{"id":2031,"date":"2023-01-08T21:03:35","date_gmt":"2023-01-08T19:03:35","guid":{"rendered":"https:\/\/endometriosisnet.gr\/endometriosis-and-infertility-what-is-the-role-of-surgery\/"},"modified":"2026-01-07T13:59:48","modified_gmt":"2026-01-07T11:59:48","slug":"endometriosis-and-infertility-what-is-the-role-of-surgery","status":"publish","type":"post","link":"https:\/\/endometriosisnet.gr\/en\/endometriosis-and-infertility-what-is-the-role-of-surgery\/","title":{"rendered":"\u0395\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u0391\u03c0\u03bf\u03b2\u03bf\u03bb\u03ad\u03c2: \u03a5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7;"},"content":{"rendered":"

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\u00a0<\/p>\n

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\u03c0\u03b1\u03c1\u03b1\u03b3\u03cc\u03bd\u03c4\u03c9\u03bd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03c0\u03b9\u03bf \u03c0\u03b5\u03c1\u03af\u03c0\u03bb\u03bf\u03ba\u03b7 (4,5). \u03a3\u03b5 \u03bc\u03b9\u03b1 \u03b1\u03bd\u03b1\u03b4\u03c1\u03bf\u03bc\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 108 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03b5\u03af\u03c7\u03b1\u03bd \u03c5\u03c0\u03bf\u03b2\u03bb\u03b7\u03b8\u03b5\u03af \u03c3\u03b5 \u03bb\u03b1\u03c0\u03b1\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2, \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03b4\u03b5 \u03b2\u03c1\u03ad\u03b8\u03b7\u03ba\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03c3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac 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\u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2 \u03b2\u03c1\u03ad\u03b8\u03b7\u03ba\u03b5 \u03c0\u03c9\u03c2 \u03b5\u03af\u03c7\u03b1\u03bd \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7. \u03a4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2 \u03b4\u03b5 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 \u03c4\u03b7 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd, \u03b5\u03bd\u03ce \u03bf\u03b9 \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ad\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03c3\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03bc\u03b5 \u03b5\u03c0\u03b9\u03c6\u03b1\u03bd\u03b5\u03b9\u03b1\u03ba\u03ae \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 (\u03b1\u03bd \u03ba\u03b9 \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf\u03c5\u03c2 3 \u03c4\u03cd\u03c0\u03bf\u03c5\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2, \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03c7\u03c9\u03c1\u03af\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7). \u0399\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03bf \u03b5\u03bd\u03b4\u03b9\u03b1\u03c6\u03ad\u03c1\u03bf\u03bd \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03b5\u03b9 \u03bc\u03b9\u03b1 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 (2023) \u03c3\u03c7\u03b5\u03b4\u03cc\u03bd 30.000 \u03b3\u03c5\u03bd\u03b1\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7 \u0394\u03b1\u03bd\u03af\u03b1, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c0\u03c9\u03c2 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03b8 \u2018\u03b5\u03be\u03b9\u03bd (\u03b5\u03c0\u03b1\u03bd\u03b1\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03cc\u03bc\u03b5\u03bd\u03c9\u03bd) \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd \u03ba\u03b1\u03b9 ,\u03bc\u03ac\u03bb\u03b9\u03c3\u03c4\u03b1, \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c2 \u03cc\u03c3\u03bf \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03bf \u03b1\u03c1\u03b9\u03b8\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd (10).<\/p>\n

\u00a0<\/p>\n

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\u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03ac\u03bb\u03bb\u03c9\u03bd \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ce\u03bd \u03c4\u03b7\u03c2 \u03ba\u03cd\u03b7\u03c3\u03b7\u03c2, \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 (11). \u039f\u03b9 Minebois et al. \u03b8\u03ad\u03bb\u03b7\u03c3\u03b1\u03bd \u03bd\u03b1 \u03b1\u03c6\u03b1\u03b9\u03c1\u03ad\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c5\u03c0\u03bf\u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7\u03c2 \u03b1\u03bd\u03b1\u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae\u03c2, \u03bf\u03c0\u03cc\u03c4\u03b5 \u03ba\u03b9 \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03ad\u03bb\u03b1\u03b2\u03b1\u03bd \u03bc\u03cc\u03bd\u03bf 4 \u03c0\u03c1\u03c9\u03c4\u03cc\u03c4\u03c5\u03c0\u03b5\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 31.167 \u03b3\u03c5\u03bd\u03b1\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b9 \u03b1\u03c5\u03c4\u03cc\u03bc\u03b1\u03c4\u03b7 \u03c3\u03cd\u03bb\u03bb\u03b7\u03c8\u03b7: \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b1\u03bd \u03c0\u03c9\u03c2 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2, \u03ad\u03c9\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac 80% (12). \u03a3\u03c4\u03b7 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03b1\u03c3\u03ba\u03cc\u03c0\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd Maggiore et al., \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b5\u03c1\u03b9\u03ad\u03bb\u03b1\u03b2\u03b5 \u03c4\u03cc\u03c3\u03bf \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03c3\u03cd\u03bb\u03bb\u03b7\u03c8\u03b7 \u03b1\u03bb\u03bb\u03ac \u03ba\u03b9 \u03b1\u03c5\u03c4\u03ac \u03bc\u03b5 \u03c5\u03c0\u03bf\u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1\u03bd\u03b1\u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae, \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03b4\u03b5 \u03c6\u03ac\u03bd\u03b7\u03ba\u03b5 \u03bd\u03b1 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 (13). \u039f Huang \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03ac\u03c4\u03b5\u03c2 \u03b4\u03b9\u03b1\u03c0\u03af\u03c3\u03c4\u03c9\u03c3\u03b1\u03bd \u03c0\u03c9\u03c2 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03c3\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03bc\u03b5 \u03b1\u03c5\u03c4\u03cc\u03bc\u03b1\u03c4\u03b7 \u03c3\u03cd\u03bb\u03bb\u03b7\u03c8\u03b7, \u03b5\u03bd\u03ce \u03c3\u03b5 \u03b5\u03ba\u03b5\u03af\u03bd\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c5\u03c0\u03bf\u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1\u03bd\u03b1\u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae, \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03bf\u03c2 \u03bc\u03b5 \u03b5\u03ba\u03b5\u03af\u03bd\u03b5\u03c2 \u03bc\u03b5 \u03c3\u03b1\u03bb\u03c0\u03b9\u03b3\u03b3\u03b9\u03ba\u03cc \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1 \u03c5\u03c0\u03bf\u03b3\u03bf\u03bd\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 (\u2018\u2019tubal infertility\u2019\u2019) (14). \u0392\u03c1\u03ae\u03ba\u03b1\u03bd ,\u03b5\u03c0\u03af\u03c3\u03b7\u03c2, \u03c0\u03c9\u03c2 \u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd \u03b4\u03b5 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c3\u03b5 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2 \u03bc\u03b5 \u2018\u2019\u03c0\u03b9\u03bf \u03c0\u03c1\u03bf\u03c7\u03c9\u03c1\u03b7\u03bc\u03ad\u03bd\u03b7\u2019\u2019 (\u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf\u03c5 \u03c3\u03c4\u03b1\u03b4\u03af\u03bf\u03c5) \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7. \u038c\u03c4\u03b1\u03bd \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b1\u03bd \u03be\u03b5\u03c7\u03c9\u03c1\u03b9\u03c3\u03c4\u03ac \u03c4\u03bf\u03c5\u03c2 3 \u03c4\u03cd\u03c0\u03bf\u03c5\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2, \u03b2\u03c1\u03ae\u03ba\u03b1\u03bd \u03c0\u03c9\u03c2 \u03c4\u03bf \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03bc\u03b1 (\u03c3\u03bf\u03ba\u03bf\u03bb\u03b1\u03c4\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03ba\u03cd\u03c3\u03c4\u03b7 \u03c9\u03bf\u03b8\u03ae\u03ba\u03b7\u03c2, \u039f\u039c\u0391) \u03b4\u03b5\u03bd \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2, \u03c3\u03b5 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03bd \u03b2\u03ac\u03b8\u03b5\u03b9 \u03b4\u03b9\u03b7\u03b8\u03b7\u03c4\u03b9\u03ba\u03ae \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 (\u0395\u0392\u0394\u0395) \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03c0\u03b9\u03c6\u03b1\u03bd\u03b5\u03b9\u03b1\u03ba\u03ae \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7. 2 \u03c3\u03c5\u03c3\u03c4\u03b7\u03bc\u03b1\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b1\u03bd\u03b1\u03c3\u03ba\u03bf\u03c0\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b1\u03bd \u03c4\u03b7\u03bd \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c5\u03c0\u03bf\u03b2\u03bf\u03b7\u03b8\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1\u03bd\u03b1\u03c0\u03b1\u03c1\u03b1\u03b3\u03c9\u03b3\u03ae \u03ba\u03b1\u03b9 \u03bc\u03cc\u03bd\u03bf\u03bd, \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b1\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03c1\u03bf\u03c5\u03cc\u03bc\u03b5\u03bd\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03cc\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd: \u03bf Barbosa \u03b2\u03c1\u03ae\u03ba\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03c1\u03bf\u03c2 \u03bc\u03ad\u03c4\u03c1\u03b9\u03b1 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 (15), \u03b5\u03bd\u03ce \u03bf Hamdan \u03b4\u03b5\u03bd \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf (16).<\/p>\n

\u00a0<\/p>\n

\u00a0 \u039c\u03b5 \u03c0\u03bf\u03b9\u03bf\u03c5\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03bf\u03cd\u03c2, \u03cc\u03bc\u03c9\u03c2, \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03bc\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2? \u03a0\u03ad\u03c1\u03b1\u03bd \u03c4\u03c9\u03bd \u03b1\u03bb\u03bb\u03b1\u03b3\u03ce\u03bd \u03c3\u03c4\u03bf \u03b5\u03bd\u03b4\u03bf\u03bc\u03ae\u03c4\u03c1\u03b9\u03bf \u03c4\u03c9\u03bd \u03b3\u03c5\u03bd\u03b1\u03b9\u03ba\u03ce\u03bd \u03bc\u03b5 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7, \u03b7 \u03bd\u03cc\u03c3\u03bf\u03c2 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03b1 \u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03c9\u03b4\u03ce\u03bd \u03c0\u03b1\u03c1\u03b1\u03b3\u03cc\u03bd\u03c4\u03c9\u03bd \u03ba\u03b9 \u03bf\u03be\u03b5\u03b9\u03b4\u03c9\u03c4\u03b9\u03ba\u03bf\u03cd \u03c3\u03c4\u03c1\u03b5\u03c2, \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03c0\u03bf\u03c5 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 \u03b1\u03c1\u03bd\u03b7\u03c4\u03b9\u03ba\u03ac \u03c4\u03b7\u03bd \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03c9\u03bd \u03c9\u03b1\u03c1\u03af\u03c9\u03bd (17). \u03a4\u03ad\u03bb\u03bf\u03c2, \u03b1\u03bd\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03af \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b5\u03c2 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03bd\u03b1 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b1\u03c5\u03be\u03b7\u03bc\u03ad\u03bd\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd (10).<\/p>\n

\u00a0<\/p>\n

\u00a0 \u038c\u03c3\u03bf\u03bd \u03b1\u03c6\u03bf\u03c1\u03ac \u03c4\u03b9\u03c2 \u03bc\u03b5\u03b8\u03cc\u03b4\u03bf\u03c5\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ce\u03bd \u03c3\u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2, \u03c0\u03b1\u03bb\u03b1\u03b9\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b5\u03c2 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03c0\u03ad\u03c4\u03c5\u03c7\u03b1\u03bd \u03bd\u03b1 \u03ba\u03b1\u03c4\u03b1\u03b4\u03b5\u03af\u03be\u03bf\u03c5\u03bd \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2 (18,19). \u03a9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03c4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03b1\u03c5\u03c4\u03ac \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c0\u03c1\u03bf\u03c3\u03bf\u03c7\u03ae, \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03bc\u03b9\u03ba\u03c1\u03bf\u03cd \u03b1\u03c1\u03b9\u03b8\u03bc\u03bf\u03cd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd. \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c4\u03bf\u03c5 Groll, \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03c1\u03cc\u03bb\u03bf \u03c4\u03cc\u03c3\u03bf \u03c4\u03b7\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2, \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03bc\u03b5 \u039d\u03c4\u03b1\u03bd\u03b1\u03b6\u03cc\u03bb\u03b7 (20). \u0395\u03c0\u03af\u03c3\u03b7\u03c2, \u03b7 6\u03bc\u03b7\u03bd\u03b7 \u03c7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7 GnRH \u03b1\u03b3\u03c9\u03bd\u03b9\u03c3\u03c4\u03ce\u03bd \u03c0\u03c1\u03b9\u03bd \u03c4\u03b7\u03bd \u03b5\u03be\u03c9\u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b3\u03bf\u03bd\u03b9\u03bc\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ae\u03c2 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 (21).<\/p>\n

\u00a0<\/p>\n

\u00a0 \u00a0 \u0395\u03bd \u03ba\u03b1\u03c4\u03b1\u03ba\u03bb\u03b5\u03af\u03b4\u03b9, \u03b1\u03bd \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc\u03bb\u03c5\u03c4\u03b1 \u03be\u03b5\u03ba\u03ac\u03b8\u03b1\u03c1\u03bf \u03c0\u03c9\u03c2 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd, \u03bc\u03b9\u03b1 \u03c4\u03ad\u03c4\u03bf\u03b9\u03b1 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03ae \u03bc\u03b5 \u03b2\u03ac\u03c3\u03b7 \u03c4\u03b7\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03c3\u03b1 \u03b2\u03b9\u03b2\u03bb\u03b9\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1. \u039c\u03b9\u03b1 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b7 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03ba\u03b1\u03c4\u03ad\u03b4\u03b5\u03b9\u03be\u03b5 \u03c0\u03c9\u03c2 \u03b7 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03ba\u03b1\u03b8\u2019 \u03ad\u03be\u03b9\u03bd \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd, \u03ba\u03b9 \u03b7 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03c3\u03c7\u03c5\u03c1\u03cc\u03c4\u03b5\u03c1\u03b7 \u03cc\u03c3\u03bf \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03bf \u03b1\u03c1\u03b9\u03b8\u03bc\u03cc\u03c2 \u03c4\u03c9\u03bd \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd. \u039f \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b4\u03b5 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03c2 \u03cc\u03c3\u03bf \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03c4\u03b7\u03c2 \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7\u03c2, \u03b5\u03bd\u03ce \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03be\u03b5\u03ba\u03ac\u03b8\u03b1\u03c1\u03bf \u03c0\u03c9\u03c2 \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03c2 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 3 \u03c6\u03b1\u03b9\u03bd\u03bf\u03c4\u03cd\u03c0\u03bf\u03c5\u03c2 \u03c4\u03b7\u03c2 \u03bd\u03cc\u03c3\u03bf\u03c5 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf. \u03a0\u03b5\u03c1\u03b1\u03b9\u03c4\u03ad\u03c1\u03c9 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03b1\u03c0\u03b1\u03b9\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03bc\u03ad\u03bb\u03bb\u03bf\u03bd \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03b4\u03b9\u03b5\u03c5\u03ba\u03c1\u03b9\u03bd\u03b9\u03c3\u03c4\u03b5\u03af \u03b7 \u03b1\u03ba\u03c1\u03b9\u03b2\u03ae\u03c2 \u03c3\u03c5\u03c3\u03c7\u03ad\u03c4\u03b9\u03c3\u03b7 \u03b1\u03bd\u03ac\u03bc\u03b5\u03c3\u03b1 \u03c3\u03c4\u03b7\u03bd \u03b5\u03bd\u03b4\u03bf\u03bc\u03b7\u03c4\u03c1\u03af\u03c9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03bd \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03b1\u03c0\u03bf\u03b2\u03bf\u03bb\u03ce\u03bd.<\/p>\n

\u0391\u03bd\u03b1\u03c6\u03bf\u03c1\u03ad\u03c2: :<\/u><\/strong><\/p>\n

    \n
  1. Brosens I. The enigmatic uterine junctional zone: the missing link between reproductive disorders and major obstetrical disorders? Hum Reprod 2010;25(3):569\u201374.<\/li>\n<\/ol>\n

    2. Fowler PA, Tattum J, Bhattacharya S, Klonisch T, Hombach-Klonisch S, Gazvani R, et al. An investigation of the effects of endometriosis on the proteome of human eutopic endometrium: a heterogeneous tissue with a complex disease. Proteomics 2007;7:130\u201342.<\/p>\n

    3. \u0392rosens I, Pijnenborg R, Benagiano G. Defective myometrial spiral artery remodelling as a cause of major obstetrical syndromes in endometriosis and adenomyosis. Placenta 2013;34:100\u20135.<\/p>\n

    4. Vannuccini S, Clifton VL, Fraser IS, Taylor HS, Critchley H, Giudice LC, et al. Infertility and reproductive disorders: impact of hormonal and inflammatory mechanisms on pregnancy outcome. Hum Reprod Update 2016;22:104\u201315.<\/p>\n

    \u00a05. Society of Obstetricians annd Gynaecologists of Canada, Okun N, Sierra S. Pregnancy outcomes after assisted human reproduction. J Obstet Gynaecol Can 2014;36:64\u201383.<\/p>\n

    6. Mekaru K, Masamoto H, Sugiyama H, Asato K, Heshiki C, Kinjyo T, et al. Endometriosis and pregnancy outcome: are pregnancies complicated by endometriosis a high-risk group? Eur J Obstet Gynecol Reprod Biol. 2014;172:36\u20139. http:\/\/dx.doi.org\/10.1016\/j.ejogrb.2013.10.024<\/a>.<\/p>\n

    7. Kortelahti M, Anttila MA, Hippel\u00e4inen MI, Heinonen ST. Obstetric outcome in women with endometriosis\u2013a matched case-control study. Gynecol Obstet Invest. 2003;56(4):207-12. doi: 10.1159\/000074815. Epub 2003 Nov 11. PMID: 14614250.<\/p>\n

    8. Harada T, Taniguchi F, Onishi K, Kurozawa Y, Hayashi K, Harada T, et al. Obstetrical complications in women with endometriosis: a cohort study in Japan. PLOS One 2016;11:e0168476.<\/p>\n

    9. Santulli P, Marcellin L, Menard S, Thubert T, Khoshnood B, Gayet V, Goffinet F, Ancel PY, Chapron C. Increased rate of spontaneous miscarriages in endometriosis-affected women. Hum Reprod. 2016 May;31(5):1014-23.<\/p>\n

    10. Boje AD, Egerup P, Westergaard D, Mathilde Friis Bertelsen ML, Nyegaard M, Hartwell D, Lidegaard \u00d8, Nielsen HS. Endometriosis is associated with pregnancy loss: A nationwide historical cohort study. Fertil Steril. 2023 Jan 3:S0015-0282(22)02134-3.<\/p>\n

    11. Zullo F, Spagnolo E, Saccone G, Acunzo M, Xodo S, Ceccaroni M, Berghella V. Endometriosis and obstetrics complications: a systematic review and meta-analysis. Fertil Steril. 2017 Oct;108(4):667-672.e5.<\/p>\n

    12. Minebois H, De Souza A, Mezan de Malartic C, Agopiantz M, Guillet May F, Morel O, Callec R. Endom\u00e9triose et fausse couche spontan\u00e9e. M\u00e9ta-analyse et revue syst\u00e9matique de la litt\u00e9rature [Endometriosis and miscarriage: Systematic review]. Gynecol Obstet Fertil Senol. 2017 Jul-Aug;45(7-8):393-399. French.<\/p>\n

    13. Umberto Leone Roberti Maggiore, Simone Ferrero, Giorgia Mangili, Alice Bergamini, Annalisa Inversetti, Veronica Giorgione, Paola Vigan\u00f2, Massimo Candiani, A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes,\u00a0Human Reproduction Update<\/em>, Volume 22, Issue 1, January\/February 2016, Pages 70\u2013103.<\/p>\n

    14. Barbosa MA,Teixeira DM,Navarro PA, Ferriani RA, NastriCO,MartinsWP. Impact of endometriosis and its staging on assisted reproduction outcome: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2014; 44:261\u2013278.<\/p>\n

    15. Hamdan M, Omar SZ, Dunselman G, Cheong Y. Influence of endometriosis on assisted reproductive technology outcomes: a systematic review and meta-analysis. Obstet Gynecol 2015;125:79\u201388.<\/p>\n

    16. Huang Y, Zhao X, Chen Y, Wang J, Zheng W, Cao L. Miscarriage on Endometriosis and Adenomyosis in Women by Assisted Reproductive Technology or with Spontaneous Conception: A Systematic Review and Meta-Analysis. Biomed Res Int. 2020 Dec 8;2020:4381346.<\/p>\n

    17. S. Asghari, A. Valizadeh, L. Aghebati-Maleki, M. Nouri, M. Yousefi, \u201cEndometriosis: perspective, lights, and shadows of etiology,\u201d Biomedicine & Pharmacotherapy, vol. 106, pp. 163\u2013174, 2018.<\/p>\n

    18. Marcoux S, Maheux R, Berube S. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med 1997;337:217\u2013222.<\/p>\n

    19. Parazzini F. Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italiano per lo Studio dell\u2019Endometriosi. Hum Reprod 1999;14:1332\u20131334.<\/p>\n

    20. Groll M. Endometriosis and spontaneous abortion. Fertil Steril. 1984 Jun;41(6):933-5.<\/p>\n

    21. Dicker D, Goldman JA, Levy T, Feldberg D, Ashkenazi J. The impact of long-term gonadotropin-releasing hormone analogue treatment on preclinical abortions in patients with severe endometriosis undergoing in vitro fertilization-embryo transfer. Fertil Steril 1992;57:597\u2013600.<\/p>\n","protected":false},"excerpt":{"rendered":"

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