Tief infiltrierende Endometriose – Ist eine operative Therapie vor IVF erforderlich?

Sebastian Daniel Schäfer
In: Der Gynäkologe · 2022 · vol. 55(4) , pp. 279–287 · doi:10.1007/s00129-022-04915-8 · W4213379371
article OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Surgery for deep infiltrating endometriosis can improve fertility, leading to spontaneous pregnancy or pregnancy after assisted reproductive technology, but treatment must be individualized.

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

The paper discusses whether deep infiltrating endometriosis (DIE/TIE) surgery is required before IVF to improve fertility, focusing on women with fertility disorders and considering assisted reproductive technology (ART) options. It synthesizes limited available data suggesting that operative treatment for TIE/DIE can improve fertility outcomes, enabling spontaneous conception, pregnancy after prior unsuccessful ART, and additional fertility gains even when ART is performed. A major caveat noted is the restricted evidence base and the need for individualized treatment planning. Relevance to endometriosis: The paper is centrally about endometriosis—specifically deep infiltrating endometriosis (TIE)—and also emphasizes incorporating coexisting adenomyosis into management decisions.

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last seen: 2026-06-10T17:14:06.276822+00:00
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