Management of Endometriosis in the Infertile Patient

Research output: Contribution to journalArticle

Abstract

The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright ©, Thieme Medical Publishers. All rights reserved.
Original languageEnglish
Pages (from-to)31-37
Number of pages7
JournalSeminars in Reproductive Medicine
Volume35
Issue number1
DOIs
Publication statusPublished - 2017

Fingerprint

Endometriosis
Fertilization in Vitro
Fertility Preservation
Safety
Insemination
Infertility

Cite this

Management of Endometriosis in the Infertile Patient. / Somigliana, E; Viganò, P; Benaglia, L; Busnelli, A; Berlanda, N; Vercellini, P.

In: Seminars in Reproductive Medicine, Vol. 35, No. 1, 2017, p. 31-37.

Research output: Contribution to journalArticle

@article{d34dc93350c743468e050f94f82b4b36,
title = "Management of Endometriosis in the Infertile Patient",
abstract = "The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright {\circledC}, Thieme Medical Publishers. All rights reserved.",
author = "E Somigliana and P Vigan{\`o} and L Benaglia and A Busnelli and N Berlanda and P Vercellini",
year = "2017",
doi = "10.1055/s-0036-1597125",
language = "English",
volume = "35",
pages = "31--37",
journal = "Seminars in Reproductive Medicine",
issn = "1526-8004",
publisher = "Thieme Medical Publishers",
number = "1",

}

TY - JOUR

T1 - Management of Endometriosis in the Infertile Patient

AU - Somigliana, E

AU - Viganò, P

AU - Benaglia, L

AU - Busnelli, A

AU - Berlanda, N

AU - Vercellini, P

PY - 2017

Y1 - 2017

N2 - The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright ©, Thieme Medical Publishers. All rights reserved.

AB - The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright ©, Thieme Medical Publishers. All rights reserved.

U2 - 10.1055/s-0036-1597125

DO - 10.1055/s-0036-1597125

M3 - Article

VL - 35

SP - 31

EP - 37

JO - Seminars in Reproductive Medicine

JF - Seminars in Reproductive Medicine

SN - 1526-8004

IS - 1

ER -