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- Title
Endometrioma: A Concern for fertility.
- Authors
Baral, J.; Acharya, P.; Rana, A.; Gurung, G.
- Abstract
Introduction: Endometriosis is a complex disease of young women in reproductive age responsible for endometriosis-associated pelvic pain (EAPP) because of the deeply infiltrating endometriosis (DIE). There has been significant successful revolution in the diagnosis and the management both surgical and medical where medical treatment both pre and postoperatively has been documented as gain for pain relieve and fertility promotion. Methods: Retrospective study was done for a period of 4 years April 2009- 2013 in Department of Gynecology and Obstetrics TU Teaching Hospital using Operation Register obtainingfiles from Medical Record Section. All the cases exposed to operative management for endometrioma were noted for size adhesion and associationwith other gynecological condition and type of surgical approach for future fertility preservation. Results:There were 77 cases of chocolate cyst, representing 32% of major gynecological surgery in age up to 30 years being 21(27%) as compared to those above the age of 30 Adhesion were omnipresent in al cases [mild 20 (26%) and dense adhesion in 57 (74 %)Irrespective of the size of chocolate cyst; 3-5cm (27); >5-10cm (40); 10-15cm (9) and 15-20cm (1);associatedwas myoma in 14(18%). Confined to 36% infertility were total 28 [Primary infertility (14); Secondary infertility (14)] Adhesion was dense in al cases of primary infertility and 12/14 cases of secondary infertility, yet forward anticipation in primary (9) andcases of and secondary (6) infertility cases [after deducting, 13: hysterectomy (11) and bilateral ovarian removal (2)] along with 8/9 cases in unmarried [excepting, hysterectomy (1)] but may not be rewarding in cent percent. Conclusion: Endometrioma noted to create adhesion in one and al case, expected to enhance on operative exposure need coverage by favorable medication before and after semiconservative surgical approach to overcome associated adverse fertility prognosis.
- Subjects
NEPAL; ENDOMETRIOSIS; HUMAN fertility; PELVIC pain; POSTOPERATIVE care
- Publication
Journal of Institute of Medicine Nepal (JIOMN), 2014, Vol 36, Issue 1, p76
- ISSN
1993-2979
- Publication type
Article
- DOI
10.59779/jiomnepal.606