Gynecology Team of WHZJU Attends the 11th Asian Congress on Endometriosis (ACE)

The 11th Asian Congress on Endometriosis (ACE) was hold on September 25-26, 2023 at the Manila Marriott Hotel, Pasay City. With over six hundreds of delegates from more than 20 countries in attendance, the meeting addressed pathogenesis including immunology, platelet, hypoxia, primate model, angiogenesis, mRNA, invasion, apoptosis, mast cells, adipokines, stem cells, etc, as well as classification of endometriosis, medical management, laparoscopic and/or robotic surgery, deep endometriosis, and IVF. Exceptional speakers covered almost everything from fundamental basic research to clinical treatment outcomes. It was noteworthy that ACE provided substantial oral presentation opportunities for young scientists and also experts.

Professor Xinmei Zhang from department of Gynecology, Women’s Hospital, Zhejiang University School of Medicine presented “The pregnancy of women with adenomyosis is related to the relationship between placental implantation and adenomyotic lesions”. Professor Zhang addresed that it was necessary to identify the high risk factors affecting the fertility and reproductive outcomes of patients with adenomyosis before pregnancy in order to minimize obstetric complications. However, little attention has been paid to whether the positional relationship between placenta and adenomyotic lesion influences the maternal and perinatal outcomes. In his presetation, the positional relationships between placenta and adenomyotic lesion were graphically presented. The data showed that pregnant women complicated with adenomyosis were associated with adverse pregnancy outcomes. When the placental implantation site overlaped the adenomyotic lesion, adverse pregnancy outcomes were more likely to happen, especially preterm delivery and lower birth weight. In conclusion, patients with adenomyosis need detailed and thorough evaluation before pregnancy and close monitoring and early intervention should be carried out to improve pregnancy outcomes. The report appealed to a broad audience including obstetricians，gynecologists and health administrative department, and all the participants spoke well of the speech he delivered at the discussion.