Endometriosis and Fertility Preservation
Endometriosis and Fertility Preservation
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DOI：
10.1097/grf.0000000000000311
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发表时间：
2017-09-01
影响因子：
1.5
通讯作者：
Decherney, Alan H.
中科院分区：
文献类型：
--
作者：
Barnett, Rebecca;Banks, Nicole;Decherney, Alan H.
子宫内膜异位症是常见的，影响5%至10%的育龄妇女。近一半有子宫内膜异位症手术证据的妇女不能实现自然妊娠。子宫内膜异位症的手术治疗可能对卵巢储备功能有害。在没有手术干预的情况下，随着时间的推移，卵巢储备仍然可能受到负面影响。生育力保留是为需要性腺毒性治疗的妇女开发的。改进的方法使人们更多地考虑向患有其他威胁卵巢储备的疾病的妇女提供这些服务。本章将介绍关于子宫内膜异位症管理中使用生育保留的争论，并概述进一步研究的必要性。
Endometriosis is common, affecting 5% to 10% of reproductive age women. Nearly half of women with surgical evidence of endometriosis fail to achieve spontaneous pregnancy. Surgical treatment of endometriosis can be detrimental to ovarian reserve. In the absence of surgical intervention, ovarian reserve may still be negatively impacted over time. Fertility preservation was developed for women requiring gonadotoxic treatments. Improved methods have led to greater consideration of offering these services to women with other disease processes that threaten ovarian reserve. This chapter will present the debate regarding use of fertility preservation in management of endometriosis, and outline the need for further studies.