Not True That Women With Endometriosis Can’t Conceive

Not True That Women With Endometriosis Can’t Conceive By Özge Özkaya

The common assertion that women with endometriosis are unlikely to conceive is countered by a new study published in The European Journal of Contraception & Reproductive Health Care. This finding supports the need for healthcare and information to address all…

Key Points Lay Summary

How to predict natural conception in women underwent endometriosis surgery?

How to predict natural conception in women underwent endometriosis surgery? By Hale Goksever Celik

Endometriosis is defined as the localization of endometrial glandular and stromal cells outside the uterine cavity. The most common symptoms are dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. The prevalence of endometriosis increases in the infertile population. Thus, the important…

Key Points Lay Summary

The diagnosis and management of endometriosis in Korea

The diagnosis and management of endometriosis in Korea By Selma Oransay

The Korean Society of Endometriosis has scrutinized the present published literature of endometriosis in the domestic and international platform to provide new guidelines and the clinical management of the disease. The study was recently published in the journal "Obstetrics and Gynecology…

Key Points Lay Summary

Could Endometriosis-Related Infertility Be Genetic?

Could Endometriosis-Related Infertility Be Genetic? By Özge Özkaya

Researchers identified genetic polymorphisms or individual differences in two genes called AMA5 and KAZN among women with endometriosis who were infertile and control women who were fertile. The identification of these polymorphisms could help scientists better understand why some women…

Key Points Lay Summary

Non-assisted reproductive technology treatment: Is it effective in infertile patients with advanced endometriosis?

Non-assisted reproductive technology treatment: Is it effective in infertile patients with advanced endometriosis? By Hale Goksever Celik

The marriage and childbearing ages delay due to the life-style changes in developed countries. As a result, advanced age becomes a major concern in infertility treatments which consist of non-ART and ART modalities. Non-ART treatments include mild ovarian stimulation together…

Key Points Lay Summary

Shedding light on the fertility preservation debate in women with endometriosis: a swot analysis.

Shedding light on the fertility preservation debate in women with endometriosis: a swot analysis. By Deniz Kocas

There is little known about fertility preservation in women with endometriosis. Researchers from France and Switzerland conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis to better understand this topic. Applied to clinical problems, SWOT gives a thorough analysis of…

Key Points Lay Summary

Cosmetics and some household products could be responsible for worsening endometriosis.

Cosmetics and some household products could be responsible for worsening endometriosis. By Selma Oransay

A controlled clinical study recently published in the Journal of Human Reproductive Sciences,  composed by Nazir et al. from the University of Health Sciences, Lahore, Pakistan. The study compared the blood diethyl hexyl phthalate (DEHP) levels of fifty infertile women laparoscopically diagnosed…

Key Points Lay Summary

Toxic Pelvic Cavity and Infertility

Toxic Pelvic Cavity and Infertility By Murat Osman

Endometriosis is a disease defined by the presence of endometrial tissue outside of the uterine cavity and has an incidence of approximately 10% in women of reproductive age. Thus, it is an important consideration in chronic pelvic pain and infertility…

Key Points Lay Summary

Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis

Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis By Selma Oransay

This prospective cohort study which recently published in AOGS by Hudelist et al. from Oslo University, Norway is about their one hundred thirty-four laparoscopic operations of DIE cases performed between 2011 and  2016, in a tertiary center in Oslo. The…

Key Points Lay Summary

Should I Have Surgery Before Trying to Conceive?

Should I Have Surgery Before Trying to Conceive? By Özge Özkaya

The presence of rectouterine nodules is associated with a lower chance of becoming pregnant with in vitro fertilization (IVF), according to a study published in the Journal of Gynecology Obstetrics and Human Reproduction. This finding is important as it can…

Key Points Lay Summary

Vitamin C supplementation in the patients with endometriosis undergoing in vitro fertilization-embryo transfer

Vitamin C supplementation in the patients with endometriosis undergoing in vitro fertilization-embryo transfer By Hale Goksever Celik

Endometriosis is defined as the localization of endometrial stromal and glandular cells outside the uterine cavity. Women having endometriosis present with dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. Thus, infertility remains a significant problem for women with endometriosis. Endometriosis is…

Key Points Lay Summary

Health-related quality of life in women with Endometriosis and Rheumatoid Arthritis

Health-related quality of life in women with Endometriosis and Rheumatoid Arthritis By Murat Osman

Endometriosis is a chronic inflammatory disease that is defined by the presence of ectopic endometrial tissue outside of the uterus. Unfortunately, endometriosis continues to be a leading cause of chronic pelvic pain and long-term morbidity in women of reproductive age.…

Key Points Lay Summary

Is there a definitive guideline for the surgical management of endometriosis?

Is there a definitive guideline for the surgical management of endometriosis? By Murat Osman

Endometriosis is a chronic inflammatory disease that is defined by the presence of ectopic endometrial tissue outside of the uterus. Unfortunately, endometriosis continues to be a leading cause of chronic pelvic pain in women of reproductive age. This article titled,…

Key Points Lay Summary

Predictors of psychological distress

Predictors of psychological distress By Deniz Kocas

Studies have now established that endometriosis can negatively impact mental health and quality of life, however, some studies show that not all women with endometriosis are necessarily more distressed than healthy women. This suggests that individual differences may explain women’s’…

Key Points Lay Summary

Difficulties Associated with Diagnosing Ascites and Encapsulating Peritonitis in Endometriosis

Difficulties Associated with Diagnosing Ascites and Encapsulating Peritonitis in Endometriosis By Kasthuri Nair

De Magalhães et al. recently published a paper titled “Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report” in Revista Brasileira de Ginecologia e Obstetrícia. The team from the Universidade Federal do Ceará and the Universidade…

Key Points Lay Summary

Is the Endometriosis Fertility Index Reliable?

Is the Endometriosis Fertility Index Reliable? By Kasthuri Nair

Zhang et al. recently published a paper titled “Prediction of Endometriosis Fertility Index in patients with endometriosis-associated infertility after laparoscopic treatment” in Reproductive BioMedicine Online. The research group from the West China Second University Hospital in Sichuan University wanted to…

Key Points Lay Summary

Using the "Mushroom Cap" sign to describe endometriotic masses

Using the By Murat Osman

Endometriosis is a disease whereby ectopic endometrial cells attach and grow outside of the uterus. A number of imaging techniques have been used to evaluate and assess endometriotic lesions. Magnetic resonance imaging (MRI) is a type of imaging modality used…

Key Points Lay Summary

Endocrine and inflammatory factors in current understanding of endometriosis

Endocrine and inflammatory factors in current understanding of endometriosis By Yu Yu

There are three forms of endometriosis: peritoneal, ovarian, and deep infiltrating. All three forms consist of endometriotic lesions containing endometrial glands, stroma, nerves, blood vessels, and inflammatory cells. Endometriosis symptoms can be accounted by these elements and the involving organs.…

Key Points Lay Summary

Endometrial stem cells and Endometriosis

Endometrial stem cells and Endometriosis By Dr. Youngran Park

Human endometrium is a cyclically proliferative tissue, and this monthly regeneration is likely mediated by endometrial stem (or progenitor) cells.The upper functional layer of the endometrium breaks down and is shed into the uterine cavity during menstruation. Re-epithelialization and repair…

Key Points Lay Summary

Endometriosis can Adversely Affect Oocyte Quality

Endometriosis can Adversely Affect Oocyte Quality By Kasthuri Nair

Kasapoglu et al. recently published a study in Gynecological Endocrinology titled “Detrimental effects of endometriosis on oocyte morphology in intracytoplasmic sperm injection cycles: a retrospective cohort study.” In this paper, they compared the oocytes recovered from women who have endometriosis…

Key Points Lay Summary

The Chance of Getting Pregnant of a Woman with Endometriosis May Soon Be Predictable

The Chance of Getting Pregnant  of a Woman with Endometriosis May Soon Be Predictable By Özge Özkaya

Researchers have found a new way of predicting whether or not an embryo will be able to successfully implant into the womb of a woman with endometriosis. These findings could make it possible to predict whether she is likely to…

Key Points Lay Summary

Does Endometriosis Cause Infertility?

Does Endometriosis Cause Infertility? By Özge Özkaya

Infertility may be related to the localization of endometriosis involvement according to a study published in the Journal of Obstetrics and Gynaecology. This finding is in agreement with the results of previous studies and could help clinicians in their decision…

Key Points Lay Summary

Another Marker to Predict the Outcome of IVF for Women with Endometriosis

Another Marker to Predict the Outcome of IVF for Women with Endometriosis By Özge Özkaya

AOPPs or advanced oxidative protein products may be new markers to predict egg quality and the outcomes of IVF in infertile women with endometriosis according to a study published in the journal Experimental and Therapeutic Medicine. This finding suggests that anti-oxidative treatments…

Key Points Lay Summary

Can Getting Pregnant Make my Pain Go Away?

Can Getting Pregnant Make my Pain Go Away? By Özge Özkaya

The association between pregnancy and symptoms of endometriosis are controversial and strongly biased, and there is no evidence suggesting that pregnancy reduces the size and number of endometriotic lesions, according to a study published in the journal Human Reproduction Update.…

Key Points Lay Summary

Elevated Neutrophil Traps in Deep Infiltrating Endometriosis

Elevated Neutrophil Traps in Deep Infiltrating Endometriosis By Yu Yu

Neutrophils are a part of the innate immune system and act as a first-line host defense system by phagocytosis, intracellular killing and more recently describes mechanism involving extracellular killing by means of neutrophil extracellular traps (NETs). These traps are defined…

Key Points Lay Summary

Which cell defines endometriosis?

Which cell defines endometriosis? By Murat Osman

A well-accepted theory regarding the pathogenesis of endometriosis hypothesizes that the origin of endometriosis is from peritoneal dissemination of endometrial cells and stroma during the neonatal period or menarche. Varying cellular components of endometriosis have been observed in the setting…

Key Points Lay Summary

Endometriosis Not a Risk for Pregnancy

Endometriosis Not a Risk for Pregnancy By Özge Özkaya

Women with endometriosis do not seem to be more at risk of having pregnancy-related complications compared to those without endometriosis, according to a study published in the Italian scientific journal Minerva Ginecologica. However, the authors say that larger studies are…

Key Points Lay Summary

Should Women with Endometriosis have IVF Treatment to Conceive Following Laparoscopic Surgery?

Should Women with Endometriosis have IVF Treatment to Conceive Following Laparoscopic Surgery? By Özge Özkaya

Women affected by endometriosis-associated infertility who are younger than 35, and have a good ovarian reserve and a partner with normal semen parameters can benefit from a so-called integrated approach for the management of their infertility, according to a study published…

Key Points Lay Summary

Changes in Complement Proteins Affect Infertility in Women with Endometriosis

Changes in Complement Proteins Affect Infertility in Women with Endometriosis By Kasthuri Nair

Palomino et al. recently published a paper titled “The endometria of women with endometriosis exhibit dysfunctional expression of complement regulatory proteins during the mid-secretory phase” in the Journal of Reproductive Immunology where they look at the expression of CRPs during the menstrual cycle of…

Key Points Lay Summary

EFA Medical Conference 2017: "Fertility Preservation to BRCA Mutations" Presentation by Dr. Kutluk Oktay

EFA Medical Conference 2017: By Kasthuri Nair

Dr. Kutluk Oktay is the Director of the Laboratory of Molecular Reproduction & Fertility Preservation as well as a Professor of OBGYN at Yale University School of Medicine. Dr. Oktay also presented at the EFA 2017 Medical Conference, and his…

Key Points Lay Summary

Surgical treatment is an excellent option for women with endometriosis and infertility.

Surgical treatment is an excellent option for women with endometriosis and infertility. By Murat Osman

Women with endometriosis most often have difficulty becoming pregnant and thus require a combination of endometriosis treatment and infertility techniques to achieve pregnancy. Depending on the severity of endometriotic symptoms, women may or may not need surgical excision of endometriosis…

Key Points Lay Summary

Treatment of minimal endometriosis in infertile women

Treatment of minimal endometriosis in infertile women By Demet Candaş Green

For women with mild/minimal endometriosis, European Society of Human Reproduction and Embryology (ESHRE) recommends the removal of endometriotic lesions to improve fertility and increase pregnancy rates. For women undergoing assisted reproductive treatment, there is ongoing debate whether surgical removal of…

Key Points Lay Summary

EFA.MC.2017.“The Abnormal Embryos That Aren’t”,“Tens of thousands of women thought they couldn't have babies: But what if they could.”Dr. Norbert Gleicher Dr. Monica Halem

EFA.MC.2017.“The Abnormal Embryos That Aren’t”,“Tens of thousands of women thought they couldn't have babies: But what if they could.”Dr. Norbert Gleicher Dr. Monica Halem By Özge Özkaya

The presentation started with the story of Monica Halem who had endometriosis and had been trying to conceive using in vitro fertilization VF), but was told that none of her fertilized embryos would be viable based on pre-implantation genetic screening…

Key Points Lay Summary

Women with Mild Endometriosis May Have a Higher Risk of Miscarriage

Women with Mild Endometriosis May Have a Higher Risk of Miscarriage By Özge Özkaya

Mild endometriosis presents an increased risk of miscarriage according to a new study published in the scientific journal Fertility and Sterility.  Researchers think that this may be because superficial lesions are associated with a greater extent of the inflammatory disorder, which may lead…

Key Points Lay Summary

Role of immune cells in endometriosis

Role of immune cells in endometriosis By Demet Candaş Green

Immune cells have essential functions in the body such as detection and clearance of abnormal cells and debris. One of the possible mechanisms for the development of endometriosis is proposed to be the impaired function of immune system cells in…

Key Points Lay Summary

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.…

Key Points Lay Summary

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…

Key Points Lay Summary

The Endometriosis Fertility index Could Help Better Predict the Chance of Conceiving After Laparoscopy

The Endometriosis Fertility index Could Help Better Predict the Chance of Conceiving After Laparoscopy By Özge Özkaya

The endometriosis fertility index (EFI) can more reliably predict the chance of a woman getting pregnant following endometriosis surgery compared to the revised-American Society of Reproductive Medicine score, according to a study published in the scientific journal Gynecologic and Obstetric…

Key Points Lay Summary

Ovarian Reserve Depletion is not Time Sensitive

Ovarian Reserve Depletion is not Time Sensitive By Kasthuri Nair

The European Journal of Obstetrics & Gynecology and Reproductive Biology recently published a paper titled “Is endometrioma-associated damage to ovarian reserve progressive? Insights from IVF cycles.” This publication by Benaglia et al. examines the controversial relationship between endometriosis and ovarian…

Key Points Lay Summary

Single Nucleotide Polymorphisms Play a Role in Endometriosis Related Infertility

Single Nucleotide Polymorphisms Play a Role in Endometriosis Related Infertility By Kasthuri Nair

In their paper titled “Endometriosis-associated infertility: GDF-9, AMH, AMHR2 genes polymorphisms,” De Conto et al. attempt to elucidate the mechanism that leads to endometriosis-related infertility. In short, the authors hypothesize that there is a connection between polymorphisms in the Growth…

Key Points Lay Summary

Serum AMH Levels Play an Important Role In Fertility Preservation

Serum AMH Levels Play an Important Role In Fertility Preservation By Kasthuri Nair

One of the options available for women who suffer from endometriosis related infertility is cryopreservation. This option is only viable if the woman in question does not suffer from the low ovarian reserve. Garavaglia et al. suggest using pre-surgical serum…

Key Points Lay Summary

Endometriosis and Psychological Health: Butterflies from Deep Wounds

Endometriosis and Psychological Health: Butterflies from Deep Wounds By Kasthuri Nair

Endometriosis is a grueling disease in every sense of the word; however, most of the discussions center on the physical manifestations of the disease. Facchin et al. veer from the beaten path and examine the impact endometriosis have on a…

Key Points Lay Summary

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…

Key Points Lay Summary

Updates in the Field of Endometriosis: Fertility

Updates in the Field of Endometriosis: Fertility By Kasthuri Nair

Infertility can be a significant problem for many women who are suffering from endometriosis. In their chapter titled “Endometriosis and Fertility,” Evans and Decherney discuss the role of endometriosis in infertility and examine the usefulness of various fertility treatments. The…

Key Points Lay Summary

Updates in the Field of Endometriosis: Fertility Preservation

Updates in the Field of Endometriosis: Fertility Preservation By Kasthuri Nair

“Endometriosis and Fertility” is a chapter dedicated to examining the role of endometriosis and endometriomas in decreasing fertility. In other words, the authors of this chapter discuss the relationship between endometriomas, surgeries, and infertility. Barnett, Banks and Decherney also deliberate…

Key Points Lay Summary

Best Time for IVF Between 7 and 25 Months Post Surgery Study Suggests

Best Time for IVF Between 7 and 25 Months Post Surgery Study Suggests By Özge Özkaya

The more severe endometriosis is, the lower the success rate of IVF, according to a new study published in the Journal of Minimally Invasive Gynecology. However, the presence of endometriosis as such does not seem to affect the outcome of…

Key Points Lay Summary

A Systematic Review of Guidelines for Diagnosis and Management of Endometriosis

A Systematic Review of Guidelines for Diagnosis and Management of Endometriosis By Yu Yu

Guidelines are systematically developed statements derived from best research evidence to improve patient care through informed clinical practice. Appropriate guidelines can reduce unwarranted variations health practice and the implementation of better interventions. Endometriosis commonly has three different manifestations, including peritoneal…

Key Points Lay Summary

First-line surgery followed by ART versus ART alone among women with colon-involving endometriosis.

First-line surgery followed by ART versus ART alone among women with colon-involving endometriosis. By Murat Osman

Endometriosis, a disease characterized by the presence of endometrial tissue outside the uterus, may cause pelvic and gynecologic complications that affect fertility in women of reproductive age. Several forms of endometriosis have been observed that are characterized by the varying…

Key Points Lay Summary

Women with Deep Infiltrating Endometriosis Have a Higher Risk of Appendix Involvement

Women with Deep Infiltrating Endometriosis Have a Higher Risk of Appendix Involvement By Özge Özkaya

Women with deep-infiltrating endometriosis, a form of endometriosis that invades the abdominal and pelvic cavity, have an increased risk of developing endometriosis of the appendix. It is therefore important to check women with deep infiltrating endometriosis for appendix involvement during…

Key Points Lay Summary

Endometrial Receptivity and Infertility

Endometrial Receptivity and Infertility By Kasthuri Nair

A study entitled “Endometrial receptivity in eutopic endometrium in patients with endometriosis: it is not affected, and let me show you why” was recently published in Fertility and Sterility explored the relationship between endometriosis and infertility. This study conducted by Miravet-Valenciano et al.…

Key Points Lay Summary

How ERα is regulated in endometriosis?

How ERα is regulated in endometriosis? By Yu Yu

Endometriosis pathogenesis is largely influenced by estrogen. Ectopic endometrium has altered expression of ERα compared to the eutopic endometrium. It is unclear what biological processes regulate such alteration. The article by Toderow et al. in Archives of Gynecology and Obstetrics…

Key Points Lay Summary

Immune substances in peritoneal fluid for endometriosis diagnosis and armamentarium

Immune substances in peritoneal fluid for endometriosis diagnosis and armamentarium By Yu Yu

Cytokines are immune substances secreted by a broad range of cells within the body, including immune cells like the macrophages, B lymphocytes, T lymphocytes, mast cells, and non-immune cells such as the endothelial cells and fibroblasts. They are important in…

Key Points Lay Summary