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419928

A Debate on Surgical Intervention for Adenomyosis Prior to In-Vitro Fertilization

Article

Last updated: 09 Apr 2025

OverviewSimilar Items

Subjects

-

Tags

Reproductive medicine

Abstract

Adenomyosis is a benign uterine disorder distinguished by the ectopic presence of endometrial glands and stroma within the myometrium. It affects around 20% of individuals of reproductive age. Adenomyosis commonly presents with abnormal uterine bleeding, dysmenorrhea, chronic pelvic pain, dyspareunia, and is associated with infertility. While the mechanisms linking adenomyosis to infertility remain unclear, several factors may contribute to impaired reproductive outcomes. Although hysterectomy is the standard surgical treatment for symptomatic adenomyosis, it is not a suitable option for patients desiring fertility preservation. Conservative surgical interventions for adenomyosis before in-vitro fertilization (IVF) aim to improve reproductive outcomes but carry inherent risks. The decision to pursue conservative surgery for adenomyosis remains a topic of debate, requiring careful consideration of potential benefits and surgical risks. Identifying optimal candidates for surgical intervention is crucial to maximizing benefits while minimizing complications. This article explores the debate surrounding conservative surgical intervention for adenomyosis prior to IVF.

DOI

10.21608/jrme.2025.368280.1036

Keywords

Adenomyosis, in-vitro fertilization, Conservative surgery, Adenomyomectomy, Reproductive outcomes

Authors

First Name

Bahi

Last Name

Fayek

MiddleName

-

Affiliation

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada - Department of Obstetrics and Gynecology, Menoufia University, Menoufia, Egypt

Email

bahi.elbasueny@cw.bc.ca

City

Vancouver

Orcid

-

First Name

Ella

Last Name

Barrett-Chan

MiddleName

-

Affiliation

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada

Email

ellachan@student.ubc.ca

City

Vancouver

Orcid

-

First Name

Ella

Last Name

Woolcott

MiddleName

-

Affiliation

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada

Email

ella.woolcott@cw.bc.ca

City

Vancouver

Orcid

-

First Name

Esraa

Last Name

Khalifa

MiddleName

A.

Affiliation

Division of Abdominal Radiology, Department of Radiology, University of British Columbia, Vancouver, BC, Canada - Department of Radiology, Menoufia University, Menoufia, Egypt

Email

esraa.khalifa@vch.ca

City

-

Orcid

-

First Name

Mohamed

Last Name

Bedaiwy

MiddleName

A.

Affiliation

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada

Email

mohamed.bedaiwy@cw.bc.ca

City

Vancouver

Orcid

-

Volume

1

Article Issue

4

Related Issue

54794

Issue Date

2025-02-01

Receive Date

2025-03-18

Publish Date

2025-02-01

Page Start

217

Page End

224

Online ISSN

3009-7282

Article File

JRME_Volume 1_Issue 4_Pages 217-224.pdf

PDF . 317.1kB

Link

https://jrme.journals.ekb.eg/article_419928.html

Detail API

http://journals.ekb.eg?_action=service&article_code=419928

Order

2

Type

Invited Articles

Type Code

3,014

Publication Type

Journal

Publication Title

Journal of Reproductive Medicine and Embryology

Publication Link

https://jrme.journals.ekb.eg/

MainTitle

A Debate on Surgical Intervention for Adenomyosis Prior to In-Vitro Fertilization

Details

Type

Article

Created At

09 Apr 2025