Deep Infiltrating Endometriosis: Diagnosis and Fertility-Sparing Management in the ART Patient

Salomeh Salari, Kathryn J. Coyne, Rebecca Flyckt
In: Reproductive Surgery · 2022 · pp. 251–267 · doi:10.1007/978-3-031-05240-8_20 · W4294118510
book-chapter OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This chapter discusses deep infiltrating endometriosis diagnosis via clinical evaluation, imaging, and surgery, and reviews fertility-sparing surgical approaches to improve ART success rates.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews the characteristics and diagnosis of deep infiltrating endometriosis (DIE) and discusses implications for fertility, particularly in patients undergoing assisted reproductive technologies (ART). It describes assessment using clinical evaluation and imaging (ultrasound, MRI), while noting that definitive diagnosis is via surgical evaluation and pathology, and it links symptoms such as urinary and gastrointestinal complaints to lesion location. The chapter reports that DIE has not been conclusively shown to cause infertility, but lesion excision and fertility-sparing surgical management are discussed as being associated with improved spontaneous pregnancy and ART success rates, while acknowledging limitations of certainty around causality. It also covers anatomical, location-based operative strategies and techniques (shaving, discoid resection, segmental resection) and stresses the DIE–superficial endometriosis distinction. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis diagnosis and fertility-sparing management in the ART patient.

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endometriosisdie_deep_infiltrating

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last seen: 2026-06-10T17:14:06.276822+00:00
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