Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it!
Endometriosis is a common benign disease that affects young women and carries a significant risk to the reproductive organs. Studies have shown that endometriosis is associated with diminished ovarian reserve and worse prognosis in assisted reproductive technology treatments. Surgical treatment aims...
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| Format: | Article |
| Language: | English |
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European Medical Journal
2019-08-01
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| Series: | European Medical Journal Reproductive Health |
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| Online Access: | https://www.emjreviews.com/reproductive-health/article/fertility-preservation-in-women-with-endometriosis-it-is-about-time-we-talk-about-it/ |
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| author | Márcia Mendonça Carneiro Ana Luiza Lunardi Rocha Ivete de Ávila Marcia Cristina França Ferreira |
| author_facet | Márcia Mendonça Carneiro Ana Luiza Lunardi Rocha Ivete de Ávila Marcia Cristina França Ferreira |
| author_sort | Márcia Mendonça Carneiro |
| collection | DOAJ |
| description | Endometriosis is a common benign disease that affects young women and carries a significant risk to the reproductive organs. Studies have shown that endometriosis is associated with diminished ovarian reserve and worse prognosis in assisted reproductive technology treatments. Surgical treatment aims to remove the disease while maintaining reproductive potential with minimal damage to the reproductive organs. The authors reviewed the published literature regarding fertility preservation in endometriosis, focussing on patient selection criteria, available treatment options, and follow-up. The goal of this study was to find evidence to answer the following clinical questions: how should women of reproductive age with endometriosis be managed, and what fertility-sparing options are available? Cryopreservation of embryos and mature oocytes are established techniques for preserving fertility in women during the reproductive period. Fertility preservation is a key consideration in the care of young girls and women with endometriosis, mainly those with ovarian endometriomas and advanced disease. Although no cohort studies have been published on the subject to date, adequate information detailing disease progression, treatment options, and the risks involved should be made available for these women. Available fertility preservation strategies include embryo and oocyte crypreservation, and women should be counselled individually on the risks, benefits, and costs involved with these options. In this scenario, management by a multidisciplinary endometriosis team is a fundamental step for producing successful results. |
| first_indexed | 2024-12-12T22:09:16Z |
| format | Article |
| id | doaj.art-d5af4c61c8c04b4494c5fabb84412de6 |
| institution | Directory Open Access Journal |
| issn | 2059-450X |
| language | English |
| last_indexed | 2024-12-12T22:09:16Z |
| publishDate | 2019-08-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal Reproductive Health |
| spelling | doaj.art-d5af4c61c8c04b4494c5fabb84412de62022-12-22T00:10:18ZengEuropean Medical JournalEuropean Medical Journal Reproductive Health2059-450X2019-08-01516673Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it!Márcia Mendonça Carneiro0Ana Luiza Lunardi Rocha1Ivete de Ávila2Marcia Cristina França Ferreira3Endometriosis Multidisciplinary Team, Mater Dei Hospital, Belo Horizonte, Brazil; Human Reproduction Center, Mater Dei Hospital, Belo Horizonte, Brazil; Department of Obstetrics and Gynecology, Universidade Federal de Minas Gerais, Belo Horizonte, BrazilDepartment of Obstetrics and Gynecology, Universidade Federal de Minas Gerais, Belo Horizonte, BrazilEndometriosis Multidisciplinary Team, Mater Dei Hospital, Belo Horizonte, Brazil; Human Reproduction Center, Mater Dei Hospital, Belo Horizonte, BrazilEndometriosis Multidisciplinary Team, Mater Dei Hospital, Belo Horizonte, Brazil; Human Reproduction Center, Mater Dei Hospital, Belo Horizonte, Brazil; Department of Obstetrics and Gynecology, Universidade Federal de Minas Gerais, Belo Horizonte, BrazilEndometriosis is a common benign disease that affects young women and carries a significant risk to the reproductive organs. Studies have shown that endometriosis is associated with diminished ovarian reserve and worse prognosis in assisted reproductive technology treatments. Surgical treatment aims to remove the disease while maintaining reproductive potential with minimal damage to the reproductive organs. The authors reviewed the published literature regarding fertility preservation in endometriosis, focussing on patient selection criteria, available treatment options, and follow-up. The goal of this study was to find evidence to answer the following clinical questions: how should women of reproductive age with endometriosis be managed, and what fertility-sparing options are available? Cryopreservation of embryos and mature oocytes are established techniques for preserving fertility in women during the reproductive period. Fertility preservation is a key consideration in the care of young girls and women with endometriosis, mainly those with ovarian endometriomas and advanced disease. Although no cohort studies have been published on the subject to date, adequate information detailing disease progression, treatment options, and the risks involved should be made available for these women. Available fertility preservation strategies include embryo and oocyte crypreservation, and women should be counselled individually on the risks, benefits, and costs involved with these options. In this scenario, management by a multidisciplinary endometriosis team is a fundamental step for producing successful results.https://www.emjreviews.com/reproductive-health/article/fertility-preservation-in-women-with-endometriosis-it-is-about-time-we-talk-about-it/endometriomaendometriosisfertility preservationovarian reservepregnancy |
| spellingShingle | Márcia Mendonça Carneiro Ana Luiza Lunardi Rocha Ivete de Ávila Marcia Cristina França Ferreira Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! European Medical Journal Reproductive Health endometrioma endometriosis fertility preservation ovarian reserve pregnancy |
| title | Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! |
| title_full | Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! |
| title_fullStr | Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! |
| title_full_unstemmed | Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! |
| title_short | Fertility Preservation in Women with Endometriosis: It is About Time We Talk About it! |
| title_sort | fertility preservation in women with endometriosis it is about time we talk about it |
| topic | endometrioma endometriosis fertility preservation ovarian reserve pregnancy |
| url | https://www.emjreviews.com/reproductive-health/article/fertility-preservation-in-women-with-endometriosis-it-is-about-time-we-talk-about-it/ |
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