An approach to endometriosis with infertility
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by gemini-2.5-flash-lite, 2026-06-08
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Treatment strategies for improving fertility in endometriosis cases lack clear advantages, with minimal endometriosis managed expectantly, severe endometriosis surgically, and moderate cases requiring individualized treatment.
Abstract
Owing to the lack of an ideal treatment for endometriosis when fertility must be preserved, there are differences of opinion between those in favour of a mainly surgical approach to therapy, those favouring expectant management of the disease's less severe forms and those who prefer an active medical approach. Such controversy has made endometriosis a constantly reviewed subject. According to the figures published in the medical literature regarding different treatment strategies for improving fertility in endometriosis cases, none of them shows any clear advantage over the next. Apparently, in minimal endometriosis, the expectation and correction of associated factors should produce identical results to any other therapy. Severe endometriosis should be treated surgically, since no response can be expected from medical therapy. Discussion on the best way to proceed arises in moderate endometriosis. The selection of the clinical treatment should be individualised with regard to the patient's condition: age, length of infertility, degree of severity of the condition, the patient's wishes and the surgical risks involved.
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Condition tags
endometriosisinfertility
MeSH descriptors
Endometriosis
Infertility, Female
Peritoneal Neoplasms
Endometriosis
Endometriosis
Endometriosis
Endometriosis
Female
Female
Gonadal Steroid Hormones
Gonadal Steroid Hormones
Gonadal Steroid Hormones
Humans
Humans
Infertility, Female
Infertility, Female
Infertility, Female
Peritoneal Neoplasms
Peritoneal Neoplasms
Peritoneal Neoplasms
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Source provenance
- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:54.692383+00:00
License: CC0
· commercial use OK