Ovarian endometriosis and fertility preservation problem
Aim. To review the most recent literature regarding the modern management of women with ovarian endometriosis and no desire for immediate pregnancy but wanted fertility preservation in future. Materials and methods. The analysis of latest publications on this topic has been carried out. Result...
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IP Berlin A.V.
2021
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oai:doaj.org-article:57a924bb547f45a69fe03c6c85fb44842021-12-02T19:22:24ZOvarian endometriosis and fertility preservation problem2079-56962079-583110.26442/20795696.2021.2.200822https://doaj.org/article/57a924bb547f45a69fe03c6c85fb44842021-05-01T00:00:00Zhttps://gynecology.orscience.ru/2079-5831/article/viewFile/71003/51860https://doaj.org/toc/2079-5696https://doaj.org/toc/2079-5831Aim. To review the most recent literature regarding the modern management of women with ovarian endometriosis and no desire for immediate pregnancy but wanted fertility preservation in future. Materials and methods. The analysis of latest publications on this topic has been carried out. Results. Ovarian endometriosis is associated with infertility due to several factors including potential gonadotoxic effect per se and ovarian reserve decline after surgical treatment. Medical treatment is the first-line therapeutic option for patients with pelvic pain and no desire for immediate pregnancy in absence indications for the urgent surgery, for prevention disease progression. Postoperative long-term medical therapy has been effective in the prevention of endometrioma recurrence, repeated surgery, additional ovarian reserve decline and preserve fertility in future. Conclusion. Ovarian endometriosis management should be individualized according to the patients intentions and priorities. Long-term progestins most appropriate therapy for fertility preservation in women prior to performing surgery or provide assisted reproductive technologies, if needed.Galina E. ChernukhaMadina R. DumanovskayaLilia M. IlinaIP Berlin A.V. articleendometriosisovarian endometriosisfertilitysurgeryhormonal treatmentassisted reproductive technologiesGynecology and obstetricsRG1-991RUГинекология, Vol 23, Iss 2, Pp 110-116 (2021) |
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endometriosis ovarian endometriosis fertility surgery hormonal treatment assisted reproductive technologies Gynecology and obstetrics RG1-991 |
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endometriosis ovarian endometriosis fertility surgery hormonal treatment assisted reproductive technologies Gynecology and obstetrics RG1-991 Galina E. Chernukha Madina R. Dumanovskaya Lilia M. Ilina Ovarian endometriosis and fertility preservation problem |
description |
Aim. To review the most recent literature regarding the modern management of women with ovarian endometriosis and no desire for immediate pregnancy but wanted fertility preservation in future.
Materials and methods. The analysis of latest publications on this topic has been carried out.
Results. Ovarian endometriosis is associated with infertility due to several factors including potential gonadotoxic effect per se and ovarian reserve decline after surgical treatment. Medical treatment is the first-line therapeutic option for patients with pelvic pain and no desire for immediate pregnancy in absence indications for the urgent surgery, for prevention disease progression. Postoperative long-term medical therapy has been effective in the prevention of endometrioma recurrence, repeated surgery, additional ovarian reserve decline and preserve fertility in future.
Conclusion. Ovarian endometriosis management should be individualized according to the patients intentions and priorities. Long-term progestins most appropriate therapy for fertility preservation in women prior to performing surgery or provide assisted reproductive technologies, if needed. |
format |
article |
author |
Galina E. Chernukha Madina R. Dumanovskaya Lilia M. Ilina |
author_facet |
Galina E. Chernukha Madina R. Dumanovskaya Lilia M. Ilina |
author_sort |
Galina E. Chernukha |
title |
Ovarian endometriosis and fertility preservation problem |
title_short |
Ovarian endometriosis and fertility preservation problem |
title_full |
Ovarian endometriosis and fertility preservation problem |
title_fullStr |
Ovarian endometriosis and fertility preservation problem |
title_full_unstemmed |
Ovarian endometriosis and fertility preservation problem |
title_sort |
ovarian endometriosis and fertility preservation problem |
publisher |
IP Berlin A.V. |
publishDate |
2021 |
url |
https://doaj.org/article/57a924bb547f45a69fe03c6c85fb4484 |
work_keys_str_mv |
AT galinaechernukha ovarianendometriosisandfertilitypreservationproblem AT madinardumanovskaya ovarianendometriosisandfertilitypreservationproblem AT liliamilina ovarianendometriosisandfertilitypreservationproblem |
_version_ |
1718376737354547200 |