The Influence of Adenomyosis in Patients Laparoscopically Treated for Deep Endometriosis

Landi, Stefano; Mereu, Liliana; Pontrelli, Giovanni; Stepniewska, Anna; Romano, Luigi; Tateo, Saverio; Dorizzi, Carlo; Minelli, Luca

doi:10.1016/j.jmig.2008.06.009

Cited by 30 publications

(37 citation statements)

References 22 publications

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“…TVS in nine IVF / ICSI studies: Costello, 2011 ; Chiang, 1999 ; Martinez‐Conejero, 2011 ; Mijatovic, 2010 ; Salim, 2012 ; Thalluri, 2012 ; Youm, 2011 ; Yan, 2014 ; Benaglia, 2014 . In studies of women scheduled for endometriosis surgery, diagnosis was based on MRI in one study: Landi 2008 , TVS in two: Stepniewska, 2010 ; Soriano, 2016 and both techniques in two: Darai, 2010 ; Ferrero, 2009 . TVS findings of AD characteristics including (asymmetrically) thickened endometrium, cysts, striations, heterogeneity.…”

Section: Methodsmentioning

confidence: 99%

“…No association between endometriosis and PR was found. However, PR was also reduced in women with AD (RR 0.53, 95% CI 0.37-0.77) when all data were pooled from seven studies (34,35,(38)(39)(40)(41)(42) in 381 women with deep endometriosis, including 102 with AD.…”

Section: Extent Of Jz Change Related To Outcomementioning

confidence: 99%

“…Four studies were case–control studies , and seven cohort studies . Additionally, the effect of AD on pregnancy rate (PR) (both spontaneous and ART pregnancy) after surgery for rectovaginal and colorectal endometriosis is described in five trials . One study was not included because it comprised some of the same women included in .…”

Section: Effect Of Adenomyosis On Reproductive Outcomementioning

confidence: 99%

“…In concordance, the common PR in women who underwent surgery for deep endometriosis was reduced (RR 0.37, 95% CI 0.21-0.67). The age of patients was either similar or adjusted for in most studies (27)(28)(29)31,32,34,36,37,40). In one study in which AD women had higher PRs, AD patients were slightly older (33), while the age distribution was not described in the other studies (35,38,39,41,42).…”

Section: Extent Of Jz Change Related To Outcomementioning

confidence: 99%

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Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Dueholm

2017

Acta Obstet Gynecol Scand

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This review includes an analysis of the clinical studies evaluating reproductive outcome and adenomyosis, and a review of studies on reproductive outcome and surgical treatment options for adenomyosis. Strict diagnostic criteria and classification of disease are needed for an image diagnosis of adenomyosis. Studies of in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) populations and women with surgically treated deep endometriosis have suggested that adenomyosis has a negative impact on reproductive outcome, although there are substantial variations between studies. Few data are available on the relation between the extent of disease and impact on reproductive outcome, but a correlation appears to exist. Case series seem to confirm a positive effect of gonadotropin-releasing hormone analog treatment and surgery on reproductive outcome, but there are no controlled trials. Evidence is impaired by the poor quality of many studies, a lack of strict image diagnosis, and the absence of a classification of the extent of disease. Selection of the optimal evidence-based treatment options for adenomyosis in the fertility clinic is difficult because of a lack of evidence regarding the relation between fertility and the degree and composition of adenomyosis. Adenomyosis may reduce implantation so severely that surgical or other treatment options should be recommended, but the benefit of these treatment options needs to be verified. Referral of women with adenomyosis and recurrent miscarriage and repeated failure of assisted reproductive technology to centers with a special interest in adenomyosis research and treatment may be critical.

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Section: Methodsmentioning

confidence: 99%

Section: Extent Of Jz Change Related To Outcomementioning

confidence: 99%

Section: Effect Of Adenomyosis On Reproductive Outcomementioning

confidence: 99%

Section: Extent Of Jz Change Related To Outcomementioning

confidence: 99%

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Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Dueholm

2017

Acta Obstet Gynecol Scand

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“…Pelvic endometriosis, especially in severe stages, is strongly associated with JZ thickening [25–27]. In 2005, Kunz et al [26] tested the hypothesis of a strong association between endometriosis and adenomyosis with adenomyosis playing a role in causing infertility in women with endometriosis.…”

Section: The Endomyometrium Linkmentioning

confidence: 99%

Is adenomyosis the neglected phenotype of an endomyometrial dysfunction syndrome?

2011

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Since the dissociation between adenomyoma and endometriosis in the 1920s and the laparoscopic progress in the diagnosis and surgery of endometriosis, the literature has been greatly focused on the disease endometriosis. The study of adenomyosis, on the other hand, has been neglected as the diagnosis remained based on hysterectomy specimens. However, since the introduction of magnetic resonance and sonographic imaging techniques in the 1980s, the myometrial junctional zone has been identified as a third uterine zone and interest in adenomyosis was renewed. This has also been the start for the interest in the role of the myometrial junctional zone dysfunction and adenomyosis in reproductive and obstetrical disorders.

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Adenomyosis: three‐dimensional sonographic findings of the junctional zone and correlation with histology

Exacoustòs

Brienza

Giovanni

et al. 2011

Ultrasound in Obstet & Gyne

201

189

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The Influence of Adenomyosis in Patients Laparoscopically Treated for Deep Endometriosis

Cited by 30 publications

References 22 publications

Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Is adenomyosis the neglected phenotype of an endomyometrial dysfunction syndrome?

Adenomyosis: three‐dimensional sonographic findings of the junctional zone and correlation with histology

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