The Success of Various Endometrioma Treatments inInfertility: A Sys tematic Review and Meta-Analysis of ProspectiveS tudies

  • سال انتشار: 1401
  • محل انتشار: بیست و سومین کنگره بین المللی هیبریدی پزشکی تولید مثل و هجدهمین کنگره هیبریدی فناوری سلولهای بنیادی رویان
  • کد COI اختصاصی: RROYAN23_029
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 64
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نویسندگان

S Alborzi

Department of Obs tetrics and Gynecology, Laparoscopy ResearchCenter, School of Medicine, Shiraz University of Medical Sciences,Shiraz, Iran

چکیده

Background: Endometriosis is seen in ۰.۵%-۵% of fertile and ۲۵%-۴۰% of infertile women. To inves tigate this conflictbetween gynecologis ts that ovarian endometriomas should beremoved or not before making any decision about pregnancyamong infertile women, the authors decided to carry out asys tematic review and meta-analysis to compare the effect ofvarious available therapeutic Methods and notice the impact ofthese options on women's pregnancy rate.Materials and Methods: This review is based on PRISMArecommendations with an electronic search using the followingdatabases: PubMed, Scopus, Google scholar, etc, from ۲۰۰۰ to۲۰۱۸, in the English language. The s tudies compare pregnancyrate based on four different treatment types of OMAs betweeninfertile women: (surgery + ART, surgery + spontaneous pregnancy,aspiration ± sclerotherapy + ART, and ART alone).Main findings: At leas t eight prospective s tudies were included,in which ۵۵۳ infertile women were compared in terms oftreatment Methods of OMAs before trying to become pregnant.Conclusion: Treatments are usually based on the patient's clinicalcondition and mus t be individual, with the purpose of relievingpain, improving fertility, or both. The authors do not havenot any significant difference between our four groups of s tudy;however, the success of surgical procedure compared to otherMethods was higher and the success of ART alone was the leas t.

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