臨床婦人科産科76巻7号

2022年07月発行

今月の臨床 子宮内膜症の最新知識―この1冊で重要ポイントを網羅する 不妊を主訴とする場合―ARTが先か手術が先か，子宮腺筋症の場合は？

子宮腺筋症合併不妊の治療戦略

著者： 木村文則¹ 川口龍二¹ 赤坂珠理晃¹

所属機関： ¹奈良県立医科大学産婦人科学講座

ページ範囲：P.657 - P.663

●子宮腺筋症は，不妊症の原因となり，産科予後にも影響を及ぼすと考えられる．

●子宮腺筋症合併不妊患者においても，薬物療法抵抗性の月経困難症，過多月経をきたす症例には保存的手術を考慮する．

●子宮腺筋症合併不妊に対し保存的手術を施行する際は，年齢や卵巣予備能などのほかの不妊因子を念頭に，その効果と産科予後への影響を考慮しながら施行する必要がある．

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