Surgical treatment of deep endometriosis: Impact on spontaneous conception

Georgios Grigoriadis, Aris Daniilidis, Angelos Daniilidis, Daniilidis A, Merlot B, Benjamin Merlot, Stratakis K, Konstantinos Stratakis, Thomas Dennis, Dennis T, Crestani A, Adrien Crestani, Isabella Chanavaz-Lacheray, Chanavaz-Lacheray I, Isabella Chanavaz‐Lacheray, Horace Roman, Roman H
Best practice & research. Clinical obstetrics & gynaecology · 2024 · vol. 93 , pp. 102455 · doi:10.1016/j.bpobgyn.2024.102455 · PMID:38181664 · W4390570619
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This paper investigates the impact of surgical treatment for deep endometriosis on spontaneous conception rates in affected women.

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Abstract

Deep endometriosis (DE) is the most severe form of endometriosis and is commonly associated with infertility. Surgical treatment of DE appears to increase chances of spontaneous conception in appropriately selected patients wishing to conceive. Identifying, however, the exact impact of DE, and its surgical removal, on natural conception is highly challenging. The surgical approach should be favoured in symptomatic patients with pregnancy intention. Limited data from infertile patients suggest that outcomes may not differ from patients without known infertility. Complex DE surgery carries a risk of serious complications, therefore, it should be performed in centers of expertise. Such complications may, however, not have a significant negative impact on fertility outcomes, according to limited available data. Data on obstetric outcomes of spontaneous conceptions after DE surgery are too scarce. In asymptomatic, infertile patients the debate between primary surgery or Artifial Reproductive Technology is ongoing, until randomized studies report their results.

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Condition tags

endometriosis

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.

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Cited by (7)

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europepmc
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