A Comparison of Treatments for Women with Infertility or Subfertility as a Result of Endometriosis.
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A Comparison of Treatments for Women with Infertility or Subfertility as a Result of Endometriosis.
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There are different treatment options available for women with endometriosis including surgery, hormonal therapy, and pharmacological therapy. Though there is no gold standard for infertility/subfertility treatment, many options have been explored. Unfortunately, these therapy options have not been compared to one another. The goal of this review is to determine which treatments work best to reduce infertility or subfertility that was mediated by endometriosis. Studies were eligible for inclusion only if they were comparing between women with endometriosis and women without endometriosis. Information collected from each study consisted of which therapy was used to treat infertility/subfertility, the number of pregnancies for participants with endometriosis vs without endometriosis. The number of pregnancies was converted into a ratio comparing pregnancies of those with endometriosis to those without. I looked at five studies that looked at artificial insemination, sclerotherapy follow by in vitro fertilization (IVF), gonadotropin releasing hormone (GnRH) with IVF, and GnRH with laparoscopic surgery as therapy options. GnRH followed by IVF yielded the best ratio of 4:1. Based on this study, GnRH followed by IVF should be the treatment used as a therapy against endometriosis-mediated infertility/subfertility.
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http://hdl.handle.net/2323/5304
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Author (aut): Schiefer, Allison
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1 page poster.
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English
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bitstream_13599.pdf
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application/pdf
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1574148
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