Oral Engin, Demir Berfu, Inceboz Umit
Womens Health (Lond). 2015 Aug;11(5):671-5. doi: 10.2217/whe.15.53. Epub 2015 Sep 7.
Endometriosis is characterized by development of the endometrial tissue outside the uterus like ovary, pelvic peritoneum, pelvic organs, and affects 6-10% of reproductive-aged women. The prevalence of endometrioma is 17-44% of women with endometriosis. Since endometriosis is mainly a disease for the women at their reproductive ages, it is important to consider ovarian reserve when managing the cases with ovarian endometriosis. There has been a long debate whether the endometrioma per se decreases the ovarian reserve and/or surgery for endometrioma - either by laparoscopy or by laparotomy - decreases it. Although the dispute for these questions is not totally settled down, in this article, we would like to give some clues for the answers in view of the literature.
子宫内膜异位症的特征是子宫内膜组织在子宫外生长，如卵巢、盆腔腹膜、盆腔器官等，影响6%至10%的育龄妇女。子宫内膜瘤在子宫内膜异位症患者中的患病率为17%至44%。由于子宫内膜异位症主要是育龄期女性的疾病，因此在处理卵巢子宫内膜异位症病例时，考虑卵巢储备非常重要。关于子宫内膜瘤本身是否会降低卵巢储备以及子宫内膜瘤手术（无论是腹腔镜手术还是开腹手术）是否会降低卵巢储备，长期以来一直存在争议。尽管这些问题的争议尚未完全解决，但在本文中，我们希望根据文献为这些问题的答案提供一些线索。
