Endometriosis and Infertility

Endometriosis can be found in up to 80% of patients with pelvic pain and infertility. Whether endometriosis reduces a woman’s fecundability remains controversial. In asymptomatic infertile patients with patent fallopian tubes on imaging, there is no indication for diagnostic laparoscopy. It would require ~40 surgeries to result in one additional pregnancy. In patients with pelvic pain, adnexal masses consistent with endometriosis or tubal occlusion, operative laparoscopy is indicated and has been shown to result in improved fecundability. Appropriate evaluation and selection of patients suspected of endometriosis for either surgery or conventional treatments is critical for patient outcomes. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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