| Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2020-08-06 |
| タイトル |
|
|
タイトル |
<Originals> Significance of surgery for infertile patients with endometrioma |
|
言語 |
en |
| 著者 |
Tsuji, Isao
Fujishima, Risa
Fujinami, Nahoko
Matsumura, Noriomi
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
endometrioma, infertility, ovarian, reserve, surgery, ART |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 所属 |
|
|
値 |
Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine |
| 版 |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| 出版者 名前 |
|
|
出版者 |
Kindai University Medical Association |
| 書誌情報 |
en : ACTA MEDICA KINDAI UNIVERSITY
巻 45,
号 1,
p. 1-11,
発行日 2020-06
|
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866092 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
[Abstract] Background: The significance of cystectomy for infertile patients with endometrioma remains controversial.Methods: Between 1997 and 2013, 852 female patients visited Kindai University Hospital and were treated for infertility, and the significance of surgery for infertile patients with endometrioma was retrospectively analyzed in this study.Results: Among patients without endometrioma(N=740), patients with unilateral endometrioma(N=81), and patients with bilateral endometrioma(N=31), the proportion of patients with reduced ovarian reserve at the start of treatment was not different in patients <35 years old (5.0% vs 8.0% vs 10.5%, p=0.41) but was significantly different in patients 35 to 39 years old (15.6% vs 29.6% vs 45.5%, p=0.014). Among these three groups, the cumulative pregnancy rates in patients before surgery or in those who did not undergo surgery were significantly different in patients <35 years old (59.9% vs 27.3% vs 18.0%, p=0.008) and were not different in patients 35 to 39 years old (45.3% vs 38.0% vs 10.0%, p=0.93). Among the three groups, the cumulative pregnancy rates of patients who underwent surgery were not different in patients <35 years old (51.2% vs 45.2% vs 50.0%, p=0.71) but were significantly different in patients 35 to 39 years old (40.7% vs 31.3% vs 0%, p=0.025).Conclusions: Surgery, including cystectomy, for infertile patients with endometrioma improves fertility in patients <35 years old by correcting the pelvic environment to the same extent as that in patients without endometrioma but may decrease fertility in 35- to 39-year-old patients by reducing ovarian reserve. |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
AA0050842X-20200600-0001.pdf (531.6 kB)
