医学
子宫内膜异位症
生育率
背景(考古学)
保持生育能力
卵巢储备
不育
妇科
卵巢
生殖医学
辅助生殖技术
重症监护医学
怀孕
人口
内科学
环境卫生
古生物学
生物
遗传学
作者
Gustavo N. Cecchino,Mauro Cozzolino,Matheus Roque,Juan A. Garcia-Velasco
出处
期刊:Minerva ginecologica
[Edizioni Minerva Medica]
日期:2020-06-01
卷期号:72 (3)
被引量:1
标识
DOI:10.23736/s0026-4784.20.04595-5
摘要
Endometriosis affects a great proportion of women during their reproductive years and may impair female fertility in several ways. Ovarian endometrioma (OE) is the most frequent phenotype and growing evidence suggest an endometrioma-mediated damage to the ovary, ovarian reserve and oocyte quality. Traditionally, surgery has been the first-line treatment in cases of OE. Great advances in assisted reproduction and fertility preservation techniques opened new possibilities towards a more conservative approach. Herein we discuss multiple mechanisms responsible for the deterioration of the reproductive capacity in cases of OE as well as the pros and cons of different treatment options. The management of endometrioma-related subfertility remains controversial and it will depend on patient's intentions and priorities. In the "internet era" patients tend to be hyper-informed and more participative, but they are often misguided and misinformed. Thus, doctors should be able to convert these individuals into well-informed patients in order to facilitate the process of shared decision making, which is extremely relevant in the context of OEs.
科研通智能强力驱动
Strongly Powered by AbleSci AI