Journal article
Effect of Surgery for Endometrioma on Ovarian Function
Journal of minimally invasive gynecology, Vol.21(2), pp.203-209
03/01/2014
DOI: 10.1016/j.jmig.2013.09.012
PMID: 24126260
Abstract
Endometriosis affects a significant proportion of reproductive-aged women. The impact of the disease on ovarian function is an important consideration when planning treatment in women who want to retain the potential of future childbearing. This review will specifically address the association between endometriomas and diminished ovarian reserve, with a particular focus on the impact of surgical endometrioma resection on ovarian function. The existing literature supports an adverse effect of ovarian endometriomas on spontaneous ovulation rates, markers of ovarian reserve, and response to ovarian stimulation, although data on clinical pregnancy and live birth rates remain inconsistent. Surgical removal of endometriomas may worsen ovarian function by removing healthy ovarian cortex or compromising blood flow to the ovary. It is evident that surgical excision of endometriomas acutely impairs ovarian function as measured by ovarian reserve markers; whether this represents progressive or long term impairment remains the subject of ongoing investigation. (c) 2014 AAGL. All rights reserved.
Details
- Title: Subtitle
- Effect of Surgery for Endometrioma on Ovarian Function
- Creators
- Divya K. Shah - University of Iowa Hospitals and ClinicsRachel B. Mejia - University of Iowa Hospitals and ClinicsDan I. Lebovic - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- Journal of minimally invasive gynecology, Vol.21(2), pp.203-209
- Publisher
- Elsevier
- DOI
- 10.1016/j.jmig.2013.09.012
- PMID
- 24126260
- ISSN
- 1553-4650
- eISSN
- 1553-4669
- Number of pages
- 7
- Language
- English
- Date published
- 03/01/2014
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984318328002771
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