子宫内膜异位症患者的生育能力保存

Clinical Medicine Insights-Reproductive Health Pub Date : 2019-01-01 DOI:10.1177/1179558119873386

N. Llarena, T. Falcone, R. Flyckt

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引用次数: 22

摘要

30%到50%的子宫内膜异位症患者不孕。患有子宫内膜异位症的女性有卵巢储备功能下降的风险，这既是由于疾病的病理生理原因，也是由于手术干预造成的医源性损伤。保留生育能力必须在多个层面上进行，包括仔细选择手术对象，避免重复手术，以及细致的手术技术。对于患有子宫内膜异位症的女性，特别是那些有双侧卵巢损伤风险的女性，如双侧子宫内膜异位症的女性，可以考虑用卵母细胞或卵巢组织冷冻保存生育能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Fertility Preservation in Women With Endometriosis

Infertility affects 30% to 50% of women with endometriosis. Women with endometriosis are at risk of decreased ovarian reserve, both because of the pathophysiology of the disease and iatrogenic injury resulting from surgical intervention. Fertility preservation must occur at multiple levels, including careful selection of surgical candidates, avoidance of repeat procedures, and meticulous surgical technique. Fertility preservation with oocyte or ovarian tissue cryopreservation may be considered on an individual basis for women with endometriosis, particularly those at risk of bilateral ovarian injury, such as women with bilateral endometriomas.

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来源期刊

Clinical Medicine Insights-Reproductive Health OBSTETRICS & GYNECOLOGY-

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Clinical Medicine Insights: Reproductive Health is a peer reviewed; open access journal, which covers all aspects of Reproduction: Gynecology, Obstetrics, and Infertility, spanning both male and female issues, from the physical to the psychological and the social, including: sex, contraception, pregnancy, childbirth, and related topics such as social and emotional impacts. It welcomes original research and review articles from across the health sciences. Clinical subjects include fertility and sterility, infertility and assisted reproduction, IVF, fertility preservation despite gonadotoxic chemo- and/or radiotherapy, pregnancy problems, PPD, infections and disease, surgery, diagnosis, menopause, HRT, pelvic floor problems, reproductive cancers and environmental impacts on reproduction, although this list is by no means exhaustive Subjects covered include, but are not limited to: • fertility and sterility, • infertility and ART, • ART/IVF, • fertility preservation despite gonadotoxic chemo- and/or radiotherapy, • pregnancy problems, • Postpartum depression • Infections and disease, • Gyn/Ob surgery, • diagnosis, • Contraception • Premenstrual tension • Gynecologic Oncology • reproductive cancers • environmental impacts on reproduction, • Obstetrics/Gynaecology • Women''s Health • menopause, • HRT, • pelvic floor problems, • Paediatric and adolescent gynaecology • PID