RT Journal Article
T1 Strategies to manage refractory endometrium: state of the art in 2016.
A1 Garcia-Velasco, Juan A
A1 Acevedo, Belen
A1 Alvarez, Claudio
A1 Alvarez, Monica
A1 Bellver, Jose
A1 Fontes, Juan
A1 Landeras, Jose
A1 Manau, Dolors
A1 Martinez, Francisca
A1 Muñoz, Elkin
A1 Robles, Ana
A1 Rodriguez-Tabernero, Luis
K1 IVF
K1 assisted reproductive treatment
K1 endometrial lining
K1 refractory endometrium
AB The endometrium is one of a number of factors involved in achieving optimal outcomes after assisted reproductive treatment. Owing to its "passive" growth following adequate ovarian stimulation, it has received virtually no attention. Only when either endometrial thickness or ultrasonographic pattern seem inadequate have different strategies been assessed to try to improve it, especially in those cases where it seems difficult or impossible to make it grow. The objective of this review is to summarize the different strategies that have been investigated in patients with inadequate endometrium, to attempt to provide solid evidence of therapies that may be beneficial and to move away from empirism. A review of the existing literature was performed by searching MEDLINE, EMBASE, Cochrane library and Web of Science for publications in English related to refractory endometrium. Most current treatments are based on anecdotal cases and not on solid data, although worldwide many doctors and patients use them. In conclusion, this review found that it is not easy to provide a pragmatic, evidence-based approach to help physicians and patients confused by the available data on how to improve a poor endometrium. Honest balanced information provided to our patients is the best that we can do.
YR 2016
FD 2016-02-23
LK http://hdl.handle.net/10668/9899
UL http://hdl.handle.net/10668/9899
LA en
DS RISalud
RD Apr 12, 2025