The role of biological markers in predicting infertility associated with non-obstructive endometriosis

Gică, Nicolae; Panaitescu, Anca Maria; Iancu, George; Botezatu, Radu; Peltecu, Gheorghe; Gică, Corina

doi:10.5603/gp.2020.0039

Cited by 18 publications

(11 citation statements)

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“…The incidence of ectopic pregnancy seems to rise especially in developing countries due to pelvic inflammatory disease, endometriosis, smoking and the assisted reproductive techniques [1,2]. The typical symptoms are unilateral abdominal pain and vaginal bleeding between 6 and 10 weeks of gestation and the diagnosis is confirmed by measurement of serum HCG and ultrasound exam.…”

Section: Discussionmentioning

confidence: 99%

Corpus luteum in ectopic ovarian tissue miming tubal pregnancy

2021

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Section: Discussionmentioning

confidence: 99%

Corpus luteum in ectopic ovarian tissue miming tubal pregnancy

2021

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“…Endometriosis is associated with the presence of glands and endometrial stroma outside the uterine cavity. The disease affects about 10% of women of reproductive age, 50% of patients diagnosed for infertility, and 70% diagnosed for chronic abdominal pain [1,2]. The highest prevalence of endometriosis occurs in patients between 25 and 35 years of age [3]; this is also the age of peak procreation in Europe.…”

Section: Endometriosis In the Population Of Pregnant Patientsmentioning

confidence: 99%

Endometrial cyst and its changes during pregnancy – a narrative review of the literature

Młodawski¹,

Mlodawska²,

Malmur³

et al. 2021

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Endometrioma of the ovary (chocolate cyst) is one of the most common tumours of the appendages diagnosed in pregnant patients. In approximately 12% of pregnancies with diagnosed ovarian endometriomas, the process of decidualization, i.e. tumour secretory transformation, occurs under the influence of high progesterone concentrations. Decidualized endometrioma is a benign lesion, but its ultrasound appearance imitates a malignancy; therefore, knowledge of the process and diagnostic possibilities is extremely important for the clinician, and it may limit the number of surgical interventions in pregnant patients. This review discusses the decidualization of endometriosis as well as the ultrasound and biochemical diagnostics of this entity. StreszczenieTorbiel endometrialna jajnika (torbiel czekoladowa) jest jednym z najczęstszych guzów przydatków diagnozowanych u pacjentek ciężarnych. W ok. 12% przypadków w ciąży dochodzi do procesu decydualizacji zmiany, tj. przemiany sekrecyjnej tkanki guza pod wpływem dużego stężenia progesteronu. Zmiana, która uległa decydualizacji, histologicznie ma łagodny charakter, jednak obraz ultrasonograficzny może imitować raka jajnika. Znajomość procesu decydualizacji ma duże znaczenie dla klinicystów, ponieważ może ograniczyć liczbę interwencji chirurgicznych u pacjentek ciężarnych. W niniejszym przeglądzie zostało omówione zjawisko decydualizacji torbieli endometrialnej w ciąży, jak również możliwości diagnostyki ultrasonograficznej i biochemicznej.

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“…It is not sensitive nor specific enough to be used in screening. A recent study exploring this biomarker's diagnostic value with infertility and finding other valuable biomarkers hypothesized that the combined use of IL6 and IL8 with CA125 has a higher predictability value than CA125 alone [27].…”

Section: Figure 1: Inflammatory Mechanism In Endometriosismentioning

confidence: 99%