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Reproductive outcomes of infiltrative endometriosis after surgical treatment with assisted reproductive technologies (a clinical case)
- Authors: Trishkin A.G.1,2, Zotova O.A.1, Yushchenko M.A.3
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Affiliations:
- Center for Family Health and Reproduction “Krasnaya Gorka”
- Kemerovo State University
- Kuzbass State Clinical Hospital named after S.V. Belyaev
- Issue: Vol 20, No 1 (2024)
- Pages: 139-142
- Section: GYNECOLOGY. CLINICAL CASE
- Published: 18.05.2024
- URL: https://ojrs.abvpress.ru/ojrs/article/view/1219
- DOI: https://doi.org/10.17650/1994-4098-2024-20-1-139-142
- ID: 1219
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Abstract
Endometriosis is one of the most urgent problems of modern gynecology and reproductive medicine. About 40 % of women suffering from endometriosis of various localization are infertile. The use of drug therapy has not been proven to increase fertility. Currently, there is no consensus on the impact of surgical treatment on the effectiveness of assisted reproductive technologies.
This article presents a clinical case of modern approache to the use of assisted reproductive technologies for endometriosis-associated infertility. The tactics of managing women with endometriosis is determined by its localization, the age of the patient, ovarian reserve, the duration of infertility, the therapy and its effectiveness, the condition of the fallopian tubes, as well as spermogram parameters. The correctly chosen management strategy for this patient made it possible to achieve not only a clinical pregnancy, but also the birth of a healthy child.
About the authors
A. G. Trishkin
Center for Family Health and Reproduction “Krasnaya Gorka”;Kemerovo State University
ORCID iD: 0009-0009-6012-7445
3a Suvorova St., 650044 Kemerovo, Russia
6 Krasnaya St., 650000 Kemerovo, Russia
Russian FederationO. A. Zotova
Center for Family Health and Reproduction “Krasnaya Gorka”
Author for correspondence.
Email: kem.zotova@gmail.com
ORCID iD: 0000-0002-4991-5354
Olga Aleksandrovna Zotova
3a Suvorova St., 650044 Kemerovo, Russia
Russian FederationM. A. Yushchenko
Kuzbass State Clinical Hospital named after S.V. Belyaev
22 Oktyabrskiy Prospekt, 650066 Kemerovo, Russia
Russian FederationReferences
- Pivazyan L.G., Unanyan A.L., Poymanova O.F. et al. Endometrioma: ovarian reserve and management. Problemy reproduktsii = Russian Journal of Human Reproduction 2021;27(5):77–83. (In Russ.).
- Rusina E.I., Yarmolinskaya M.I., Piankova V.O. Deep infiltrative endometriosis. Contentious issues: pros and cons. Ginekologiya = Gynecology 2020;22(5):50–6. (In Russ.). doi: 10.26442/20795696.2020.5.200274
- Dunselman G.A., Vermeulen N., Becker C. et al. ESHRE guideline: Management of women with endometriosis. Hum Reprod 2014;29:400–12. doi: 10.1093/humrep/det457
- Kodaman P. Current strategies for endometriosis management. Obstet Gynecol Clin North Am 2015;42(1):87–101. doi: 10.1016/j.ogc.2014.10.005
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