Melado Laura, Ata Baris
ART Fertility Clinics, Abu Dhabi, United Arab Emirates.
ART Fertility Clinics, Dubai, United Arab Emirates; Dept. of Obstetrics and Gynecology, Koç University School of Medicine, Istanbul, Turkiye.
Best Pract Res Clin Obstet Gynaecol. 2024 Mar;93:102456. doi: 10.1016/j.bpobgyn.2024.102456. Epub 2024 Jan 12.
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.
作为一种慢性炎症性疾病，子宫内膜异位症会导致纤维化和解剖结构扭曲，这给辅助生殖技术周期带来了额外挑战，需要个性化的治疗方法。患有卵巢巧克力囊肿的患者卵巢储备显著下降，超声检查往往具有挑战性，可能会低估卵泡数量。在对患者进行初次检查时评估取卵手术的可行性至关重要，因为盆腔解剖结构的扭曲、输卵管积水和卵巢巧克力囊肿的存在可能会使手术困难，并增加并发症的风险。必须考虑对邻近器官的可能损伤和感染风险。辅助生殖技术似乎对子宫内膜异位症的复发、疼痛症状进展或卵巢巧克力囊肿的大小影响有限或没有影响。
