Bowel complications of deep endometriosis during pregnancy or in vitro fertilization

This study examines bowel complications caused by the progression of deep endometriosis during pregnancy or IVF. Endometriosis prevalence and its complications in pregnancy are unknown because the association is probably underreported.

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Authors

António Setúbal, M.D., Zacharoula Sidiropoulou, M.D., M.Sc., Mariana Torgal, M.D., Ester Casal, M.D., Carlos Lourenço, M.D., Philippe Koninckx, M.D.

Volume 101, Issue 2, Pages 442-446, February 2014

Abstract

Objective:

To review bowel complications caused by deep endometriosis during pregnancy or in vitro fertilization (IVF).

Design:

Three case reports and a systematic review.

Setting:

A tertiary referral center for deep endometriosis surgery.

Patient(s):

Three case reports of bowel perforation or occlusion during pregnancy caused by deep endometriosis.

Intervention(s):

A PubMed search was conducted to identify complications of deep endometriosis during pregnancy or IVF. The literature search identified 13 articles. According to these, 12 articles described 12 bowel complications caused by progression of deep endometriosis during pregnancy, and 1 article described six cases of bowel occlusion during IVF.

Result(s):

In 12 of 15 women, complications occurred during the third trimester of pregnancy, whereas 3 of 15 women presented with complications in the postpartum period. All complications during IVF occurred during stimulation. No specific factors that could predict these complications were identified, leading to the conclusion that endometriosis complications that occur in pregnancy or in IVF patients are probably underreported.

Conclusion(s):

Bowel complications during pregnancy or IVF stimulation may occur in women with deep endometriosis. This suggests that the endocrine environment of pregnancy does not prevent progression, at least in some women. These complications are rare, although probably underreported.

Read the full text at: http://www.fertstert.org/article/S0015-0282(13)03252-4/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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