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Abdominal Radiology

Erschienen in:

18.11.2019 | Special Section: The pelvic floor

Fertility-related considerations in endometriosis

verfasst von: Zaraq Khan

Erschienen in: Abdominal Radiology | Ausgabe 6/2020

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Abstract

Endometriosis and infertility often present together but the exact cause–effect mechanism of this association is unknown. Though there are several proposed mechanisms regarding the pathophysiology of endometriosis-related infertility, no one theory is universally accepted. Surgical exploration is gold standard for diagnosis but imaging modalities especially specialized ultrasonography and magnetic resonance imaging can highlight disease burden and aid in planning for surgical excision. Overall, medical therapy is ineffective for endometriosis-related infertility; however, surgery may be fertility enhancing in women with minimal stage disease and in women with large endometriomas. Assisted reproductive technology may be required with endometriosis-related infertility. Medically induced superovulation with intrauterine insemination is typically the first line; however, women with advanced disease may need a more aggressive form of treatment with in vitro fertilization.

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Titel: Fertility-related considerations in endometriosis
verfasst von: Zaraq Khan
Publikationsdatum: 18.11.2019
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 6/2020
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-019-02307-6

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