The treatment of endometriosis-associated infertility

Spencer S, Stuart Spencer, Alexandros Lazaridis, Alexandros Loukas Grammatis, Alexandros Grammatis, Hirsch M, Martin Hirsch
Current opinion in obstetrics & gynecology · 2022 · vol. 34(5) , pp. 300–314 · doi:10.1097/gco.0000000000000806 · PMID:36036476 · W4293452802
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This review examines recent evidence on endometriosis-associated infertility, highlighting surgery's role in assisted conception for deep endometriosis and the utility of the endometriosis fertility index for predicting outcomes.

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Abstract

PURPOSE OF REVIEW: To review the recent evidence around the treatment of infertility in patients with endometriosis. RECENT FINDINGS: The management of endometriosis associated infertility remains challenging. There have been an increasing number of prospective observational studies highlighting the role of surgery to enhance assisted conception amongst those with deep rectovaginal endometriosis. Further validation studies confirm the role of the endometriosis fertility index in prediction of reproductive outcomes after surgery, and confirm that it can be employed in counselling patients prior to surgery on their likelihood of spontaneous conception. Further randomized trials are required to establish the role of surgically treating superficial and deep endometriosis and both spontaneous and assisted conception outcomes. SUMMARY: Endometriosis continues to present challenges in counselling patients with regards to their fertility prospects. This article reviews the recent research findings that may assist in the management of patients with endometriosis associated infertility.

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Condition tags

endometriosisbowel_endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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 (54)

Cited by (4)

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License: CC0 · commercial use OK