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Cited by 121Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Surgery for endometriosis: beyond medical therapies

Open access
Singh, Sukhbir S., Suen, Michael W.H.·2017·Fertility and Sterility
DOI 10.1016/j.fertnstert.2017.01.001
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Abstract

Endometriosis-associated pelvic pain and subfertility may be managed medically in many cases; however, the surgical management of this insidious disease remains a necessary part of the treatment algorithm. Laparoscopy for diagnosis alone is rarely indicated with the advancements in preoperative imaging. When surgery is performed, the ideal goal would be a therapeutic and effective surgical intervention based on the preoperative evaluation. Surgery for women with pain due to endometriosis may be indicated in patients who cannot or do not wish to take medical therapies; acute surgical or pain events; deep endometriosis; during concomitant management of other gynecologic disorders; and patients seeking fertility with pain. The role of surgery for endometriosis-related subfertility may be considered in those with hydrosalpinges undergoing IVF; management of ovarian endometriomas in specific circumstances; and when a patient requests surgery as an alternative to assisted reproductive technology (ART). Surgery for ovarian endometriomas requires special attention due to the risk of potential harm on future fertility. Finally, a combined approach of surgery followed by postoperative medical therapy offers the best long-term outcomes for recurrence of disease and symptoms. A patient-centered approach and a goal-oriented approach are essential when determining the options for care in this population.

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Crossref · 10.1016/j.fertnstert.2017.01.001

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43 of 43 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Singh, S. S., & Suen, M. W. H.
Affiliations
University of Ottawa (CA)
Corresponding author
Singh, Sukhbir S.
ORCID
Venue
Fertility and Sterility
Publisher
Elsevier BV
Published
2017-03
Volume
107
Issue
3
Pages
549-554
ISSN
0015-0282 (ISSN-L)
DOI
10.1016/j.fertnstert.2017.01.001
OpenAlex
W2586099502
Cited by
121
References
43
Citations by year
2026: 17 · 2025: 13 · 2024: 7 · 2023: 4 · 2022: 18 · 2021: 10 · 2020: 17 · 2019: 17 · 2018: 10 · 2017: 8
FWCI
2.34
Type
journal article
Language
en
Open access
Licence
Locations
  • Fertility and Sterility (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Ectopic Pregnancy Diagnosis and Management
Keywords
endometriosis, surgical management, pelvic pain, subfertility, laparoscopy, endometrioma, hydrosalpinx, in vitro fertilization, assisted reproduction, postoperative medical therapy, endometriosis recurrence, patient-centered care
MeSH terms
Endometriosis, Endometrium, Female, Fertility, Humans, Infertility, Female, Laparoscopy, Predictive Value of Tests, Recurrence, Severity of Illness Index, Treatment Outcome, Pelvic Pain, Patient Selection, Recovery of Function

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