The Choice of Management Tactics for Patients with Deep Endometriosis and Infertility

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Abstract

The article discusses the methods of surgical treatment of deep endometriosis and the effect of surgical treatment on fertility. To date, there is no standardized approach to the treatment of deep endometriosis. Due to the variety of symptoms, an individual approach is needed in treatment, which takes into account the nature of the lesion and the patient’sdesires. The choice between first-line surgery and ART is difficult, and doctors must consider various factors, including the patient’sage, severity of symptoms, ovarian reserve, and individual risk factor.

About the authors

E. O. Nebylitsyna

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

M. A. Vardanyan

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: rectorat@staff.sechenov.ru
117997, Russia, Moscow, Akademika Oparina str., 4

A. A. Gorpenko

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

V. D. Chuprynin

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

N. A. Chekeneva

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

N. A. Buralkina

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

N. V. Aleksandrova

Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov” of the Ministry of Health of the Russian Federation

Email: med@oparina4.ru
117997, Russia, Moscow, Akademika Oparina str., 4

References

  1. Arcoverde F., Andres M. P., Souza C. C. Deep endometriosis: medical or surgical treatment? Minerva Obstet Gynecol. 2021 Jun. 73 (3): 341–346. doi: 10.23736/S2724-606X.21.04705-5. PMID: 34008388.
  2. Bazot M., Daraï E. Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques. Fertil Steril. 2017; Dec;108 (6): 886–894. doi: 10.1016/j.fertnstert. 2017;10: 026. PMID: 29202963.
  3. Drechsel-Grau A., Grube M., Neis F. и др.. Долгосрочное наблюдение в отношении облегчения боли, фертильности и повторной операции после хирургического лечения глубокого эндометриоза. J. Clin. Med. 2024; 13: 5039. https://doi.org/10.3390/jcm13175039

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