spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas PowerPoint Presentation
Download Presentation
Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas

Loading in 2 Seconds...

play fullscreen
1 / 25

Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas - PowerPoint PPT Presentation


  • 140 Views
  • Uploaded on

Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas. Ertan SARIDO Ğ AN Consultant in Reproductive Medicine and Minimal Access Surgery University College London Hospitals. Endometriosis and infertility association. Controversial Endometriosis is present

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas' - roland


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas

Spontaneous pregnancy rates after laparoscopic surgery for ovarian endometriomas

Ertan SARIDOĞAN

Consultant in Reproductive Medicine and Minimal Access Surgery

University College London Hospitals

endometriosis and infertility association
Endometriosis and infertility association
  • Controversial
  • Endometriosis is present
    • ~5-10% of general population
    • ~4% fertile women
    • ~13.5% of infertile population
advanced endometriosis and infertility
Advanced endometriosis and infertility
  • Tubal obstruction
    • Distal obstruction
    • Proximal obstruction
    • Hydrosalpinx
  • Perituboovarian adhesions, reducing tubal motility and limiting access to ovarian surface
  • Ovarian endometriomas
  • Reduced coital frequency due to pain
what about chances of spontaneous pregnancy after surgery
What about chances of spontaneous pregnancy after surgery ?
  • Do the chances improve ?
  • Are there additional benefits ?
    • Pain
    • Benefit for IVF
  • Are there potential hazards ?
conclusions
Conclusions
  • Surgery for ovarian endometrioma improves fertility
  • Ovarian cystectomy is superior to drainage+ablation in achieving spontaneous pregnancies
  • There is a possibility of an over estimation of effect
  • Endometrioma surgery may reduce ovarian reserve
  • Endometrioma surgery prior to IVF may reduce ovarian response without improving pregnancy rates
  • There is a good argument for offering surgery to most patients as the primary option, followed by IVF treatment