1,721,249 research outputs found
Combined technique of excision and ablation for the surgical treatment of ovarian endometriomas: the way forward?
No full textSurgical treatment of ovarian endometriosis has been associated with damage to the ovarian tissue and premature ovarian failure in young patients. A modified surgical technique that combines cyst excision with ablation for the surgical treatment of ovarian endometriomas is presented, with the aim of reducing possible damage to the ovarian tissue without jeopardizing the results of surgery in terms of subsequent pregnancies and symptom relief. The modified technique is a combination of the excision technique, adopted for most of the procedure, with the coagulation technique, adopted at the ovarian hilus to better preserve normal ovarian tissue and vascularization of the ovary. Postoperative follow-up of patients operated on with this modified technique indicates that the technique is feasible and safe, with no apparent damage to the ovary. (C) 2009, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved
Reply: antral follicle count might be underestimated in the presence of an ovarian endometrioma
Full text linkReply: Endometrioma excision and ovarian reserve: do assessments by antral follicle count and anti-Müllerian hormone yield contradictory results?
No full text
Continuous versus cyclic oral contraceptives for endometriosis: any conclusive evidence?
No full textWe read with interest the paper recently published by
Zorbas et al. [1].
The paper is a systematic review on the use of a continuous versus a cyclic oral contraceptive (OC) schedule
after surgery for endometriosis excision
Effect of Surgery for Endometrioma on Ovarian Function: A Different Point of View
No full textRecent evidence in the literature suggests that surgical excision of the endometrioma wall may reduce ovarian reserve, which may have a negative effect on subsequent reproductive function. However, because of inconsistent results and methodologic flaws of anti-müllerian hormone (AMH) as a marker of ovarian reserve, antral follicle count may be a more accurate noninvasive marker than AMH. Evaluating ovarian reserve using antral follicle count rather than AMH may yield different conclusions insofar as postsurgical damage to the ovary. Surgery should be performed only by experienced surgeons, and the stripping technique currently is still the only one supported by strong scientific evidence. The dual function of surgery, that is, to improve fertility and reduce pain, cannot be minimized or undervalued. Copyright © 2014 AAGL. Published by Elsevier Inc. All rights reserved
The need to restore generative identity in women undergoing assisted reproductive technology: Development and psychometric validation of the fertility reparation inventory
No full textOBJECTIVE: This study described the development and psychometric evaluation of the fertility reparation inventory, providing measures of manic and expiatory reparation as symbolic dynamics of restoring one's procreative and generative identity through Assisted Reproductive Technology (ART). METHODS: Two cross‐sectional studies were conducted on female patients undergoing ART (N = 150) and women from the general population (N = 250), respectively. Exploratory factor analysis and confirmatory factor analysis assessed construct validity and reliability. Pearson's bivariate correlations were used to provide convergent evidence of validity with omnipotence, perceived infertility‐related stress, anxiety, depression, need for reparation, fear of punishment, and hope. RESULTS: The results confirmed a two‐factor solution of the 12‐item instrument, with adequate fit, a very good internal consistency, and well‐supported forms of convergent validity. CONCLUSION: This study provides a meaningful psychodynamic contribution, in both theoretical and empirical terms, for the understanding of emotional dynamics and psychological issues underlying the demand for ART
The unexpected ovarian malignancy found during operative laparoscopy: Incidence, management, and implications for prognosis
No full text[No abstract available
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