Endométriose profonde et infertilité, RPC Endométriose CNGOF-HAS

Mathieu d'Argent E, Emmanuelle Mathieu d’Argent, E Mathieu d'Argent, J. Cohen, Cohen J, Jonathan Cohen, C Chauffour, Chauffour C, J L Pouly, Pouly JL, J.-L. Pouly, Boujenah J, J. Boujenah, C. Poncelet, Poncelet C, Decanter C, Christine Decanter, C Decanter, Santulli P, P Santulli, Piétro Santulli
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 46(3) , pp. 357–367 · doi:10.1016/j.gofs.2018.02.006 · PMID:29544710 · W2793530129
review OA: closed CC0 ⤵ 9 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper presents the French National College of Gynecologists and Obstetricians (CNGOF) and High Authority for Health (HAS) recommendations for managing deep endometriosis and infertility.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Deeply infiltrating endometriosis is a severe form of the disease, defined by endometriotic tissue peritoneal infiltration. The disease may involve the rectovaginal septum, uterosacral ligaments, digestive tract or bladder. Deeply infiltrating endometriosis is responsible for disabling pain and infertility. The purpose of these recommendations is to answer the following question: in case of deeply infiltrating endometriosis associated infertility, what is the best therapeutic strategy? First-line surgery and then in vitro fertilization (IVF) in case of persistent infertility or first-line IVF, without surgery? After exhaustive literature analysis, we suggest the following recommendations: studies focusing on spontaneous fertility of infertile patients with deeply infiltrating endometriosis found spontaneous pregnancy rates about 10%. Treatment should be considered in infertile women with deeply infiltrating endometriosis when they wish to conceive. First-line IVF is a good option in case of no operated deeply infiltrating endometriosis associated infertility. Pregnancy rates (spontaneous and following assisted reproductive techniques) after surgery (deep lesions without colorectal involvement) varie from 40 to 85%. After colorectal endometriosis resection, pregnancy rates vary from 47 to 59%. The studies comparing the pregnancy rates after IVF, whether or not preceded by surgery, are contradictory and do not allow, to date, to conclude on the interest of any surgical management of deep lesions before IVF. In case of alteration of ovarian reserve parameters (age, AMH, antral follicle count), there is no argument to recommend first-line surgery or IVF. The study of the literature does not identify any prognostic factors, allowing to chose between surgical management or IVF. The use of IVF in the indication "deep infiltrating endometriosis" allows satisfactory pregnancy rates without significant risk, regarding disease progression or oocyte retrieval procedure morbidity.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Infertility, Female Infertility, Female Rectal Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Female Humans Infertility, Female Ovarian Reserve Rectal Diseases Rectal Diseases Reproductive Techniques, Assisted

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (67)

Cited by (9)

Source provenance

europepmc
last seen: 2026-09-21T06:08:07.822426+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:55.107525+00:00
unpaywall
last seen: 2026-09-23T06:15:37.550144+00:00
License: CC0 · commercial use OK