[en] This review discusses the efficacy of a combined, medical (GnRH agonist) and surgical, therapy in endometriosis- associated infertility. Because of the limited information currently available on the activity of lesions in minimal and mild endometriosis, any absolute statement is inappropriate at this time, although some arguments exist in favour of treating endometriosis at laparoscopy. In moderate and severe endometriosis, this review provides arguments in favour of a medico-surgical approach and discusses the possibility of combining medical and surgical therapy.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Donnez, Jacques; Université Catholique de Louvain - UCL > Service de Gynécologie
Chantraine, Frédéric ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR
Nisolle, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR
Language :
English
Title :
The efficacy of medical and surgical treatment of endometriosis-associated infertility: arguments in favour of a medico-surgical aproach
Adamson G.D., Pasta D.J. (1994) Surgical treatment of endometriosis-associated infertility: Meta-analysis compared with survival analysis. Am. J. Obstet. Gynecol. 171:1488-1507.
Anaf V., Simon P., El-Nakadi I. (2000) Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules. Hum. Reprod. 15:1744-1750.
Audebert A., Descamps P., Marret H. (1998) Pre- or post-operative medical treatment with nafareline in stage III-IV endometriosis: A French multicenter study. Eur. J. Obstet. Gynecol. Reprod. Biol. 79:145-148.
Busacca M., Bianchi S., Agnoli B. (1999) Follow-up of laparoscopic treatment of stage III-IV endometriosis. J. Am. Assoc. Gynecol. Laparosc. 6:55-58.
Donnez J. (1987) CO2 laser laparoscopy in infertile women with endometriosis and women with adnexal adhesions. Fertil. Steril. 48:390-394.
Donnez J., Lemaire-Rubbers M., Karaman Y. (1987) Combined (hormonal and microsurgical) therapy in infertile women with endometriosis. Fertil. Steril. 48:239-242.
Donnez J., Nisolle M., Clerckx F. (1989) Administration of nasal buserelin as compared with subcutaneous buserelin implant for endometriosis. Fertil. Steril. 52:27-30.
Donnez J., Nisolle-Pochet M., Casananas-Roux F. (1990) Endometriosis-associated infertility: Evaluation of preoperative use of danazol, gestrinone, and buserelin. Int. J. Fertil. 35:297-301.
Donnez J., Nisolle M., Gillerot S. (1994) Ovarian endometrial cysts: The role of gonadotropin-releasing hormone agonist and/or drainage. Fertil. Steril. 62:63-66.
Donnez J., Nisolle M., Gillet N. (1996) Large ovarian endometriomas. Hum. Reprod. 11:641-646.
Donnez J., Nisolle M., Gillerot S. (1997) Rectovaginal septum adenomyotic nodules: A series of 500 cases. Br. J. Obstet. Gynaecol. 104:1014-1018.
(2000) Optimal use of infertility diagnostic tests and treatment. Hum. Reprod. , ESHRE Capri Workshop Group; 15:723-732.
Chang F.-H., Chou H.-H., Soong Y.-K. (1997) Efficacy of isotopic 13CO2 laser laparoscopic evaporation in the treatment of infertile patients with minimal to mild endometriosis: A life table cumulative pregnancy rates study. J. Am. Assoc. Gynecol. Laparosc. 4:219-223.
(1999) Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: A randomized trial. Hum. Reprod. , Gruppo Italiano per lo Studio dell'Endometriosis; 14:1332-1334.
Hornstein M., Hemmings R., Yuzpe A. (1997) Use of nafareline versus placebo after reductive laparoscopic surgery for endometriosis. Fertil. Steril. 68:860-864.
Hughes E.G., Fedorwork D.M., Collins J.A. (1993) A quantitative overview of controlled trials in endometriosis-associated infertility. Fertil. Steril. 59:963-970.
Johnson K.M. (1998) Endometriosis: The case for early, aggressive treatment. J. Reprod. Med. 43:309-315.
Marcoux S., Maheux R., Berube S. (1997) Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian collaborative group on endometriosis. N. Engl. J. Med. 24:217-222.
Miller J., Shaw R., Casper R. (1998) Historical prospective cohort study of the recurrence of pain after discontinuation of treatment with danazol or a gonadotrophin-releasing hormone agonist. Fertil. Steril. 70:293-296.
Minjarez D.A., Schlaff W.D. (2000) Update on the medical treatment of endometriosis. Obstet. Gynecol. Clin. North Am. 27:641-651.
Nisolle M., Donnez J. (1997) Peritoneal endometriosis, ovarian endometriosis and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil. Steril. 68:585-596.
Nisolle-Pochet M., Casanas-Roux B.S., Donnez J. (1988) Histologic study of ovarian endometriosis after hormonal therapy. Fertil. Steril. 49:423.
Nisolle M., Casanas-Roux F., Donnez J. (1997) Immunohistochemical analysis of proliferative activity and steroid receptor expression in peritoneal and ovarian endometriosis. Fertil. Steril. 68:912-919.
Pagidas K., Falcone T., Hemmings R. (1996) Comparison of reoperation for moderate (stage III) and severe (stage IV) endometriosis-related infertility with in vitro fertilization-embryo transfer. Fertil. Steril. 65:791-795.
Pouly J.L., Drolet J., Canis M. (1996) Laparoscopic treatment of symptomatic endometriosis. Hum. Reprod. 11:67-88.
Rana N., Thomas S., Rotman C. (1996) Decrease in the size of ovarian endometriomas during ovarian suppression in stage IV endometriosis. Role of preoperative medical treatment. J. Reprod. Med. 41:348-392.
Schindler A.E., Buhler G., Kienle E. (1998) What is the value of combined surgical-hormonal therapy of endometriosis management?. Zentralbl. Gynakol. 120:183-190.
Sutton C., Ewen S., Jacobs S. (1997) Laser laparoscopic surgery in the treatment of ovarian endometriomas. J. Am. Assoc. Gynecol. Laparosc. 4:319-323.
Telimaa S., Ronnberg L., Kauppila A. (1987) Placebo-controlled comparison of danazol and high-dose medroxyprogesterone acetate in the treatment of endometriosis after conservative surgery. Gynecol. Endocrinol. 1:363-371.
Waller K.G., Shaw R.W. (1993) Gonadotropin-releasing hormone analogues for the treatment of endometriosis: Long-term follow-up. Fertil. Steril. 59:511-515.
Wheeler J.M., Malinak L.R. (1983) Recurrent endometriosis: Incidence, management and prognosis. Am. J. Obstet. Gynecol. 146:247-253.
Wheeler J.M., Knittel J., Miller J. (1992) Depot leuprolide versus danazol in treatment of women with symptomatic endometriosis. Am. J. Obstet. Gynecol. 167:1367-1371.
Winkel C.A. (2000) A cost-effective approach to the management of endometriosis. Curr. Opin. Obstet. Gynecol. 12:317-320.
Soong Y.-K., Chang F.-H., Chou H.-H. (1997) Life table analysis of pregnancy in women with moderate or severe endometriosis comparing danazol therapy after carbon dioxide laser laparoscopy plus electrocoagulation or laparotomy plus electrocoagulation versus danazol therapy only. J. Am. Assoc. Gynecol. Laparosc. 4:225-230.