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Infertility in Females

Infertility in Females

Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...

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Related Experiment Video

Updated: Oct 13, 2025

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

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

Published on: January 22, 2022

Managing endometrioma to optimize future fertility.

Maebh Horan^1,2,3, Louise Glover^1,3, Mary Wingfield^1,2,3

¹Merrion Fertility Clinic, Dublin 2, Ireland.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|November 12, 2021

Summary

Managing ovarian endometriomas requires careful consideration for women desiring fertility preservation. Surgery may impact ovarian reserve, necessitating a balanced approach integrating fertility treatments and oocyte cryopreservation.

Keywords:

endometrioma endometriosis fertility fertility preservation

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Area of Science:

Reproductive Medicine
Gynecologic Surgery
Infertility Management

Background:

Endometriomas pose complex challenges for fertility preservation.
Surgical interventions for endometriomas can negatively affect ovarian reserve.
A comprehensive fertility-focused management strategy is crucial.

Purpose of the Study:

To review the impact of endometriomas on female fertility.
To explore various management strategies for fertility preservation.
To assess the role of assisted reproduction and oocyte cryopreservation.

Main Methods:

Evidence-based review of current guidelines and major publications.
Analysis of management options considering fertility preservation.
Framework development for fertility-friendly counseling.

Main Results:

Surgery's dual effect on fertility (potential pregnancy vs. ovarian reserve impact).
Assisted reproduction techniques as a key component in management.
Oocyte cryopreservation as an evolving option for progressive disease.

Conclusions:

Management must prioritize the woman's future fertility.
An evidence-based framework aids in fertility-friendly discussions and counseling.
Holistic management is essential for this complex condition.