Clinical symptoms and diagnostic tools that are related to infertility and hydrosalpinx formation in women with advanced stage endometriosis complicated by endometrioma

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dc.contributor.authorYavuzcan, Ali
dc.contributor.authorÇağlar, Mete
dc.contributor.authorDilbaz, Serdar
dc.contributor.authorÜstün, Yusuf
dc.contributor.authorÖzdemir, İsmail
dc.contributor.authorYıldız, Elif
dc.contributor.authorKumru, Selahattin
dc.date.accessioned2020-04-30T22:40:54Z
dc.date.available2020-04-30T22:40:54Z
dc.date.issued2013
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionKUMRU, Selahattin/0000-0001-6615-7666;en_US
dc.descriptionWOS: 000330100400005en_US
dc.descriptionPubMed: 24191514en_US
dc.description.abstractObjectives: The study included patients suffering from stage III-IV endometriosis complicated by an endometrioma (DMA). We investigated the association between age, presence of dysmenorrhea/dyspareunia, preoperative CA 125 level, size of DMA on ultrasonographic exam and infertility as well as the risk of intraoperative detection of hydrosalpinx that was not suspected on pre-operative assessment. Materials and Methods: The study included patients with stage III-IV endometriosis complicated by DMA who underwent a laparoscopic or open surgery due to pre-diagnosis of infertility or adnexal mass. Results: Dysmenorrhea had statistically significant association with infertility (p=0.031). There was no statistically significant relation between age, dyspareunia, preoperative CA 125 level, size of DMA on ultrasonographic exam and infertility (p=0.203, p=0.561, p=0.561 and p=0.668, respectively). No statistically significant relation was found between age, CA 125 level, dysmenorrhea, dyspareunia and detection of an unilateral/bilateral hydrosalpinx, that was not suspected on pre-operative assessment (p=0.179, p=0.295, p=0.895, p=0.424, respectively). There was an association between DMA size (p=0.023) and detection of unilateral/bilateral hydrosalpinx. Conclusions: Patients who desire to have children but suffer from severe dysmenorrhea must be preoperatively informed about the possibility of having stage III-IV endometriosis. Infertile patients who are about to undergo an operation, especially due to a large DMA, may turn out to have hydrosalpinx. These patients should be informed preoperatively about the possibility of having salpingectomy or the proximal tubal surgery for improving fertilityen_US
dc.identifier.endpage769en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue9en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage765en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3084
dc.identifier.volume84en_US
dc.identifier.wosWOS:000330100400005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofGinekologia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectendometriosisen_US
dc.subjectendometriomaen_US
dc.subjecthydrosalpinxen_US
dc.subjectinfertilityen_US
dc.titleClinical symptoms and diagnostic tools that are related to infertility and hydrosalpinx formation in women with advanced stage endometriosis complicated by endometriomaen_US
dc.typeArticleen_US

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