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Frauen mit nur einem Eierstock: Verfügen sie über ein niedrigeres reproduktives Potenzial?

  • Gynäkologie
  • Published:
Reproduktionsmedizin

Zusammenfassung

Tuboovarialabszesse, Endometriose und Extrauteringraviditäten sind einige der Ursachen, die zu einer unilateralen Adnexektomie führen können. Unilateral adnexektomierte Frauen stellen eine Herausforderung für eine IVF-Behandlung dar. Es ist bereits mehrfach untersucht worden, inwiefern das reproduktive Potenzial dieser Frauen in einer IVF-Behandlung gegenüber der von Frauen mit zwei Ovarien eingeschränkt ist. Meist wurden nur konventionelle IVF-Zyklen eingeschlossen, während in nur sehr wenigen Studien ICSI-Zyklen von Frauen mit nur einem Ovar enthalten sind. Die berichteten Ergebnisse sind teilweise widersprüchlich. Daher werden in dieser Übersichtsarbeit verschiedene Aspekte der assistierten Reproduktion bei Frauen mit nur einem Ovar eingehend beleuchtet. Im Mittelpunkt stehen insbesondere die hormonelle Stimulation, die Implantationsraten und die Schwangerschaftsraten sowie der Einfluss der Lokalisation des verbleidenden Ovars.

Abstract

Tubo-ovarian abscesses, endometriosis, and extrauterine pregnancies are some of the causes that can necessitate unilateral adnexectomy. Women who have undergone unilateral adnexectomy pose a challenge for IVF treatment. Several studies have already assessed to what extent the reproductive potential of these women is limited in IVF treatment in comparison to women with two ovaries. For the most part, only conventional IVF cycles were included, while only very few studies considered ICSI cycles of women with only one ovary. The results reported are in part contradictory. This overview deals in detail with various aspects of assisted reproduction in women with only one ovary. Particular attention is given to hormonal stimulation, implantation rates, pregnancy rates, and the influence of the location of the remaining ovary.

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Authors and Affiliations

  1. Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Lübeck

    A. K. Schröder, K. Diedrich &  S. AI-Hasani

  2. Abteilung für Reproduktive Physiologie, Demokritus Universität Thrace, Alexandopoulis, Griechenland

    B. Asimakopoulos & N. Nikolettos

  3. Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Lübeck, Ratzeburger Allee 160, 23538 , Lübeck

    S. AI-Hasani

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  1. A. K. Schröder
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  2. B. Asimakopoulos
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  3. N. Nikolettos
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  4. K. Diedrich
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  5. S. AI-Hasani
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Correspondence to S. AI-Hasani.

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Schröder, A.K., Asimakopoulos, B., Nikolettos, N. et al. Frauen mit nur einem Eierstock: Verfügen sie über ein niedrigeres reproduktives Potenzial?. Reproduktionsmedizin 19, 81–83 (2003). https://doi.org/10.1007/s00444-003-0395-1

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  • DOI: https://doi.org/10.1007/s00444-003-0395-1

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