Fertility Preservation in Benign Gynecological Diseases: Current Approaches and Future Perspectives.

Benign ovarian tumors Counseling Endometriosis Fertility preservation

Journal

Journal of reproduction & infertility
ISSN: 2228-5482
Titre abrégé: J Reprod Infertil
Pays: Iran
ID NLM: 101535586

Informations de publication

Date de publication:
Historique:
entrez: 4 1 2020
pubmed: 4 1 2020
medline: 4 1 2020
Statut: ppublish

Résumé

Although fertility preservation is a growing topic in the management of oncological diseases, different benign gynecological pathologies are able to compromise the ovarian reserve due to mechanisms related to the pathology itself or secondary to the performed treatments. Endometriosis, benign ovarian tumors, adnexal torsion, familiarity and genetic syndromes are all benign conditions that can compromise the ovarian reserve. Endometriosis and particularly endometriomas provide a direct damage to ovarian reserve, with different mechanisms, and an indirect damage related to surgery. Similarly, benign ovarian tumors can provide a detrimental effect on ovarian reserve for the surgical treatment, especially for bilateral or recurrent tumors, and in case of secondary adnexal torsion with late diagnosis. Different fertility preservation options are available and should be considered particularly in cases with bilateral or recurrent pathology and/or surgery. In general, the identification of patients at risk of early ovarian failure, for benign gynecological disease or based on known genetic causes or familiarity, is of paramount importance in order to apply fertility preservation techniques before the complete depletion of ovarian reserve.

Identifiants

pubmed: 31897386
pmc: PMC6928401

Types de publication

Journal Article Review

Langues

eng

Pagination

201-208

Informations de copyright

Copyright© 2019, Avicenna Research Institute.

Déclaration de conflit d'intérêts

Conflict of Interest The authors have no conflicts of interest to declare.

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Auteurs

Zaki Sleiman (Z)

Lebanese American University, Department of Obstetrics and Gynecology, Beirut, Lebanon.

Erbil Karaman (E)

Department of Obstetrics and Gynecology, Medical Faculty, Yuzuncu Yil University, Van, Turkey.

Milan Terzic (M)

Department of Obstetrics and Gynecology, National Research Center of Mother and Child Health, University Medical Center, Astana, Kazakhstan.
Department of Medicine, Nazarbayev University, School of Medicine, Astana, Kazakhstan.
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA.

Sanja Terzic (S)

Department of Medicine, Nazarbayev University, School of Medicine, Astana, Kazakhstan.

Giovanni Falzone (G)

Obstetrics and Gynaecology Unit, Umberto I Hospital, Enna, Italy.

Simone Garzon (S)

Department of Obstetrics and Gynecology, Filippo Del Ponte Hospital, University of Insubria, Varese, Italy.

Classifications MeSH