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Publications

Journal Article Review Epublish

PubMed: 40003570 DOI: 10.3390/life15020161

A Narrative Review Regarding Implication of Ovarian Endometriomas in Infertility.

Life (Basel) 15(2)

Authors: Constantin-Cristian Văduva, Laurențiu Dîră, Lidia Boldeanu, Mircea-Sebastian Șerbănescu, Andreea Carp-Velișcu

Affiliations

  • Department of Obstetrics and Gynecology, University of Medicine and Pharmacy, Filantropia Clinical Municipal Hospital Craiova, 200143 Craiova, Romania.
  • Department of Obstetrics, Gynecology and IVF, HitMed Medical Center, 200130 Craiova, Romania.
  • Department of Microbiology, University of Medicine and Pharmacy, County Clinical Emergency Hospital, 200642 Craiova, Romania.
  • Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy, 200349 Craiova, Romania.
  • Department of Pathology, Filantropia Clinical Municipal Hospital Craiova, 200143 Craiova, Romania.
  • Department of Obstetrics, Gynecology and IVF, "Carol Davila" Bucharest Medical University, Prof. Dr. "Panait Sarbu" Clinical Hospital, 060251 Bucharest, Romania.

Abstract

Endometriosis is a multifaceted gynecological disorder defined by endometrium-like tissue outside the uterine cavity. It is mainly localized in the pelvis and creates a local inflammatory environment responsible for its manifestations and complications. In 30-50% of cases, endometriosis is associated with infertility. In 17-44% of cases, the ovaries are affected in the form of ovarian endometriomas (OEs). The symptoms of OEs are not very pronounced. The development is slow. Diagnosis is difficult because OEs resemble cystic ovarian pathology, which is so diverse. The actual diagnosis is possible through direct visualization or laparoscopy. Surgical treatment by cystectomy is common for OEs. Recently, other therapeutic modalities have emerged that have less impact on ovarian reserves and pregnancy rates. In this context, the review attempts to shed light on the best diagnostic and treatment methods for an insidious pathology with a major impact on fertility.

MeSH

Endometriosis, Fertility, Pathology, Infertility, Therapeutics