Is operation the best option for infertile patients with digestive endometriosis?

Is operation the best option for infertile patients with digestive endometriosis? By Demet Candaş Green

A severe form of endometriosis affecting 8-12% of women with deep endometriosis is bowel endometriosis. Bowel involvement with associated infertility is a serious challenge for gynecologists who must choose between two main therapeutic options: surgery or medically assisted procreation (e.g.…

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Swimming Against the Stream: Is Surgery Worthwhile in Women with Deep Infiltrating Endometriosis and Pregnancy Intention?

Swimming Against the Stream: Is Surgery Worthwhile in Women with Deep Infiltrating Endometriosis and Pregnancy Intention? By Murat Osman

Management of Deeply Infiltrating Endometriosis (DIE) is further complicated by the implications of affected patients who plan to become or are pregnant. Optimal management in this situation is not standardized due to a lack of randomized trials comparing primary surgery…

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Cohort study on outcomes of laparoscopic endometriosis surgery

Cohort study on outcomes of laparoscopic endometriosis surgery By Yu Yu

Laparoscopic surgery followed by histological confirmation is considered a standard for diagnosis, staging, and treatment of endometriosis. Radical and conservative surgical approaches are often required for the removal of endometriotic lesions in the case of vaginal or rectal wall deep…

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Updates in the Field of Endometriosis: Surgery

Updates in the Field of Endometriosis: Surgery By Kasthuri Nair

Surgery is one of the treatment options offered for individuals with endometriosis. With that in mind, there are a variety of surgical procedures that can be offered to an individual with endometriosis. In the chapter titled “Surgery and Endometriosis,” Zanelotti…

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Updates in the Field of Endometriosis

Updates in the Field of Endometriosis By Kasthuri Nair

A lot of progress has been made thus far in the field of endometriosis. Research has discovered various genetic and epigenetic components involved in endometriosis. There has also been a progression in the diagnosis and treatment of the disease since…

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The dose of the GnRHa after laparoscopic surgery

The dose of the GnRHa after laparoscopic surgery By Yu Yu

Laparoscopic surgery is considered a routine way to diagnose and remove endometriosis. The primary concern with laparoscopic surgery is the recurrence of endometriosis because of incomplete lesion excision. Hence, the challenge is to decrease endometriosis recurrence rate. Gonadotrophin-releasing hormone agonist…

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Dienogest for Endometriosis

Dienogest for Endometriosis By Kasthuri Nair

Laganà et al. recently published an article in Expert Opinion on Drug Metabolism & Toxicology titled “Clinical dynamics of Dienogest for the treatment of endometriosis: from bench to bedside.” This article explored the benefits of using Dienogest, a progestin, to…

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The Most Cost Effective Medical Treatment to Prevent Recurrent Endometriosis

The Most Cost Effective Medical Treatment to Prevent Recurrent Endometriosis By Özge Özkaya

A new study conducted in China found that a class of drugs called Gonadotropin-releasing hormone agonists (GnRH-a) is more cost effective for the treatment of recurrent endometriosis despite the fact that they are more expensive than oral contraceptives. The results…

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The Benefits of Primary Surgery

The Benefits of Primary Surgery By Kasthuri Nair

Ahmad, Hussin, and Ahmad recently conducted a cohort study, and they published the results within an article titled “An evaluation of the quality of life in women with endometriosis who underwent primary surgery: a 6-month follow-up in Sabah Women &…

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ICSI Outcomes for Laparoscopic Intervention of Endometriosis

 ICSI Outcomes for Laparoscopic Intervention of Endometriosis By Kasthuri Nair

Women with endometriosis can have trouble conceiving and often turn to fertility treatments for help. Guler et al. recently published a paper in Systems Biology in Reproductive Medicine titled “The Impact of laparoscopic surgery of peritoneal endometriosis and endometrioma on…

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Robotic Assisted Laparoscopy Not Better Than Standard Laparoscopy

Robotic Assisted Laparoscopy Not Better Than Standard Laparoscopy By Özge Özkaya

Robotic-assisted laparoscopy (RAL) does not seem to offer any benefits over standard laparoscopy, according to a study published in the scientific journal Reproductive Biomedicine Online.  According to the authors of the study more research is needed to investigate the role…

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Deep Infiltrating Endometriosis, Surgery and Fertility

 Deep Infiltrating Endometriosis, Surgery and Fertility By Kasthuri Nair

Carneiro, Costa, and Ávila recently published an article in a scientific journal named Reproduction, titled “To operate or not to operate on women with deep infiltrating endometriosis (DIE) before in vitro fertilization (IVF),” that explored the relationship between DIE and infertility.…

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Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist.  

Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist.   By Yu Yu

Taylor et al. presented an exciting recent study in The New England Journal of Medicine. This article reported the results from a multicentre, double-blind, randomized, placebo-controlled phase 3 trials of elagolix for the treatment of endometriosis-associated pain. As women with…

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Women with Endometriosis Undergoing Surgery Often Require Further Treatment

Women with Endometriosis Undergoing Surgery Often Require Further Treatment By Ezio Rosato

Recurrence of endometriosis is common even in women who underwent surgery, a new study confirmed. This suggests that women with endometriosis should be closely followed up even after treatment with surgery. For the study published online in the Journal of…

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Desogestrel Could Effectively Be Used to Reduce Endometriosis-Related Pain Following Surgery

Desogestrel Could Effectively Be Used to Reduce Endometriosis-Related Pain Following Surgery By Özge Özkaya

Desogestrel, could be an effective and acceptable therapy following surgery for women with moderate-to-severe pain related to endometriosis, according to the results of a randomized controlled clinical trial (NCT01559480), which were published in the journal Gynecological Endocrinology. Desogestrol is a…

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