العضال الرحمي الغدي والعقم Adenomyosis and Infertility - الأستاذ الدكتور مروان الحلبي скачать в хорошем качестве

العضال الرحمي الغدي والعقم Adenomyosis and Infertility - الأستاذ الدكتور مروان الحلبي

محاضرة علمية قدمت في مؤتمر رويان الدولي للعقم والخلايا الجذعية حول العضال الرحمي الغدي والعقم والاخصاب المساعد عرض فيها الاستاذ الدكتور مروان الحلبي أحدث المستجدات في هذا المجال وقدم احدث الراسات العلمية. Adenomyosis and Infertility Marwan Alhalabi, MD PhD Professor of reproductive medicine and infertility, Vice Dean for scientific affairs and head of department of reproductive medicine, genetics and embryology at faculty of medicine of Damascus University. Head of assisted reproduction unit and consultant medical director of Orient Hospital, Damascus, Syria. Adenomyosis is a very difficult disease to have when hoping for fertility. Many patients will consult with their gynecologist for heavy bleeding, clots and significant monthly pain during and around periods. This presentation is timely and relevant for several reasons. The incidence of adenomyosis begins to rise from the mid-thirties. Moreover, more women are delaying their first pregnancy until later in their thirties or forties, and consequently adenomyosis is encountered more frequently in the fertility clinic during diagnostic work-up. Furthermore, it is difficult to diagnose adenomyosis before surgery, because there are no pathognomonic signs, symptoms or physical findings. Finally, reference data are very limited. Adenomyosis remains a fairly frequent and debilitating disease that will be encountered with increasing incidence in the infertile female population. While spectacular advances have been made in recent years in the non-invasive diagnosis of the condition, non-surgical treatment options for infertile patients with adenomyosis arise but need to be confirmed in larger series. To date, there is no consensus for the most appropriate treatment of adenomyosis with infertility. Conservative surgery could be effective option to treat adenomyosis, especially in women who seek fertility preservation and, in women with previous history of IVF failure. However, the latter finding could be partly attributed to the higher rate of early miscarriage. In this presentation, reported data regarding treatment of adenomyosis were summarized and then the most appropriate approach to treat infertility associated with adenomyosis will be discussed.