Search for: [Abstract = "Endometriosis is an estrogen\-dependent condition affecting 2\-10% of general population of women. This illness may bring on strong pain of various kinds and is recognised as a cause in some cases of infertility. It is thus desired to find a surgical technique for treating endometriosis which allows both the relief of pain and the preservation of fertility. The primary aim of the presented paper is the assessment of therapeutic effects of ablative techniques, including CO2 laser ablation in endometriosis and related pain treatment, with particular focus on how such treatment affects the ovarian reserve.The study covered patients with preliminary diagnoses of pelvic endometriosis, who were scheduled for laparoscopic surgery, in whom the ovarian reserves were assessed and had been subject to a survey evaluating the occurrence and intensity of various kinds of pain possibly related to endometriosis. Patients were operated upon with use of various laparoscopic techniques. Some were operated upon with a CO2 laser or using electroablation. After 3 and 6 months they were examined for changes in pain intensity. Another group of patients were operated upon with a combination of the classical laparoscopic surgical method of removal and the above\-mentioned ablative techniques. In these patients, changes in the ovarian reserves were examined after 3 and 6 months too.In all examinations, the degree of advancement of endometric changes was assessed intra\-operatively according to the rASRM scale \(revised Classification of Endometriosis of the American Society for Reproductive Medicine\), by which the analysis of the dependence between the degree of endometriosis advancement and the size of the initial ovarian reserve was carried out.In article no. 1 and no. 3, the ovarian reserve was assessed using biophysical and biochemical parameters. In article no. 1 the initial, pre\-surgery ovarian reserve was analysed, thus the AFC \(antral follicle count\) was assessed, as well as the FSH level in 1\-3 day of cycle. In article no. 3, as well as the above\-mentioned parameters, pre\- and post\-surgery BOV \(basal ovarian volume\) was analysed, and the possibility of relapse was assessed using ultrasound scanning. In article no. 2 a survey with a scale \(numerically rated\) of 11 degrees of pain intensity was used to analyse changes in feeling various types of pain. The level of pain intensity was examined for pain during menstruation \(dysmenorrhea\), pain during intercourse \(dyspareunia\), during urination \(dysuria\), disorder of and pain during defecation \(dyschesis\) and pain in the pelvis minor not connected with the menstrual cycle \(PPS\). The sample group in article no. 1 was 39 patients, in no.2 it was 48, and in no.3 it was 58."]

Number of results: 0