Outcome of in vitro fertilization/intracytoplasmic sperm injection after laparoscopic cystectomy for endometriomas

Esinler, İbrahim; Bozdağ, Gürkan; Aybar, F.; Bayar, Ülkü; Yaralı́, Hakan

doi:10.1016/j.fertnstert.2005.10.076

Cited by 94 publications

(74 citation statements)

References 25 publications

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“…Recently, Esinler et al showed that patients with an endometrioma who were confirmed to have intact fallopian tubes and tubal patency, especially in intact ovaries, had higher pregnancy rates after laparoscopic surgery [12]. In fact, after laparoscopy, 50% of infertile patients achieved pregnancy by timed intercourse or intrauterine insemination without IVF treatment in this study.…”

Section: Discussionsupporting

confidence: 52%

“…Recent evidence suggests that laparoscopic cystectomy of an ovarian endometrioma reduces ovarian reserve and consequently the response to ovarian stimulation [12,[15][16][17][18]. Most of these reports compared the adverse effects of cystectomy on subsequent response to IVF treatments, such as the response to controlled ovarian hyperstimulation and the mean number of oocytes retrieved in operated versus non-operated patients [21,[27][28][29], but there were few A large endometrioma (≥4 cm in diameter) Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Cystectomy is commonly performed on endometriomas more than 3 cm in diameter before ART treatment [12]. Some studies reported that endometrioma cystectomy had no detrimental effect on controlled ovarian hyperstimula-tion or on ART outcomes [13,14], while some other studies reported that endometrioma cystectomy reduced response to controlled ovarian hyperstimulation [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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The frequency of ovulation from the affected ovary decreases following laparoscopic cystectomy in infertile women with unilateral endometrioma during a natural cycle

Horikawa

Nakagawa

Ohgi

et al. 2008

J Assist Reprod Genet

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Purpose To evaluate the cystectomy-induced damage on the follicular growth and ovulation of an affected ovary during natural cycles. Methods Twenty-eight infertile patients with unilateral ovarian endometriomas who underwent laparoscopic cystectomy were retrospectively evaluated. The ovulation rate of an affected ovary during natural cycles was compared before and after cystectomy in each patient, and it was also determined if ovulation from the affected ovaries resulted in pregnancy.Results After surgery, the ovulation rate was significantly lower than that before cystectomy (16.9±4.5% vs. 34.4± 6.6%, P= 0.013). After surgery, 14 pregnancies were achieved without IVF treatment, and only 2 of them (14.3%) were achieved from an operated-side ovary. However, the pregnancy rate per ovulatory cycle of the operated-side ovary was not different from that of the intact ovary (8.8% vs. 5.8%, P=0.750). Conclusions Laparoscopic cystectomy is an invasive treatment in that it reduces the frequency of ovulation; however the pregnancy rate per ovulation did not deteriorate.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The frequency of ovulation from the affected ovary decreases following laparoscopic cystectomy in infertile women with unilateral endometrioma during a natural cycle

Horikawa

Nakagawa

Ohgi

et al. 2008

J Assist Reprod Genet

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“…However, there are a few previous studies focusing on reduced ovarian reserve in women operated on for bilateral endometriomas. Esinler et al [22] evaluated the outcome of 23 patients with bilateral cystectomy treated with ICSI, compared with 99 tubal factor patients and suggested that ovarian endometrioma cystectomy reduces the ovarian reserve, but does not impair pregnancy outcome. On the other hand, Somigliana et al [23] demonstrated that ART outcome was significantly impaired in women operated on for bilateral ovarian endometriomas.…”

Section: 5% Respectively)mentioning

confidence: 99%

Poor pregnancy outcome following assisted reproductive technology among women operated on for bilateral endometriomas

Yamamoto

Umeki

Maeda

et al. 2009

Reprod Medicine & Biology

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Purpose To determine the first line of infertility treatment for managing patients with unilateral or bilateral ovarian endometriomas. Methods We evaluated pregnancy outcome in patients who had received ovarian surgery for unilateral (Group U, n = 47) or bilateral endometriomas (Group B, n = 38) and aspiration with or without alcohol fixation for unilateral (Group u, n = 37) or bilateral endometriomas (Group b, n = 22). Subsequently, 64 of these women, excluding 29 dropouts, underwent assisted reproductive technology. We compared the clinical pregnancy rates of the four groups. Results The cumulative pregnancy rate after operation of Group B (18%) was significantly lower than that of a cystfree control group (n = 143; 44%) and Group U (43%). Group B had fewer oocytes fertilized during ART than did Group b (P \ 0.005) and fewer blastocysts available for transfer (P \ 0.005). The cumulative pregnancy rate of Group B was also lower than in Group b (P = 0.052). Conclusions Pregnancy outcomes of Group B were not better than for Group b. Therefore, encouraging such women to move directly to ART might help avoid ovarian damage and improve their ability to achieve a pregnancy.

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“…При этом более половины пациенток (до 55%) с т. н. «хроническими воспалительными процессами органов малого таза» на самом деле страдают различными фор-мами эндометриоза [3][4][5][6][7][8][9][10][11].…”

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Treating endometriosis with hormonal contraceptives

Karakhalis

Papova²,

Mayorova

2016

Medicinskij sovet

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Outcome of in vitro fertilization/intracytoplasmic sperm injection after laparoscopic cystectomy for endometriomas

Cited by 94 publications

References 25 publications

The frequency of ovulation from the affected ovary decreases following laparoscopic cystectomy in infertile women with unilateral endometrioma during a natural cycle

The frequency of ovulation from the affected ovary decreases following laparoscopic cystectomy in infertile women with unilateral endometrioma during a natural cycle

Poor pregnancy outcome following assisted reproductive technology among women operated on for bilateral endometriomas

Treating endometriosis with hormonal contraceptives

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