Characteristics of follicular fluid in ovaries with endometriomas

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• 作者：Elisa Giacomini^a ; Ana M. Sanchez^a ; Veronica Sarais^a ; Soha Al Beitawi^a ; Massimo Candiani^b ; Paola Viganò ; ^a ; ^{vigano.paola@hsr.it}
• 关键词：Endometrioma ; Follicular fluid ; Iron ; Reactive oxygen species
• 刊名：European Journal of Obstetrics & Gynecology and Reproductive Biology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：209
• 期：Complete
• 页码：34-38
• 全文大小：430 K
• 卷排序：209

文摘

The study of follicular fluid (FF) content nearby endometriomas may assist in elucidating pathophysiology, possible biomarkers related to this disease and the effect of endometriomas on ovarian physiology. As the question “how endometrioma may intrude the physiology of ovarian tissue?” is still open, we aimed to summarize the molecular evidence supporting the idea that endometriomas can negatively influence the content of the surrounding ovarian follicles. An alteration of the iron metabolism and an increased ROS (reactive oxygen species) generation characterize the intrafollicular environment adjacent to endometriomas. Other potentially negative effects include decreased testosterone and anti-Mullerian hormone FF levels although these have been only partially clarified. Alterations in lipid and proteomic patterns have been also observed in FF samples nearby endometriomas. The possibility that endometriomas per se may influence IVF clinical results as a consequence of the detrimental impact on the local intrafollicular environment is also discussed.