{"paper_id":"7850c85b-ea6b-4e17-a68d-ea656efe2bc0","body_text":"Abstract\nThe prevalence of endometriosis was found to be 30–50% in infertile women compared to up to 10% in women of reproductive age, suggesting a link between endometriosis and infertility. The causal mechanisms of the impact of endometriosis on fertility are still entirely clear; however, pelvic adhesions in severe endometriosis leading to tubal occlusions, decreased oocyte and embryo quality, altered endometrium function, inflammatory changes in the peritoneal fluid, and hormonal changes may contribute to infertility. The beneficial impact of endometriosis surgery on women seeking spontaneous conception is evident for minimal/milder forms, but it is more difficult to evaluate in moderate/severe cases. Therefore, other factors such as the presence of pain may influence the decision process for surgery. Prior to considering surgery or first-line fertility treatment, a multidisciplinary assessment by specialists in both reproductive medicine and as surgery will aid the patient’s decision-making process. After surgery, the Endometriosis Fertility Index (EFI) should be used to guide future fertility management, such as the need for direct ART or not.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nMeuleman C, Vandenabeele B, Fieuws S, Spiessens C, Timmerman D, D’Hooghe T. High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil Steril. 2009;92(1):68–74.\nAbbas S, Ihle P, Köster I, Schubert I. Prevalence and incidence of diagnosed endometriosis and risk of endometriosis in patients with endometriosis-related symptoms: findings from a statutory health insurance-based cohort in Germany. 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Springer, Cham. https://doi.org/10.1007/978-3-030-97236-3_13\nDownload citation\nDOI: https://doi.org/10.1007/978-3-030-97236-3_13\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-030-97235-6\nOnline ISBN: 978-3-030-97236-3\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}