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Krasnopolskaya K.V.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Ershova I.Yu.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Isakova K.M.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Troshina V.V.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Reproductive aspects in the treatment of colorectal endometriosis

Authors:

Krasnopolskaya K.V., Ershova I.Yu., Isakova K.M., Troshina V.V.

More about the authors

Journal: Russian Journal of Human Reproduction. 2024;30(6): 140‑148

DOI: 10.17116/repro202430061140

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Table of contents

REPRODUCTIVE ASPECTS IN THE TREATMENT OF COLORECTAL ENDOMETRIOSIS
REPRODUCTIVE ASPECTS IN THE TREATMENT OF COLORECTAL ENDOMETRIOSIS

To cite this article:

Krasnopolskaya KV, Ershova IYu, Isakova KM, Troshina VV. Reproductive aspects in the treatment of colorectal endometriosis. Russian Journal of Human Reproduction. 2024;30(6):140‑148. (In Russ.)
https://doi.org/10.17116/repro202430061140

 
Подписка 2026 Проблемы репродукции (Russian Journal of Human Reproduction)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVES

To compare the effectiveness of in vitro fertilization (IVF) as first and second line treatment for infertility in colorectal endometriosis. As well as gather evidence to support the validity for own oocyte/embryo banking before to surgical intervention in women with concomitant endometriotic ovarian cysts.

MATERIAL AND METHODS

Frequency pregnancy rates per ovarian stimulation and embryo transfer were evaluated in 96 infertile patients with colorectal endometriosis. The analysis of the IVF outcome was carried out depending on the timing of the operation performed. The results obtained were compared with the ovarian reserve (AMH level) and the presence of concomitant pathologies: endometrioid ovarian cysts and endometrial hyperplasia.

RESULTS

A veraciously decreasing marks in ovarian stimulation and embryo transfer was observed when IVF was initiated more than 6 months after surgical treatment for colorectal endometriosis. The observed correlation of poor ovarian response may be explained by a decrease in ovarian reserve and a higher incidence of endometrial hyperplasia late postoperatively. The majority of women were found to have endometrioid ovarian cysts again, which often required re-excision of the cyst due to persistent recurrence after surgical treatment of colorectal endometriosis.

CONCLUSION

Based on these findings, in infertile women with colorectal endometriosis it is preferable to perform IVF either before surgical treatment or within a short timeframe (not surpassing 6 months) after surgery. In cases where the realization of reproductive plans is delayed, it is advisable to recommend oocyte/embryo banking due to the high likelihood of recurrent endometriosis and decrease associated ovarian reserve.

Keywords:

infertility
colorectal endometriosis
ovarian reserve
in vitro fertilization (IVF)

Authors:

Krasnopolskaya K.V.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Ershova I.Yu.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Isakova K.M.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Troshina V.V.

Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology

Received:

30.07.2023

Accepted:

01.03.2024

Close metadata

References:

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