Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-28T02:29:54.540Z Has data issue: false hasContentIssue false

Chapter 16 - Endometriosis and its treatment

Published online by Cambridge University Press:  06 December 2010

By
G. David Adamson  and
Wendy B. Shelly
Edited by
Gab Kovacs
Gab Kovacs
Affiliation:
Monash IVF, Melbourne, Australia
Get access

Summary

The anatomic distortion created by scarring and adhesions from endometriosis offers a clear mechanism for reduced pregnancy rates. Ultrasonography and MRI are of variable accuracy in diagnosing deeply infiltrating endometriosis, with sensitivity ranging between 33 and 83%, based on location of lesions. Diagnostic laparoscopy or laparotomy is the only definitive way to diagnose pelvic endometriosis. This chapter focuses on specific treatments available to patients with endometriosis-associated infertility. Ovarian suppression was long held as the standard in treatment of endometriosis-associated infertility. Methods of suppression included progestins, danazol, and gonadotropin-releasing hormone agonists. Surgery may also address other mechanisms by which endometriosis causes infertility by eliminating the endometriosis lesions. The anatomical distortion typically associated with more severe endometriosis would preclude this alternative in patients with moderate to severe disease. Overall, with appropriate diagnosis and the use of various treatments, the overall prognosis for pregnancy in women with endometriosis is very favorable.

Keywords

embryo transferendometriosisICSIoocyte recoveryovarian dysfunctioninseminationIVFsurrogacytubal infertilityunexplained infertility
Type
Chapter
Information
The Subfertility Handbook
A Clinician's Guide
 , pp. 176 - 184
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×