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Adenomyosis

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61. Adenomyosis by transvaginal ultrasonographic features in nulligravid women without endometriosis aged 18-30 years: correlation with symptoms. (Abstract)

Adenomyosis by transvaginal ultrasonographic features in nulligravid women without endometriosis aged 18-30 years: correlation with symptoms. To investigate whether there are sonographic features of diffuse adenomyosis in 18-30-year-old nulligravid women without endometriosis and to examine their association with symptoms of dysmenorrhea and abnormal uterine bleeding.This was a prospective observational study including women referred from a gynecology outpatient center to our university (...) hospital for ultrasound examination. Inclusion criteria were age between 18 and 30 years, regular menstrual cycle and nulligravid status. Exclusion criteria were a past or current history of endometriosis, fibroids, ovarian cysts or lesions, endometrial pathology, current use of hormonal treatments or medications that would affect the menstrual cycle, previous uterine surgery and history of infertility. Women underwent a detailed clinical assessment and a two- (2D) and three-dimensional (3D

2015 Ultrasound in Obstetrics and Gynecology

62. Effect of second-line surgery on in vitro fertilization outcome in infertile women with ovarian endometrioma recurrence after primary conservative surgery for moderate to severe endometriosis Full Text available with Trip Pro

Effect of second-line surgery on in vitro fertilization outcome in infertile women with ovarian endometrioma recurrence after primary conservative surgery for moderate to severe endometriosis To evaluate the effect of second-line conservative surgery on in vitro fertilization (IVF) outcome in comparison with IVF without second-line surgery in infertile women with ovarian endometrioma recurrence after primary conservative surgery.In this retrospective cohort study, 121 consecutive IVF (...) /intracytoplasmic sperm injection cycles that were performed after second-line surgery (n=53) or without second-line surgery (control group, n=68) between January 2006 and December 2011 in 121 infertile women with ovarian endometrioma(s) recurrence after primary conservative surgery for moderate to severe endometriosis were included. The two groups were compared in terms of controlled ovarian stimulation and IVF outcomes.There were no differences in patients' characteristics between the two groups. Total dose

2015 Obstetrics & gynecology science

63. Recurrences and fertility after endometrioma ablation in women with and without colorectal endometriosis: a prospective cohort study† Full Text available with Trip Pro

Recurrences and fertility after endometrioma ablation in women with and without colorectal endometriosis: a prospective cohort study† What are the recurrence and pregnancy rates in women managed for ovarian endometrioma by ablation using plasma energy with and without associated surgery for colorectal endometriosis?Concomitant management of colorectal endometriosis does not impact either risk of recurrences or probability of pregnancy in women managed for endometrioma ablation using plasma (...) energy.No consensus exists on how best to manage patients presenting with ovarian endometriomas and colorectal endometriosis, in terms of impact on fertility preservation and recurrence rates.A prospective series of consecutive patients managed for ovarian endometriomas by ablation using plasma energy, over a period of 48 consecutive months. The study included patients with associated colorectal endometriosis (n = 52) and those who were free of colorectal localizations of the disease (n = 72). No women

2015 Human Reproduction

64. A critical review of recent advances in the diagnosis, classification, and management of uterine adenomyosis. (Abstract)

A critical review of recent advances in the diagnosis, classification, and management of uterine adenomyosis. The purpose of this review is to summarize and highlight recent critical advances in the diagnosis, classification, and management of adenomyosis.Recent studies have clarified the specific mechanism through which adenomyotic lesions invade the underlying myometrium by epithelial-mesenchymal transition. Correlation studies using diagnostic MRI also strongly support the hypothesis (...) of a different pathogenesis between the inner and outer myometrium forms of adenomyosis. Given advances in diagnostic imaging, several international organizations have also highlighted the importance of classification systems for adenomyosis. Finally, selective progesterone receptor modulators and gonadotropin-releasing hormone antagonists have demonstrated significant promise for treating pelvic pain and bleeding associated with adenomyosis, whereas novel fertility-preserving surgical techniques have been

2019 Current Opinion in Obstetrics and Gynecology

65. Comparisons of the efficacy and recurrence of adenomyomectomy for severe uterine diffuse adenomyosis via laparotomy versus laparoscopy: a long-term result in a single institution. Full Text available with Trip Pro

%, P<0.05). Moreover, the recurrence rate of adenomyosis patients with endometriosis was higher than that of adenomyosis patients without endometriosis in group A (55.0% vs 17.3%, P<0.05) and group B (36.0% vs 7.8%, P<0.05).The long-term outcomes of laparoscopic and laparotomic double-flap adenomyomectomy can be achieved for severe diffuse uterine adenomyosis, but laparotomy seems to have advantages over laparoscopy. Postoperative drug use may be beneficial to reduce the recurrence of adenomyosis (...) , especially for adenomyosis with endometriosis.

2019 Journal of pain research Controlled trial quality: uncertain

66. Clinical efficacy of adenomyomectomy using "H" type incision combined with Mirena in the treatment of adenomyosis. Full Text available with Trip Pro

Clinical efficacy of adenomyomectomy using "H" type incision combined with Mirena in the treatment of adenomyosis. To evaluate the clinical efficacy and safety of adenomyomectomy using "H" type incision combined with Mirena (LNG-IUS) in the treatment of adenomyosis.A total of 57 women with adenomyosis who underwent adenomyomectomy using "H" type incision combined with LNG-IUS were selected. Visual analog scale (VAS), menstrual flow, uterine volume, serum CA125 levels and hemoglobin amounts were (...) constitutes a novel and effective conservative surgical procedure for adenomyosis treatment.

2019 Medicine

67. Vaginal Bromocriptine Improves Pain, Menstrual Bleeding and Quality of Life in Women with Adenomyosis; A Pilot study. (Abstract)

Vaginal Bromocriptine Improves Pain, Menstrual Bleeding and Quality of Life in Women with Adenomyosis; A Pilot study. Adenomyosis is a benign uterine disease where endometrial glands and stroma are found within the myometrium surrounded by an area of hypertrophic myometrium. Symptomatology includes heavy menstrual bleeding and pelvic pain. The pathogenesis of adenomyosis is not known; however, animal models have shown increased uterine concentration of prolactin as a risk factor. Prolactin acts (...) as a smooth muscle cell mitogen. If prolactin is central to adenomyosis pathogenesis, reducing uterine prolactin could be a possible medical treatment option. In this pilot study we aim to evaluate the effect of bromocriptine, a prolactin inhibitor, on menstrual bleeding and pain in women with adenomyosis.23 women with diffuse adenomyosis were enrolled from a university hospital in Sweden and a tertiary care center in the United States. 19 patients completed 6 months of treatment with vaginal

2019 Acta Obstetricia et Gynecologica Scandinavica

68. Uterine polyps, adenomyosis, leiomyomas, and endometrial receptivity. (Abstract)

Uterine polyps, adenomyosis, leiomyomas, and endometrial receptivity. Endometrial polyps, adenomyosis, and leiomyomas are commonly encountered abnormalities frequently found in both fertile women and those with infertility. The clinician is frequently challenged to determine which of these entities, when found, is likely to impair fertility, and which are "innocent bystanders" unrelated to the problem at hand. Although removing an endometrial polyp may be seen as a relatively benign and safe (...) intervention, myomectomy, and in particular adenomyomectomy, can be substantive surgical procedures, associated with their own potential for disrupting fertility. One of the mechanisms thought to be involved when these entities are contributing to infertility is an adverse impact on endometrial receptivity. Indeed polyps, adenomyosis, and leiomyomas have all been associated with an increased likelihood of abnormal endometrial molecular expressions thought to impair implantation and early embryo development

2019 Fertility and Sterility

69. One-year follow-up of ovarian reserve by three methods in women after laparoscopic cystectomy for endometrioma and benign ovarian cysts. (Abstract)

One-year follow-up of ovarian reserve by three methods in women after laparoscopic cystectomy for endometrioma and benign ovarian cysts. To determine the long-term impact of laparoscopic cystectomy for endometriomas and benign cysts on ovarian reserve and selection of the most effective method of assessment.The present study was carried out between November 2013 and December 2016. Participants were assigned to laparoscopic cystectomy for diagnosed unilateral benign ovarian cysts and divided (...) into groups: the endometrioma group (EG) (n=35) and the other benign ovarian tumor group (OG) (n=35). Before and at 3 and 12 months after the procedure, transvaginal ultrasonography was performed to assess antral follicle count (AFC) and ovarian volume (OvVol); laboratory tests were ordered for anti-Műllerian hormone (AMH) serum concentration assays. Pregnancy rates were counted in a 12-month follow-up. Statistica12 software was used for analysis.The present study included 70 women aged 18-40 years. AMH

2019 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

70. Ovarian function after the use of various hemostatic techniques during treatment for endometrioma: protocol for a randomized clinical trial. Full Text available with Trip Pro

Ovarian function after the use of various hemostatic techniques during treatment for endometrioma: protocol for a randomized clinical trial. Laparoscopic cystectomy is currently considered the gold standard for the treatment of ovarian endometrioma, resulting in an improvement in symptoms, a lower recurrence rate, and a higher pregnancy rate among infertile patients. However, this treatment is not free from risk, since it is associated with a reduction in ovarian reserve. There is still (...) Wanderley University Hospital between December 2017 and August 2020. Eighty-four patients will be randomly allocated to three groups according to the hemostatic technique used during laparoscopic surgery for ovarian endometrioma: bipolar coagulation; laparoscopic suture; and hemostatic matrix. Ovarian function will be assessed by serum anti-Müllerian hormone measurement and by performing an antral follicle count using ultrasound before surgery and one, three, and six months after surgery. The internal

2019 Trials Controlled trial quality: uncertain

71. Contralateral ovarian endometrioma recurrence after unilateral salpingo-oophorectomy. Full Text available with Trip Pro

Contralateral ovarian endometrioma recurrence after unilateral salpingo-oophorectomy. The recurrence rate after unilateral salpingo-oophorectomy (USO) for unilateral endometrioma has not been reported. We evaluated the rate of and risk factors for endometrioma recurrence after USO.In this retrospective observational study, we enrolled 110 women (age, 35-45 years) who underwent laparoscopic USO (n = 50) or cystectomy (n = 60) for unilateral ovarian endometrioma from January 2010 through December (...) 2012. We compared patients' characteristics between patients who underwent USO and those who underwent cystectomy. We also compared patients with and without an endometrioma recurrence after USO using univariate and multivariate stepwise logistic regression models to identify recurrence risk factors. Endometrioma recurrence was defined as an ovarian cyst (> 2 cm) with features typical of an endometrioma identified by postoperative transvaginal sonography.Endometrioma recurred in 8 (16%) patients

2019 BMC Women's Health

72. Torsion of ovarian endometrioma in pregnancy: a case report and review of the literature. (Abstract)

Torsion of ovarian endometrioma in pregnancy: a case report and review of the literature. Adnexal torsion induced by an endometrioma has seldom been reported. Because of its rarity and its complexity in respect of fetal health during pregnancy, the diagnosis and treatment is challenging. We report a 25-year-old primigravida in the eighth week of gestation presenting with acute onset lower abdominal pain. A pelvic ultrasonography showed an intrauterine single viable embryo with a right ovarian (...) by an endometrioma, the diagnosis and treatment are challenging. In poor-resource conditions, a diagnostic laparoscopy (or laparotomy) remains a logical method of diagnosis, offering simultaneous therapeutic options.

2019 Tropical Doctor

73. Management of ovarian endometriomas: many options… but difficult decisions. Full Text available with Trip Pro

Management of ovarian endometriomas: many options… but difficult decisions. 31188521 2019 07 17 1471-0528 2019 Jun 12 BJOG : an international journal of obstetrics and gynaecology BJOG Management of ovarian endometriomas: many options… but difficult decisions. 10.1111/1471-0528.15837 Al Wattar B H BH https://orcid.org/0000-0001-8287-9271 Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK. Warwick Medical School

2019 BJOG

74. Removal of an endometrioma passing through the left greater sciatic foramen using a concomitant laparoscopic and transgluteal approach: case report. Full Text available with Trip Pro

Removal of an endometrioma passing through the left greater sciatic foramen using a concomitant laparoscopic and transgluteal approach: case report. The combination of intrapelvic and extrapelvic endometriosis is a very rare condition in gynecology. Patients with endometriosis involving the sciatic nerve are easily misdiagnosed because they usually present with atypical symptoms of endometriosis. Here, we present a rare case of an endometrioma passing through the left greater sciatic foramen (...) sciatic foramen. Laparoscopic exploration showed a cyst full of dark fluid occupying the left obturator fossa and extending outside the pelvis. A novel combination of transgluteal laparoscopy was performed for complete resection of the cyst and decompression of the sciatic nerve. Postoperative pathology confirmed the diagnosis of endometriosis. Long-term follow-up observation showed persistent pain relief and lower limb function recovery in the patient.When a woman complains of unexplained unilateral

2019 BMC Women's Health

75. Novel diagnosis of mesenteric endometrioma: Case report. Full Text available with Trip Pro

Novel diagnosis of mesenteric endometrioma: Case report. Mesenteric cysts are benign gastrointestinal cystic lesions, with an incidence of <1/100 000. They usually develop in the small bowel mesentery, mesocolon (24%), retroperitoneum (14.5%), and very rarely originate from the sigmoid mesentery. Endometriomas represent a localized type of endometriosis and are usually within the ovary. Our case is unique because there are no reports in the literature of endometrial mesenteric cysts.We present (...) a case of a 29-year-old woman who underwent a routine gynecologic control.Clinical examination and imaging identified 2 endometriomas on the left and posterior to the uterus.The patient underwent exploratory laparoscopy. Unexpectedly, a 10 cm mesenteric cyst was identified; this was associated with adhesions in the left adnexal area and a left ovarian endometrioma. The classic surgical approach which was necessary identified the mesenteric cyst with cranial mesosigmoid and ileal adhesions, as well

2019 Medicine

76. Management of Endometriomas. (Abstract)

Management of Endometriomas. Endometriomas are a unique and complex representation of the classic phenotypes of endometriosis. Associated symptoms, high recurrence rate, and multimodal approach represent ongoing challenges in the management of this chronic disease.To review current literature regarding medical and surgical management of endometriomas.An extensive literature search including PubMed and Cochrane Library was performed. Review was performed using the following key words (...) : "endometrioma," "cystectomy," "chronic pain," "infertility," "IVF," "menopause," "recurrence." All pertinent articles were assessed. The references of those articles were then reviewed, and additional publications were evaluated. Eligibility of the studies was first assessed on titles and abstracts. Full articles were then reviewed for all selected studies, and decision for final inclusion was made at that time.Cystectomy of ovarian endometriomas has been the first-line treatment for management for many

2019 Obstetrical & Gynecological Survey

77. Serum antimüllerian hormone concentration increases with ovarian endometrioma size. (Abstract)

Serum antimüllerian hormone concentration increases with ovarian endometrioma size. To examine whether serum antimüllerian hormone (AMH) levels correlate with the size of ovarian endometrioma (OMA).An observational cross-sectional study.University hospital.Two hundred and sixty-seven nonpregnant women, aged 18-42 years, with no prior history of surgery for endometriosis and a histologically documented ovarian cyst.Surgical management for a benign ovarian cyst.Correlation between serum AMH (...) linear regression model accounting for potential confounders revealed that the log10 of the serum AMH concentration positively correlated with the log10 of the OMA cyst volume (R2 = 0.23; coefficient = 0.05; 95% CI, 0.007-0.10).In women no prior history of surgery for endometriosis, serum AMH levels increased with cyst size in cases of OMA.Copyright © 2019 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

2019 Fertility and Sterility

78. Modern approaches to surgical management of endometrioma. Full Text available with Trip Pro

Modern approaches to surgical management of endometrioma. Formation of the ovarian endometrioma consists of implantation, invagination of the ovarian cortex, and adhesion formation. Progression is characterized by repeated injury and repair with degenerative changes. Already with a partially deprived ovarian reserve, resulting from the disease, surgical treatment carries a potential risk of further follicular deprivation. Surgery should therefore be performed with microsurgical precision (...) by experienced hands. Early treatment can possibly prevent further progression. The adverse impact on ovarian reserve of the ablative approach has to be balanced against a lower recurrence rate of a cystectomy. Adapted surgical approaches like a two-step approach or a combination of excisional and ablative surgery has to be considered in case of a large endometrioma. Further studies on the possibility and advantages of sclerotherapy are warranted. Fertility preservation by cryopreservation of ovarian cortex

2019 Best practice & research. Clinical obstetrics & gynaecology

79. Ultrasound-guided high-intensity focused ultrasound for endometriosis of the uterus: Assessment according to õ137h Social Code Book V

Ultrasound-guided high-intensity focused ultrasound for endometriosis of the uterus: Assessment according to õ137h Social Code Book V Sonografiegesteuerte hochfokussierte Ultraschalltherapie bei der Endometriose des Uterus: Bewertungen gemäß § 137h SGB V; Auftrag: H16-02A [Ultrasound-guided high-intensity focused ultrasound for endometriosis of the uterus: Assessment according to §137h Social Code Book V] Sonografiegesteuerte hochfokussierte Ultraschalltherapie bei der Endometriose des Uterus (...) : Bewertungen gemäß § 137h SGB V; Auftrag: H16-02A [Ultrasound-guided high-intensity focused ultrasound for endometriosis of the uterus: Assessment according to §137h Social Code Book V] Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institut für Qualität und Wirtschaftlichkeit im

2017 Health Technology Assessment (HTA) Database.

80. Hormone treatment for endometriosis symptoms ? what are my options?

Hormone treatment for endometriosis symptoms ? what are my options? Hormone therapy for endometriosis: patient decision aid © NICE 2017. All rights reserved. Subject to Notice of rights. Last updated September 2017 Page 1 of 12 Hormone treatment for endometriosis symptoms – what are my options? Published: September 2017 About this decision aid This decision aid can help you decide about hormone treatment to try to control your endometriosis symptoms. Your decision depends on several things (...) cycle and produce regular bleeding, resulting in a period. In women with endometriosis, similar cells exist inside the abdomen (and rarely in other parts of the body), and these also bleed during a period. This bleeding creates inflammation, scarring and may cause organs and tissues to stick together – these effects cause pain. The aim of hormone treatment is to reduce or stop this bleeding so that these effects are reduced or do not happen. Most women with endometriosis are asked to think about

2017 Health Information and Quality Authority

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