Endometriosis-Related Complications in Women Undergoing In Vitro Fertilization

Gaetano Riemma, Salvatore Giovanni Vitale, Stefano Angioni
In: Endometriosis-related Infertility · 2024 · pp. 269–278 · doi:10.1007/978-3-031-50662-8_20 · W4392309707
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

In vitro fertilization therapy may worsen endometriosis, potentially leading to complications like bowel blockage or abscesses, especially in women with pre-existing endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter examines potential endometriosis-related complications in women undergoing in vitro fertilization (IVF), focusing on mechanisms such as IVF-associated elevated estrogen, altered ovulation frequency, and possible lesion inflammation, including in intestinal disease. It discusses associations between IVF procedures (including oocyte retrieval) and risks such as infection, pelvic inflammatory disease, and pelvic or tubo-ovarian abscess, noting that these problems may be more severe and persistent in women with endometriosis than in those without. A key caveat is that whether IVF accelerates endometriosis development is described as not yet ruled out or even proved, and the evidence base includes controversy. This paper is centrally about endometriosis — it specifically reviews endometriosis-related complications and potential disease progression concerns during IVF.

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endometriosis

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