超越表面：I-II 期子宫内膜异位症会影响生育吗？探索轻度疾病的挑战。

IF 3.9 2区医学 Q1 OBSTETRICS & GYNECOLOGY Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI:10.1016/j.bpobgyn.2024.102501

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引用次数: 0

摘要

子宫内膜异位症是妇女一生中最常见的妇科疾病之一。尽管技术在不断进步，但对许多妇女来说，诊断和治疗这种复发和缓解性疾病仍是一项挑战。本综述主要关注与轻微/轻度（I/II 期）子宫内膜异位症及其对生育的影响有关的文献。在自然周期和辅助生殖技术周期中，医疗干预对改善不孕症和产科结果的有效性仍存在争议。最近的 ESHRE 指南建议，可考虑对 rASRM I/II 期子宫内膜异位症进行腹腔镜手术，因为它能提高持续妊娠率。

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Beyond the surface: Does stage I-II endometriosis impact fertility? Exploring the challenges of mild disease

Endometriosis is one of the most common gynecologic conditions that women face throughout their lives. Despite advances in technology, diagnosis and treatment of this relapsing and remitting condition is still challenging for many women. This review focuses on literature pertaining to minimal/mild (stage I/II) endometriosis and its impact on fertility. The effectiveness of medical interventions to improve infertility and obstetric outcomes in both natural and assisted reproductive technologies cycles remains debated. The recent ESHRE guidelines suggests that operative laparoscopy could be considered for rASRM stage I/II endometriosis as it improves ongoing pregnancy rates.

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来源期刊

Best Practice & Research Clinical Obstetrics & Gynaecology 医学-妇产科学

CiteScore

9.40

自引率

1.80%

发文量

113

审稿时长

54 days

期刊介绍： In practical paperback format, each 200 page topic-based issue of Best Practice & Research Clinical Obstetrics & Gynaecology will provide a comprehensive review of current clinical practice and thinking within the specialties of obstetrics and gynaecology. All chapters take the form of practical, evidence-based reviews that seek to address key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. Management will be described in practical terms so that it can be applied to the individual patient.