible injury to adjacent organs and risk of infection must be considered. Assisted reproductive technology seems to have limited or no impact on endometriosis recurrence, pain symptom progression or the size of endometrioma.
Source
Publisher
Elsevier Sci Ltd
Subject
Obstetrics and gynecology
Citation
Has Part
Source
Best Practice and Research Clinical Obstetrics & Gynaecology
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Edition
DOI
10.1016/j.bpobgyn.2024.102456