[Treatment of patients with endometriosis and infertility].

BACKGROUND: The Word Endometriosis Society estimates that 176 millions of women in the world have experienced endometriosis symptoms way before their quality of life has been compromised. Despite the advances, endometriosis continues to be a challenge for doctors nowadays. OBJECTIVE: The purpose of this article is to make an attempt to unify the foundations and theories worldwide accepted on endometriosis infertility treatment. CONCLUSION: Infertility management caused by endometriosis remains daring. Laparoscopic cystectomy for ovarian endometriomas larger than 4 cm of diameter improves fertility compared with drainage and coagulation. Those with mild disease (I and II) after surgical reconstruction can undergo ovarian stimulation with artificial insemination. At the identification of endometriosis it must be treated surgically, except in those patients that because of special circumstances (elderly, compromised pelvis, azoospermia, etc.) is advisable to appeal in vitro fertilization with embryos transference, like in advanced stages cases (III and IV).