AMH and Endometriosis Surgery
AMH (anti-mullerian hormone) is produced by the granulosa cells of the ovary, regulates folliculogenesis and its levels are believed to accurately reflect the ovarian reserve. Various studies have suggested that patients with endometriosis have lower AMH levels compared to those without (controls). Furthermore, surgery for endometriosis may (at least temporarily) impact on AMH levels. So, […]
Superficial Endometriosis and Infertility: the Role of Laparoscopy
Superficial endometriosis is linked to infertility. Laparoscopic management of superficial endometriosis improves fecundity rates, particularly natural conception rates, in appropriately selected patients. On the other hand, laparoscopy cannot be routinely recommended in all cases of unexplained infertility, particularly if there are no symptoms of co-existent pelvic pain, neither can it be routinely recommended routinely prior […]
Endometriosis: Symptoms and ART outcomes
Endometriosis is a common, benign gynecological disease that is usually associated with pain and/or infertility. It appears likely that chronic inflammation, that is typical of endometriosis lesions, plays a role in chronic pain as well as infertility. It is, therefore, logical to ask if there is a possible link between the severity of endometriosis symptoms […]
Endometriosis and Pregnancy Advice: Patients’ Perspective
It is not uncommon that patients suffering from endometriosis are advised by their doctor to get pregnant in order to ‘’cure’’ (or at least manage the symptoms of) endometriosis. Pregnancy itself is not a cure for endometriosis, however, we often neglect the impact this advice may have on the patients’ mental health and overall […]
Natural Conception and Deep Endometriosis: Does Surgery Increase the Chances?
Η διηθητική ενδομητρίωση θεωρείται η πιο σοβαρή μορφή ενδομητρίωσης. Σχετίζεται, συνήθως, με χρόνιο πυελικό πόνο κι υπογονιμότητα. Όσον αφορά το δεύτερο, η σοβαρή αλλοίωση της φυσιολογικής ανατομίας της πυέλου λόγω συμφύσεων και η χρόνια φλεγμονή παίζουν κεντρικό ρόλο. Πέραν της εξωσωματικής γονιμοποίησης, η χειρουργική αφαίρεση της διηθητικής ενδομητρίωσης είναι ένα χρήσιμο εργαλείο, καθώς μπορεί να […]
Adenomyosis: An Enigmatic Disease
Adenomyosis is a common, benign gynecological disease, in which tissue from the lining of the womb (endometrium) is found inside the muscle of the womb (myometrium). It is of unknown aetiology and typically presents with heavy and painful periods. There, also, appears to be a link between adenomyosis and infertility.
Ovarian Endometrioma or Chocolate Cyst of the Ovary: Surgical Techniques and Fertility Outcomes
Endometrioma (or chocolate cyst of the ovary) is estimated to affect 17-44% of women suffering from endometriosis (1). Its presence is often associated with infertility and/ or chronic pelvic pain and its surgical management may be indicated. What are the available methods of surgical management of endometrioma and what outcomes are they linked […]
Endometrioma Ablation: The Role of Laser and Plasma Energy
Endometrioma is a type of ovarian cyst that develops secondary to the presence of endometriosis. It is, also, called ‘’chocolate cyst’’ due to the characteristic colour of the fluid it contains. 17% to 44% of women with endometriosis have an endometrioma (1), of which, in 19% to 28% of cases, the endometrioma is bilateral (2). […]
Endometriosis and Miscarriage: Is there a link?
Studies have demonstrated that the endometrium of women with endometriosis is different to that of women without endometriosis (1,2). Those differences may interfere with normal implantation as well as placental growth (3). However, the existing literature has demonstrated conflicting results regarding a possible link between endometriosis and miscarriage. Let us have a look at the […]
Ενδομητρίωση και Αποβολές: Υπάρχει συσχέτιση;
Μελέτες έχουν καταδείξει πως το ενδομήτριο γυναικών με ενδομητρίωση παρουσιάζει διαφορές σε σχέση με εκείνο γυναικών που δεν πάσχουν από τη νόσο (1,2). Οι διαφορές αυτές, ενδεχομένως, να σχετίζονται με διαταραχές εμφύτευσης κι ανάπτυξης του πλακούντα (3). Ωστόσο, οι δημοσιευμένες μελέτες καταδεικνύουν αντικρουόμενα αποτελέσματα σχετικά με μια πιθανή συσχέτιση ενδομητρίωσης και αυτόματων αποβολών. Ας κοιτάξουμε, […]