Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Endometriosis and infertility: an integrated approach
Autore:
Ledger, WL;
Indirizzi:
Johnndadcliffe Hosp, Nuffield Dept Obstet & Gynaecol, Oxford OX3 9DU, Engla John Radcliffe Hosp Oxford England OX3 9DU naecol, Oxford OX3 9DU, Engla
Titolo Testata:
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
, volume: 64, anno: 1999, supplemento:, 1
pagine: S33 - S40
SICI:
0020-7292(199902)64:<S33:EAIAIA>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
MILD ENDOMETRIOSIS; CONTROLLED TRIALS; DOWN-REGULATION; WOMEN; METAANALYSIS;
Keywords:
endometriosis; infertility; gonadotropin-releasing hormone agonists; surgical management; medical management; in vitro fertilization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Ledger, WL Johnndadcliffe Hosp, Nuffield Dept Obstet & Gynaecol, Oxford OX3 9DU, Engla John Radcliffe Hosp Oxford England OX3 9DU ord OX3 9DU, Engla
Citazione:
W.L. Ledger, "Endometriosis and infertility: an integrated approach", INT J GYN O, 64, 1999, pp. S33-S40

Abstract

Objective: To define an integrated approach to endometriosis-associated infertility. Methods: Review of published literature with grading of evidenceby quality. Results: Laparoscopy remains the investigation of choice in cases of endometriosis-associated infertility and allows the possibility of surgical ablation at diagnosis. This improves fertility in minimal/mild disease, whereas danazol therapy has no benefit. Both in vitro fertilization (IVF) and superovulation with intrauterine insemination improve fertility in mild/minimal disease. Neither surgery nor medical treatment have been shownto improve fertility in moderate/severe disease. IVF with prolonged pituitary down-regulation produced by long-acting gonadotropin-releasing hormone agonists after surgical debulking offers the best hope in such cases. Conclusions: Endometriosis-related infertility should be treated as rapidly as possible with thorough investigation and the minimum delay between diagnosisand therapy. (C) 1999 International Federation of Gynecology and Obstetrics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 13:36:31