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首页> 外文期刊>Journal of endometriosis and pelvic pain disorders. >Surgery versus expectant management in patients with endometrioma who seek pregnancy
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Surgery versus expectant management in patients with endometrioma who seek pregnancy

机译：手术与保守治疗的病人与子宫腺肌瘤寻求怀孕

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摘要

Ovarian endometriomas are a common finding in both infertile and non-infertile women. For non-infertile women planning to seek pregnancy in the presence of an ovarian endometrioma, expectant management is a reasonable option, since reassuring data on spontaneous pregnancy rates for non-infertile patient cohorts have been reported. In case of infertile patients, on the other hand, spontaneous pregnancy rates without treatment are disappointing, and surgery, assisted reproductive technology (ART), or a combination of the two, may be suggested. Surgery should be the preferred approach in case of associated pain. Spontaneous pregnancy rates of over 50% have been reported after surgery in infertile patients. If pregnancy does not occur after 12 months, or earlier for older age groups, patients may be referred to ART. Clinical decisions in the scenario of infertility-associated endometriosis are difficult, since many issues have not been properly addressed in randomized clinical trials. The treatment decision should therefore be based on a sound clinical evaluation, tailored to each patient, after careful consideration of various parameters, such as age and ovarian reserve of the patient, previous treatments for the disease, the presence of associated pain, and associated infertility factors.
机译：卵巢子宫内膜瘤是一种常见的发现在这两种不育和non-infertile女性。non-infertile计划寻求怀孕的女性卵巢子宫内膜瘤的存在,准管理是一个合理的选择,因为可靠的数据在自发的怀孕利率non-infertile病人军团报道。另一方面,自发的怀孕率手术治疗是令人失望的,,辅助生殖技术(ART),或的两个组合,可能会建议。应该是首选的方法的相关的疼痛。手术后超过50%已报告不育患者。后12个月,或更早的年龄更大的年龄组,患者可能被称为艺术。决策的场景infertility-associated子宫内膜异位是没有困难,因为许多问题妥善解决在随机临床试验。因此应根据治疗的决定良好的临床评价,根据每个不同的病人,经过仔细考虑参数,如年龄和卵巢储备的以前病人,治疗疾病,相关疼痛的存在,和相关的不孕的因素。

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