Endometriosis management prior to IVF

Endometriosis affects up to 10% of reproductive-aged women; with higher prevalence among patients suffering from dysmenorrhea, infertility and chronic pelvic pain (CPP). Early detection is the basis of targeting at time therapy. Administration of GnRH-agonists (GnRHa) is limited with its safety and portability. Dienogest administration as the stage of preparation to in vitro fertilization (IVF) may provide the preparative pre-gravid reserve. Fifty-six infertile patients with adenomyosis and previous IVF failures were recruited for prospective cohort study. The treatment followed the unique algorithm created using clinical experience. Post-transfer support was also considered. The aims included evaluation of dienogest effectiveness for different stages of adenomyosis; working out the schemes of dienogest therapy prior to IVF; evaluation of IVF effectiveness after dienogest administration. Patients with adenomyosis grade I-II demonstrated encouraging results: normalisation of menstrual function in 68.6% cases; decreasing of CPP in 74.3% of patients; better uterine vascularisation in 48.6% cases; IVF effectiveness increased up to 48.6%. Thus, in cases of adenomyosis and previous IVF failures dienogest should be administrated prior to IVF, which results in higher IVF effectiveness. © 2015 © 2015 Taylor & Francis.

Авторы
Vartanyan E. 1, 2 , Tsaturova K.1 , Petukhova N.1 , Markin A.1 , Uskova M.1 , Devyatova E.1
Язык
Английский
Страницы
42-45
Статус
Опубликовано
Том
31
Год
2015
Организации
  • 1 Assisted Reproductive Technologies ClinicTest-tube Babies, Schukinskaya str., 2, Moscow, 123182, Russian Federation
  • 2 Russian Peoples Friendship University, Moscow, Russian Federation
Ключевые слова
Dienogest; endometriosis; GnRH agonists; infertility; IVF; progestagens
Дата создания
19.10.2018
Дата изменения
19.10.2018
Постоянная ссылка
https://repository.rudn.ru/ru/records/article/record/4717/
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