Endométriose profonde et fertilité
Endometriosis, characterized by endometrial tissue outside the uterus, affects 10-15% of reproductive-aged women and up to 50% of infertile women, with environmental factors potentially increasing its incidence.
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This chapter reviews endometriosis as a gynecologic condition defined by endometrial glands and stroma outside the uterus and summarizes epidemiologic estimates of its prevalence in reproductive-age and infertile women, noting data suggesting increasing incidence potentially linked to environmental factors. It outlines the context for understanding fertility impacts in relation to disease severity and discusses the rationale and evidence base for fertility-sparing approaches and diagnostic considerations in deep infiltrating disease, including how outcomes after surgical management are studied and interpreted. The chapter’s limitation is that, as a narrative review/chapter, it provides high-level synthesis rather than presenting original study data with a single, explicitly stated methods framework and caveats for each included evidence domain. Relevance to endometriosis: the chapter is specifically about “endométriose profonde et fertilité,” focusing on how deep infiltrating endometriosis relates to fertility outcomes, and it also references adenomyosis in the broader reproductive impairment context, including utero-tubal sperm transport in both endometriosis and adenomyosis.
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