Management of Infertility in Women with Endometriosis

Ertan Sarıdoğan, E Saridogan
In: Türk Üreme Tıbbı ve Cerrahisi Dergisi · 2017 · vol. 1(2) , pp. 87–91 · doi:10.24074/tjrms.2017-56218 · W2618523481
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

Laparoscopic surgery improves spontaneous conception rates in women with early or advanced endometriosis, while ART is preferred for endometriosis-associated subfertility with male factor, tubal damage, or failed treatments.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

The paper discusses how endometriosis is associated with increased risk of infertility, noting that the mechanisms may differ between early disease (not fully understood) and advanced stage III–IV disease, where pelvic anatomical distortion is suggested as a likely contributor. It reviews evidence that laparoscopic surgery for both early and advanced endometriosis can improve spontaneous conception rates, with surgery described as potentially preferable for young women with good ovarian reserve and otherwise unexplained infertility. The paper also states that assisted reproductive technology is preferred when endometriosis-related subfertility occurs with concomitant male factor infertility or tubal damage or after other approaches have failed, while noting that whether ART pregnancy rates are lower in endometriosis remains disputed. This paper is centrally about endometriosis — it focuses on management strategies for infertility in women with endometriosis.

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ABSTRACT There is convincing evidence that endometriosis increases future risk of infertility. The pathogenesis of reduced fertility in early endometriosis is not clearly known but distortion to pelvic anatomy in stage III and IV endometriosis is likely to be responsible for infertility. Laparoscopic surgery for both early and advanced endometriosis is beneficial in improving spontaneous conception rates. Surgery may be the first choice in young women with good ovarian reserve and otherwise unexplained infertility. However, assisted reproductive technology (ART) is the preferred treatment in endometriosis associated subfertility when there is concomitant male factor infertility or tubal damage or when other approaches have failed. Clinical pregnancy rates of ART may be lower in women with endometriosis compared to other diagnostic categories, however this is disputed on the basis of data from large national databases. ART does not appear to increase the risk of recurrent endometriosis.

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Condition tags

endometriosisinfertility

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 (19)

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