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Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

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Surgery in adenomyosis.

Marco Aurelio Pinho Oliveira^1,2, Claudio Peixoto Crispi³, Leila Cristina Brollo⁴

¹Department of Gynecology, State University of Rio de Janeiro, Rio de Janeiro, Brazil. endometriose@gmail.com.

Archives of Gynecology and Obstetrics

|December 4, 2017

Summary

Surgical treatments for adenomyosis can improve symptoms like pain and bleeding, but evidence supporting their effectiveness for improving infertility is limited. Further research is needed to confirm surgical benefits, especially for fertility preservation in adenomyosis patients.

Keywords:

Adenomyosis Review Treatment

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Area of Science:

Gynecology
Reproductive Medicine
Surgical Innovation

Background:

Adenomyosis, characterized by endometrial tissue in the myometrium, affects women's quality of life with symptoms like abnormal uterine bleeding, dysmenorrhea, and chronic pelvic pain.
While hysterectomy offers definitive treatment, it precludes fertility preservation, necessitating alternative management strategies for affected women.

Purpose of the Study:

To review and discuss the latest evidence on surgical techniques for adenomyosis treatment.
To evaluate the efficacy of surgical interventions for adenomyosis, particularly concerning symptom improvement and fertility outcomes.

Main Methods:

A comprehensive literature search was conducted across major databases (PubMed, Medline, Cochrane Library, Google Scholar) from 1996 to 2017.
Keywords included adenomyosis, surgery, pathogenesis, dysmenorrhea, and infertility, focusing on English-language articles.

Main Results:

Extensive evidence supports various surgical approaches for alleviating adenomyosis-related symptoms.
However, robust evidence demonstrating the effectiveness of these surgical methods for improving infertility is lacking.

Conclusions:

Adenomyosis management is complex and controversial, with potential risks associated with extensive uterine reconstruction.
Limited data currently support the effectiveness of surgery for improving adenomyosis-related infertility, underscoring the need for well-designed future studies.