Deep infiltrating endometriosis is a determinant factor of cumulative pregnancy rate after intracytoplasmic sperm injection/in vitro fertilization cycles in patients with endometriomas

Ballester, Marcos; Oppenheimer, Anne; d’Argent, Emmanuelle Mathieu; Touboul, Cyril; Antoine, Jean-Marie; Nisolle, Michelle; Daraı̈, Émile

doi:10.1016/j.fertnstert.2011.11.022

Cited by 38 publications

(34 citation statements)

References 19 publications

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“…Moreover, Younis et al 17 reported that a duration of infertility over 10 years was a negative predictive factor of fertility even using in vitro fertilisation (IVF). Finally, in accordance with previous studies,18 the best option for patients with colorectal endometriosis to conceive is surgery and IVF. However, this in only an option once suspicion of a malignant lesion has been excluded which was not possible in this case as the patient refused any procedure to assess the nature of the retrouterine mass 19…”

Section: Discussionsupporting

confidence: 82%

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

et al. 2014

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SUMMARYDeep infiltrating endometriosis (DIE) is a well-known cause of pelvic pain and infertility. Malignant transformation of DIE is rare but can be suggested by MRI. We report a case of a spontaneous pregnancy in a woman with suspicion of malignant transformation of DIE with fistulisation to the posterior uterine isthmus through to the cervical canal. The pregnancy was closely monitored and an uneventful caesarian section was performed at 34 weeks of gestation. This case raises the issue of the relevance of imaging techniques and management of pregnancy. BACKGROUND

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Section: Discussionsupporting

confidence: 82%

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

et al. 2014

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“…The presence of DIE was reported to have a detrimental effect on IVF pregnancy rates in several recent studies [44,45], whereas no such detrimental effect was noted in others [46,47]. …”

Section: Discussionmentioning

confidence: 99%

Endometriosis Is Not Associated with Inferior Pregnancy Rates in in vitro Fertilization: An Analysis of 616 Patients

Polat¹,

Boynukalın²,

Yaralı³

et al. 2014

Gynecol Obstet Invest

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Background/Aims: To analyze whether the presence of endometriosis per se is associated with inferior pregnancy rates in women undergoing in vitro fertilization (IVF). Methods: Between July 2005 and November 2012, a total of 485 patients with endometriosis under the age of 38 years undergoing their first IVF attempt at our center were included; 72 patients had minimal-mild disease and the remaining 413 patients had moderate-severe disease. 131 patients with laparoscopically confirmed tubal factor infertility not harboring endometriosis and hydrosalpinx under the age of 38 years undergoing their first IVF attempt at our center served as the control group. Results: The bilateral antral follicle count and controlled ovarian hyperstimulation response were diminished in the moderate-severe group. However, the implantation, clinical pregnancy, miscarriage and live birth rates were comparable among the three groups. The recurrence of endometrioma following pre-IVF cystectomy was not associated with inferior pregnancy rates. Female age, bilateral antral follicle count and number of embryos transferred were noted to be significant independent predictors of live birth. Conclusion: We conclude that neither the presence nor the extent of endometriosis have any detrimental effect on IVF pregnancy rates.

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“…According to the ESHRE guidelines, there is not enough evidence to propose surgery before ART [11]. In addition, there are conflicting results on impact of endometriosis on infertility: presence of endometrioma may [12] or may not [13, 14] reduce ovarian reserve and even the presence of DIE may have an impact on ovarian function [15, 16]. On the other hand, surgery of ovarian endometrioma may [17] or may not [18] have a negative impact on ovarian reserve, and surgery of DIE may [19, 20] or may not improve fertility [21, 22].…”

Section: Introductionmentioning

confidence: 99%

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

et al. 2016

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Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004–2013 at Helsinki University Hospital, and were followed-up until the end of 2014. The data were gathered from the hospital’s electronic database. The main outcome measures were complications, reoperations, postoperative pregnancies, and deliveries. Preoperative diagnosis was accurate in 72 % with bladder endometriosis and in 93 % with ureteral disease. Thirty-one (58 %) of the 53 operations were performed via laparoscopy. Postoperative complications requiring re-intervention occurred in five cases (9 %). Five reoperations were performed in four cases due to endometriosis recurrence, only two due to recurrence of UTE (4 %). Twenty-eight women wished for pregnancy; 18 (64 %) of them conceived. Infertility treatment was needed in 20 (71 %) cases. Twelve (75 %) women delivered via cesarean section; intraoperative difficulties occurred in ten (83 %). The complication rate with UTE operations is acceptable and recurrences are rare. Infertility is common, but 57 % of those who wished for a child succeeded. A majority of the deliveries involved unplanned and complicated cesarean section.

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Deep infiltrating endometriosis is a determinant factor of cumulative pregnancy rate after intracytoplasmic sperm injection/in vitro fertilization cycles in patients with endometriomas

Cited by 38 publications

References 19 publications

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

Endometriosis Is Not Associated with Inferior Pregnancy Rates in in vitro Fertilization: An Analysis of 616 Patients

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

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