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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 10 (10page)
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Endometriosis is a chronic inflammatory condition that affects fertility and could be toxic to the ovary. Endometriomaper se and surgical interventions for endometrioma significantly reduce the ovarian reserve. Therefore, to preparefor surgical intervention for endometrioma, the high-risk group with decreased ovarian reserve must be considered. There is no evidence to support the use of surgical intervention before in vitro fertilization (IVF) to improve thereproductive outcomes of subsequent IVF in infertile women with advanced-stage endometriosis or endometrioma. As surgical treatment has few benefits, IVF could be recommended immediately for aiding conception in thesewomen. However, the reproductive prognosis of IVF may be worse in the more advanced stages of endometriosis. When dysmenorrhea is severe or when cancer is suspected, surgery prior to IVF may be necessary and justified. Whenthe size of the endometrioma is very large, surgery could be required prior to IVF to facilitate access to folliclesduring oocyte retrieval or to improve the ovarian response to controlled ovarian stimulation. Prolonged pituitarydownregulation in women with surgically diagnosed endometriosis may be helpful to increase the clinical pregnancyrate in subsequent IVF cycles. The purpose of this paper was to review the efficiency and clinical application of thesurgical intervention and IVF for infertile women with advanced-stage endometriosis or endometrioma.
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참고문헌 (60)
참고문헌 신청
Ozkan S / 2008 / Endometriosis and infertility : epidemiology and evidence-based treatments / Ann N Y Acad Sci 1127:92~100
Centers for Disease Control and Prevention / 2013 assisted reproductive technology national summary report
Singh SS / 2017 / Surgery for endometriosis : beyond medical therapies / Fertil Steril 107:549~554
Dunselman GA / 2014 / ESHRE guideline : management of women with endometriosis / Hum Reprod 29:400~412
Marcoux S / 1997 / Laparoscopic surgery in infertile women with minimal or mild endometriosis / N Engl J Med 337:217~222
Centers for Disease Control and Prevention / 2013 assisted reproductive technology national summary report
Singh SS / 2017 / Surgery for endometriosis : beyond medical therapies / Fertil Steril 107:549~554
Dunselman GA / 2014 / ESHRE guideline : management of women with endometriosis / Hum Reprod 29:400~412
Marcoux S / 1997 / Laparoscopic surgery in infertile women with minimal or mild endometriosis / N Engl J Med 337:217~222
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