Management of infertility in women with endometriosis.

Barbara Grzechocinska, Barbara Grzechocińska, Miroslaw Wielgos, Mirosław Wielgoś
Neuro endocrinology letters · 2012 · vol. 33(7) , pp. 674–9 · PMID:23391886 · W125615632
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

Laparoscopic ablation of endometriosis improves fertility in minimal-to-mild cases, while hormonal suppression alone does not; treatment strategies for endometriosis-associated infertility vary by stage and patient age, with IVF being recommended for more severe cases or older patients.

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Abstract

Although there is confirmed an association between endometriosis and infertility, precise standards of managements have not yet been established. Ablation of endometriotic lesions plus adhesiolysis in minimal to mild endometriosis is more effective than diagnostic laparoscopy alone in improving fertility. Suppression of ovarian function and hormonal treatment alone are not effective in improving fertility. In women with stage I/II endometriosis associated infertility, expectant management or IUI after laparoscopy can be considered for younger patients. Women 35 years of age or older should be treated with IUI or IVF-ET. IVF pregnancy rate are lower in women with endometriosis than in those with tubal infertility. For women with stage III/IV endometriosis who fail to conceive following conservative surgery IVF-ET is should be offered.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Infertility, Female Infertility, Female Reproductive Medicine Endometriosis Female Humans Infertility, Female Pregnancy Prognosis Reproductive Medicine

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.

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