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Krylov K.Y.

St. Petersburg Research Institute of Emergency Medicine I. I. Dzhanelidze

Rukhliada N.N.

St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia

Birjukova E.I.

I.I. Dzanelidze St. Petersburg Scientific Research Institute of emergency care

Tsechoeva L.Sh.

I.I. Dzanelidze St. Petersburg Scientific Research Institute of emergency care

Vinnikova S.I.

St. Petersburg State Pediatric Medical University

Adenomiosis and sterility. Revue of the reproductive events after operative treatment and extracorporal fertilization

Authors:

Krylov K.Y., Rukhliada N.N., Birjukova E.I., Tsechoeva L.Sh., Vinnikova S.I.

More about the authors

Journal: Russian Bulletin of Obstetrician-Gynecologist. 2022;22(1): 66‑73

DOI: 10.17116/rosakush20222201166

Read: 2390 times

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Table of contents

ADENOMIOSIS AND STERILITY. REVUE OF THE REPRODUCTIVE EVENTS AFTER OPERATIVE TREATMENT AND EXTRACORPORAL FERTILIZATION
ADENOMIOSIS AND STERILITY. REVUE OF THE REPRODUCTIVE EVENTS AFTER OPERATIVE TREATMENT AND EXTRACORPORAL FERTILIZATION

To cite this article:

Krylov KY, Rukhliada NN, Birjukova EI, Tsechoeva LSh, Vinnikova SI. Adenomiosis and sterility. Revue of the reproductive events after operative treatment and extracorporal fertilization. Russian Bulletin of Obstetrician-Gynecologist. 2022;22(1):66‑73. (In Russ.)
https://doi.org/10.17116/rosakush20222201166

 
Подписка 2026 Российский вестник акушера-гинеколога (Russian Bulletin of Obstetrician-Gynecologist)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Studies of populations of women suffering from infertility associated with adenomyosis after in vitro fertilization (IVF) and/or intracytoplasmic sperm injection (ICSI) — IVF/ICSI, as well as after surgical treatment of patients with deep adenomyosis have shown that adenomyosis in both cases has negative impact on reproductive outcome, although there are significant differences in these populations. There are relatively few data on the degree of influence of the depth of the lesion on the realization of the reproductive function, however, a significant correlation was re-vealed between them, according to the literature. The beneficial effect of treatment with gonado-tropin-releasing hormone agonists followed by surgical treatment of adenomyosis has also been described in several literature sources, but controlled studies on this topic have not been conduct-ed. Many studies do not meet the reliability criteria due to the lack of fulfillment of clear criteria for the inclusion and exclusion of patients from the study. The choice of the optimal treatment options for patients with adenomyosis based on actual data is difficult due to the lack of reliable evidence of a relationship between fertility and the degree of adenomyosis. However, it is known that adenomyosis can reduce the likelihood of successful implantation so dramatically that surgi-cal or other treatment options may be warranted. At the same time, it is necessary to assess the possible positive effect of the treatment options available in the doctor’s arsenal. Thus, the deci-sive importance for the successful implementation of reproductive function in patients with sus-picion or with an established diagnosis of adenomyosis in combination with a recurrent miscar-riage, refusing to use assisted reproductive technologies, may have their timely referral to special-ized treatment patients with adenomyosis medical clinics. This review analyzes the relationship between infertility and adenomyosis, and also examines studies of reproductive outcomes in dif-ferent types of surgical treatment of patients with infertility and adenomyosis.

Keywords:

adenomyosis
infertility
assisted reproductive technologies
pregnancy
reproductive outcome
surgical treatment

Authors:

Krylov K.Y.

St. Petersburg Research Institute of Emergency Medicine I. I. Dzhanelidze

Rukhliada N.N.

St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia

Birjukova E.I.

I.I. Dzanelidze St. Petersburg Scientific Research Institute of emergency care

Tsechoeva L.Sh.

I.I. Dzanelidze St. Petersburg Scientific Research Institute of emergency care

Vinnikova S.I.

St. Petersburg State Pediatric Medical University

Received:

15.10.2021

Accepted:

28.10.2021

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