Exploring the Relationship between Endometriomas and Infertility

Nicola Berlanda; Daniela Alberico; Giussy Barbara; Maria Pina Frattaruolo; Paolo Vercellini

doi:10.2217/whe.14.74

journal article Mar 01, 2015

Exploring the Relationship between Endometriomas and Infertility

Nicola Berlanda Daniela Alberico Giussy Barbara Maria Pina Frattaruolo Paolo Vercellini

Women's Health Vol. 11 No. 2 pp. 127-135 · SAGE Publications

View at Publisher Save 10.2217/whe.14.74

Abstract

Several clinical and epidemiological studies demonstrated an association between endometriosis and infertility. A role in the genesis of infertility may be played by endometriomas, which may interfere with ovulation or damage ovarian tissue. Unlike peritoneal implants, the availability of an accurate noninvasive sonographic diagnosis facilitates the investigation of endometrioma associated infertility. The laparoscopic excision of an endometrioma relieves the ovary from the damage caused by the cyst itself, which may be progressive over time, but at the same time is associated with a detrimental effect on ovarian reserve and with high rates of postoperative endometrioma recurrence. Therefore, the management of endometrioma-related infertility should not be based upon surgery alone, but upon a combination of surgery, with a refinement of the operating technique, long-term oral contraceptive, in vitro fertilization and oocyte cryopreservation.

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Details

Published: Mar 01, 2015
Vol/Issue: 11(2)
Pages: 127-135
License: View

Authors

N

Nicola Berlanda

“Luigi Mangiagalli” Department of Obstetrics & Gynecology, Università degl Studi di Milano & Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 12, 20122 Milano, Italy

D

Daniela Alberico

“Luigi Mangiagalli” Department of Obstetrics & Gynecology, Università degl Studi di Milano & Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 12, 20122 Milano, Italy

G

Giussy Barbara

“Luigi Mangiagalli” Department of Obstetrics & Gynecology, Università degl Studi di Milano & Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 12, 20122 Milano, Italy

M

Maria Pina Frattaruolo

“Luigi Mangiagalli” Department of Obstetrics & Gynecology, Università degl Studi di Milano & Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 12, 20122 Milano, Italy

P

Paolo Vercellini

“Luigi Mangiagalli” Department of Obstetrics & Gynecology, Università degl Studi di Milano & Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 12, 20122 Milano, Italy; Center for Research in Obstetrics & Gynecology (CR.O.G.), Viale Caldara 39, 20122 Milano, Italy

Cite This Article

Nicola Berlanda, Daniela Alberico, Giussy Barbara, et al. (2015). Exploring the Relationship between Endometriomas and Infertility. Women's Health, 11(2), 127-135. https://doi.org/10.2217/whe.14.74

Exploring the Relationship between Endometriomas and Infertility

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