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Abstract
The effectiveness of assisted reproductive technology (ART) programs in patients after surgical treatment of endometrioid ovarian cyst (EOC) and after transvaginal EOC was compared. The study group consisted of 47 patients who underwent the ART program after EOC puncture, and 48 patients who entered the ART program after surgical treatment of EOC by laparoscopic exfoliation of the cyst capsule using electrocoagulation. The control group consisted of 50 patients with male factor infertility.
The results of the study showed that in the group of punctured patients, the timing of entry into ART programs is significantly less than in the surgical treatment of EOC. The number of obtained oocytes, zygotes and blastocysts of good quality is statistically higher in the group of punctured patients compared to the operated patients and is comparable with the control group. The «Baby take-home rate» did not differ in the group of dotted patients and in the control group, while significantly decreasing after laparoscopy.
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Volkova SV, Abitova MZ, Mikhaleva LM, Khamoshina MB, Orazov MR. Causes of infertility in endometriosis: versions and contraversions of the XXI century. Obstetrics and Gynecology: News. Opinions. Training. 2020; 8(3(29)): 110-114. Russian (Волкова С.В., Абитова М.З., Михалева Л.М., Хамошина М.Б., Оразов М.Р. Причины бесплодия при эндометриозе: версии и контраверсии XXI в. //Акушерство и гинекология: Новости. Мнения. Обучение. 2020. T. 8, № 3(29). С. 110-114)
Bakhtiyarov KR, Semeryuk TA, Churganova AA. Preservation of ovarian reserve in patients with endometriosis. Medico-pharmaceutical journal «Pulse». 2018; 20(5): 9-14. Russian (Бахтияров К.Р., Семерюк Т.А., Чурганова А.А. Сохранение овариального резерва у больных с эндометриозом //Медико-фармацевтический журнал «Пульс». 2018. T. 20, № 5. C. 9-14)
Zulumyan TN. Endometrioid ovarian cysts and infertility: ways to overcome. Obstetrics and Gynecology: News. Opinions. Training. 2017; 17(3): 92-97. Russian (Зулумян Т.Н. Эндометриоидные кисты яичников и бесплодие: пути преодоления //Акушерство и гинекология: Новости. Мнения. Обучение. 2017. T. 17, № 3. С. 92-97)
Kuzmina NS, Bezhenar VF, Kalugina AS. Endometriosis and infertility. Surgery or assisted reproductive technologies? Archive of Obstetrics and Gynecology named after VF. Snegirev. 2018; 5(1): 31-36. Russian (Кузьмина Н.С., Беженарь В.Ф., Калугина А.С. Эндометриоз и бесплодие. Операция или вспомогательные репродуктивные технологии? //Архив акушерства и гинекологии им. В.Ф. Снегирева. 2018. T. 5, № 1. C. 31-36)
Dubrovina SO, Berlim YuD, Gimbut VS, Krasilnikova LV, Areshyan KA. Management of endometriomas. Gynecology. 2017; 19(4): 30-35. Russian (Дубровина С.О., Берлим Ю.Д., Гимбут В.С., Красильникова Л.В., Арешян К.А. Менеджмент эндометриом //Гинекология. 2017. T. 19, № 4. C. 30-35)
Popov EN, Rusina EI, Sudakov DS, Dymarskaya YuR, Koleboshina MA. Alternative method of surgical treatment of endometrioid ovarian tumors from the standpoint of preserving ovarian reserve. Journal of Obstetrics and Women's Diseases. 2019. 68(5): 55-62. Russian (Попов Э.Н., Русина Е.И., Судаков Д.С., Дымарская Ю.Р., Колебошина М.А. Альтернативный метод хирургического лечения эндометриоидных опухолей яичников с позиций сохранения овариального резерва //Журнал акушерства и женских болезней. 2019. T. 68, № 5. C. 55-62)
Wang Y, Ruan X, Lu D, Sheng J, Mueck AO. Effect of laparoscopic endometrioma cystectomy on anti-Müllerian hormone (AMH) levels. Gynecol Endocrinol. 2019; 35(6): 494-497
Muzii L, Di Tucci C, Di Feliciantonio M, Galati G, Verrelli L, Donato VD, et al. Management of Endometriomas. Semin Reprod Med. 2017; 35(1): 25-30
Cohen A, Almog B, Tulandi T. Sclerotherapy in the management of ovarian endometrioma: systematic review and meta-analysis. Fertil Steril. 2017; 108(1): 117-124
Aflatoonian A, Tabibnejad N. Aspiration versus retention ultrasound-guided ethanol sclerotherapy for treating endometrioma: A retrospective cross-sectional study. Int J Reprod Biomed. 2020; 18(11): 935-942
Annenkova EI. Versions and contraversions of treatment of patients with endometrioid ovarian cysts and infertility. Obstetrics and Gynecology: News. Opinions. Training. 2018; 21(3): 97-104. Russian (Анненкова Е.И. Версии и контраверсии лечения пациенток с эндометриоидными кистами яичников и бесплодием //Акушерство и гинекология: Новости. Мнения. Обучения. 2018. T. 21, № 3. C. 97-104)
Jiang D, Nie X. Effect of endometrioma and its surgical excision on fertility (Review). Exp Ther Med. 2020; 20(5): 114
Rossi AC, Prefumo F. The effects of surgery for endometriosis on pregnancy outcomes following in vitro fertilization and embryo transfer: a systematic review and meta-analysis. Arch Gynecol Obstet. 2016; 294(3): 647-655
Nazarenko TA. Ovarian function stimulation. M.: MEDpress, 2015. 272 p. Russian (Назаренко T.A. Стимуляция овариальной функции. M.: MEДпресс, 2015. 272 с.)
Tomic V, Kasum M, Vucic K. The role of luteal support during IVF: a qualitative systematic review. Gynecol Endocrinol. 2019; 35(10): 829-834
