Impact of ovarian endometrioma on assisted reproduction outcomes

Gupta, Sajal; Agarwal, Ashok; Agarwal, Rishi; Mola, J. Ricardo Loret de

doi:10.1016/s1472-6483(10)61439-3

Cited by 142 publications

(103 citation statements)

References 65 publications

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“…Bu çalışmalarda antral folikül sayısı [9], ovulasyon oranı veya gonodotropinlere yanıt incelenmiştir [10,11,12]. Geniş çaplı bir derlemede ovaryan endometriomaları bulunan hastalarda kontrol gurubuna göre ovulasyon indüksiyo-nu ile daha az folikül elde edildiği görülmüştür [13]. Biz çalışmamızda ovaryan rezervi değerlendirmek için FSH, LH, E2 ve Ovaryan arter RI değerlerini kullandık.…”

Section: Discussionunclassified

“…Ayrıca yapılan çalışmalarda, kanama kontrolünün koter veya sü-tur ile karşılaştırıldığında, bipolar koter kullanımının over rezervini daha çok etkilediği belirtilmektedir. [9,10,11,13,14]. Bizim çalışmamızda laparaskopik endometrioma cerrahisinin (kanama kontrolü bipolar koter ile sağlandı) over hacmini anlamlı olarak azaltmasına rağmen kan akım indeksinde herhangi bir değişik-liğe neden olmadığını gördük.…”

Section: Discussionunclassified

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The Effect of the Ovarian Endometrioma Surgery on Ovarian Reserve and Ovarian Blood Flow

Yılmaz¹,

Uysal²,

Önoglu³

et al. 2015

Ann Clin Anal Med

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ÖzetAmaç: Laparaskopik endometriosis cerrahisinin ovaryan rezerv ve ovaryan kan akım parametreleri üzerine olan etkilerini araştırmak. Gereç ve Yöntem: Üçüncü basamak eğitim ve araştırma hastanesinde endometrioma nedeniyle laparaskopik cerrahi uygulanan 26 hasta prospektif olarak değerlendirildi. Olgulara cerrahi işlem öncesi ve sonrası adet periyodunun 3üncü günü FSH, LH ve E2 bakıldı. Operasyon öncesi ve sonrası olguların ultrasonografik olarak kist volümü, over volümü ve ovaryan arter rezistif indeks'i Doppler ultrasonografi ile değerlendirildi. Bulgular: Çalışma gurubundaki 26 hastanın yaş ortalaması 25,6 ± 4,5 (20-36 yaş) idi. Operasyon öncesi ve sonrası üçüncü gün bakılan hormonal değerler karşılaştırıldığında sırasıyla FSH (p: 0,455), LH (p: 0,672), değerlerinde bir değişiklik izlenmezken, E2 (p: 0,024) değerleri-nin anlamlı olarak azaldığı görüldü. Cerrahi sonrası ovaryan volüm anlamlı bir şekilde azalırken (p: 0,001), bu azalışın Ovaryan Arter RI değerlerini (p: 0,587) etkilemediği görüldü. Sonuç: Çalışmamızda ovaryan endometriomaların laparoskopik kistektomisi sonrasında over hacimlerinin anlamlı olarak azaldığını ama bunun, hormon sonuçlarına ve ovaryan arter kan akımlarına bakıldığında over rezervini etkilemediği görüldü. Anahtar KelimelerEndometriosis; Ovaryan Rezerv; Doppler Ultrasonografi Abstract Aim: To investigate the effectiveness of laparoscopic endometriosis surgery on ovarian reserve and ovarian blood flow index. Material and Method: Twenty-six patients were evaluated prospectively whom had laparoscopic surgery due to endometrioma in third care education and research hospital. Before and after surgical procedure all patients FSH, LH and E2 levels were measured in their 3rd menstrual period day. Periodically cysts and ovarian volume as well as ovarian artery resistive index measured by using transvaginal Doppler sonography. Results: Twenty-six patients' mean age was 25, 6 ± 4, 5 (20-36 years). When the compared to changes of preoperative and postoperative values of hormonal parameters FSH (p: 0,455) and LH (p: 0,672) were insignificant and E2 (p: 0,024) was significant respectively. While ovarian volume was decreasing significantly (p: 0,001), Ovarian Artery RI parameter was not changed (p: 0,587). Discussion: Our study was showed that while laparoscopic surgical treatment of ovarian endometriomas significantly decrease ovarian volume, but hormonal parameters and ovarian blood flow were not affected.

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Section: Discussionunclassified

The Effect of the Ovarian Endometrioma Surgery on Ovarian Reserve and Ovarian Blood Flow

Yılmaz¹,

Uysal²,

Önoglu³

et al. 2015

Ann Clin Anal Med

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“…Endometriosis affects oocyte number but not embryo quality or pregnancy rates and outcome, whether or not an endometrioma is present [18] . Endometrioma has adverse effects only on follicle number and oocytes quality [69] . Yang et al [70] showed same results but less total number of embryos and M2 oocytes.…”

Section: In-vitro Fertilization (Ivf)mentioning

confidence: 99%

Ovarian Endometrioma and Infertility

2017

ARC Journal of Gynecology and Obstetrics

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“…Increasing numbers of women with endometriosis have achieved pregnancy with assisted reproductive technology (ART). Several studies have suggested that the presence of an endometrioma reduces the quality of the oocytes, as reflected by the reduced rate of fertilization and implantation after controlled ovarian hyperstimulation and in vitro fertilization (IVF) treatment 4, 5, 6, 7. The European Society of Human Reproduction and Embryology guidelines state that there is no evidence that cystectomy prior to treatment with ART improves the pregnancy rates in infertile women with endometriomas that are >30 mm.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy outcomes after assisted reproductive procedures with embryos that had been derived from affected and unaffected ovaries among women with small unilateral endometriomas

Takashima

Takeshita

Kinoshita

2017

Reprod Medicine & Biology

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AimTo clarify the effects of small endometriomas on in vitro fertilization (IVF) outcomes. In the present study, the potential impact of small ovarian endometriomas on the quantitative and qualitative outcomes of IVF was evaluated in the same individual.MethodsA retrospective analysis was performed, in which 118 infertile women with unilateral endometriomas that were <40 mm in size and who underwent IVF or intracytoplasmic sperm injection were evaluated. Single frozen embryo transfer cycles were performed, with separate data collections for both the affected and the unaffected ovaries, which allowed for an evaluation of the implantation rate.ResultsThe mean antral follicular count and the number of follicular flushings, retrieved oocytes, and obtained embryos were significantly lower for the endometrioma‐containing ovary than for the contralateral, intact ovary. No significant difference was observed regarding the blastocyst retrieval and good‐quality blastocyst retrieval rates, pregnancy rate, and clinical pregnancy or live birth rate.ConclusionAlthough the patients with a small endometrioma had a decreased ovarian reserve, they had lower pregnancy rates. The decision to transfer an embryo from an endometrioma‐containing ovary or from a contralateral, intact ovary also might not influence the pregnancy rate.

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Impact of ovarian endometrioma on assisted reproduction outcomes

Cited by 142 publications

References 65 publications

The Effect of the Ovarian Endometrioma Surgery on Ovarian Reserve and Ovarian Blood Flow

The Effect of the Ovarian Endometrioma Surgery on Ovarian Reserve and Ovarian Blood Flow

Ovarian Endometrioma and Infertility

Pregnancy outcomes after assisted reproductive procedures with embryos that had been derived from affected and unaffected ovaries among women with small unilateral endometriomas

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