子宫内膜异位症相关不孕的治疗。

G D Adamson
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引用次数: 41

摘要

子宫内膜异位症相关不孕症的治疗方案的选择既有争议又复杂,主要是因为缺乏数据。在过去的10年里,许多改进设计的研究提供了更好的数据,支持腹腔镜消融和/或切除病变是治疗轻微/轻度和中度/严重/广泛疾病最成功的方法。必要时应进行剖腹手术。有时仅对患有轻微或轻微疾病的年轻妇女进行观察。在IVF或GIFT之前,激素抑制没有明确的作用,除非可能是严重/广泛的疾病。卵巢刺激与克罗米芬或促性腺激素和伴随宫内人工授精是指轻微/轻度疾病。IVF和GIFT通常最适合那些其他治疗失败、高龄、长期不孕症和/或多因素不孕症的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment of endometriosis-associated infertility.

The choice of treatment options for endometriosis-associated infertility has been both controversial and complex, largely because of lack of data. In the last 10 years, better data from numerous studies with improved design support laparoscopic ablation and/or resection of lesions as the most successful for both minimal/mild and moderate/severe/extensive disease. Laparotomy should be performed when necessary. Observation alone is sometimes indicated in young women with minimal/mild disease. Hormonal suppression has no identifiable role, except perhaps for severe/extensive disease, before IVF or GIFT. Ovarian stimulation with clomiphene or gonadotropins and concomitant intrauterine insemination is indicated for minimal/mild disease. IVF and GIFT are often best for those who have failed other treatments, have advanced age, prolonged infertility, and/or multiple-factor infertility.

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